美国成年人感染HPV的出生时间和种族/种族差异,NHANES 2007-2016年
Leslie E Cofie1, Lei Xu1, Breanna Alligood2
1Department of Health Education and Promotion, East Carolina University, Greenville, NC, United States.
Frontiers in public health
|September 26, 2025
概括
外国出生的个人比美国出生的成年人感染人类乳头瘤病毒 (HPV) 的比率更低. 然而,外国出生的黑人和西班牙裔成年人,特别是女性,感染HPV的几率更高,需要针对性的公共卫生干预措施.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 人类乳头瘤病毒 (HPV) 是全球常见的性传播感染.
- 关于美国移民人口中HPV感染率的数据有限.
- 了解跨人口群体的HPV流行率对于有针对性的预防至关重要.
研究的目的:
- 通过外国出生的身份,性别和种族/种族来检查HPV感染患病率随时间的变化.
- 调查外国出生的个人中HPV感染的种族/种族差异.
- 为各种人群中HPV预防的公共卫生策略提供信息.
主要方法:
- 分析2007-2016年国家健康和营养检查调查 (NHANES) 数据,来自18-34岁的成年人 (N=4,523).
- 结果措施包括任何HPV感染和疫苗型HPV感染.
- 统计分析包括奇平方测试和多变量二元逻辑回归.
主要成果:
- 总体HPV患病率为43%,疫苗型HPV患病率为8%.
- 外国出生的个体的HPV感染,疫苗类型感染和疫苗接种率明显较低 (p < 0.001).
- 在外国出生的成年人中,黑人个人 (aOR=3.38),西班牙裔女性 (aOR=2.99) 和黑人女性 (aOR=5.27) 与白人个人/女性相比,感染HPV的几率更高.
结论:
- 提高HPV疫苗接种率的公共卫生措施应优先考虑外国出生的黑人和西班牙裔成年人.
- 需要有针对性的干预措施来解决在特定的外国出生的人口群体之间HPV感染的差异.
- 进一步的研究可以改进移民社区HPV预防策略.
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