双价人乳头瘤病毒疫苗接种计划的间接影响:一个观察性队列研究
Marit Middeldorp1,2, Janneke W Duijster3, Mirjam J Knol3
1Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, the Netherlands. marit.middeldorp@rivm.nl.
BMC medicine
|June 6, 2025
概括
在未接种疫苗的妇女中,双重HPV疫苗对HPV16和HPV45感染有显著的间接保护. 这项研究量化了HPV疫苗接种计划的群体免疫效应.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 人类乳头瘤病毒 (HPV) 疫苗接种计划的有效性取决于未接种疫苗的人的间接保护.
- 估计这种间接影响对于理解群体免疫是至关重要的.
研究的目的:
- 估计双价HPV疫苗接种计划的间接影响.
- 为了比较未接种疫苗的妇女在接种疫苗之前和之后的HPV型发病率.
主要方法:
- 利用了两组未接种疫苗的妇女 (HAVANA和HAVANA-2) 的不同疫苗接种暴露时间.
- 采用Poisson和Cox回归模型来分析HPV类型发病率和估计疫苗间接影响.
主要成果:
- 在较晚的队列中观察到发生的HPV16 (70.9-73.1%) 和HPV45 (67.3-69.8%) 感染的显著减少.
- 对于HPV18,HPV31和HPV33没有发现统计学上显著的间接影响.
结论:
- 双价HPV疫苗接种计划证明了对HPV16和HPV45感染的实质性间接保护.
- 这些发现凸显了HPV疫苗接种计划对人口水平的好处.
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