Sexual health最新文献_第9页

Preferences for the delivery of early abortion services in Australia: a discrete choice experiment. 澳大利亚提供早期堕胎服务的偏好：一个离散选择实验。

IF 1.8 4区医学

Sexual health Pub Date : 2024-12-01 DOI: 10.1071/SH24112

Jody Church, Marion Haas, Deborah J Street, Deborah Bateson, Danielle Mazza

{"title":"Preferences for the delivery of early abortion services in Australia: a discrete choice experiment.","authors":"Jody Church, Marion Haas, Deborah J Street, Deborah Bateson, Danielle Mazza","doi":"10.1071/SH24112","DOIUrl":"10.1071/SH24112","url":null,"abstract":"Background Abortion is a common procedure in Australia; it is estimated that the rate is between 15 and 17 per 1000 women. Surgical and medical abortion options are available; however, the use of medical abortion is not as common as in other similar countries. The aim of this study is to understand preferences for the provision of early abortion services in Australia. Methods We conducted a survey of 821 members of an online panel representative of the Australian adult general population. The survey consisted of a discrete choice experiment including 16 choice tasks and a number of follow-up questions. A mixed logit model was used to analyse the responses to the discrete choice experiment. Results Respondents preferred services that provided surgical abortion compared with early medical abortion (EMA). They preferred consultations with a specialist gynaecologist compared with a general practitioner (GP); consultations with a GP were preferred to those with a nurse practitioner. Face-to-face consultations were preferred to telehealth. For EMA, respondents preferred to collect medication from the doctor's surgery rather than from a pharmacy or to receive it by post. Overall, respondents preferred lower-cost services. There were no differences in preferences between respondents with or without experience of abortion or between genders. Conclusions Respondents prefer abortion services with low out-of-pocket costs. Their reluctance to use a nurse-led service may reflect the general public's lack of understanding of and familiarity with the training and expertise of nurse practitioners. Similarly, the safety and benefits of EMA relative to surgery, including EMA delivered by telehealth, need to be emphasised.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"21 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rising incidence of gonorrhea in Taiwan amid the COVID-19 pandemic: a nationwide surveillance study. COVID-19大流行期间台湾淋病发病率上升：一项全国性监测研究。

IF 1.8 4区医学

Sexual health Pub Date : 2024-11-01 DOI: 10.1071/SH23188

Hsing-Yuan Chen, Yi-Hsiang Sung, Chung-Chu Chen, Shun-Long Weng, Bo-Huang Liou, Chun-Yan Yeung, Chi-Hone Lien, Chao-Hsu Lin, Hsin Chi, Liang-Yen Lin, Nan-Chang Chiu, Chien-Yu Lin

{"title":"Rising incidence of gonorrhea in Taiwan amid the COVID-19 pandemic: a nationwide surveillance study.","authors":"Hsing-Yuan Chen, Yi-Hsiang Sung, Chung-Chu Chen, Shun-Long Weng, Bo-Huang Liou, Chun-Yan Yeung, Chi-Hone Lien, Chao-Hsu Lin, Hsin Chi, Liang-Yen Lin, Nan-Chang Chiu, Chien-Yu Lin","doi":"10.1071/SH23188","DOIUrl":"10.1071/SH23188","url":null,"abstract":"Background The protracted battle against coronavirus disease 2019 (COVID-19) has had a profound impact on various facets of society. The epidemiology of several diseases underwent alterations following the implementation of social restrictive strategies and non-pharmaceutical interventions (NPI). Methods In response to these changes, we conducted a retrospective nationwide surveillance study to investigate the prevalence of sexually transmitted infections during the pandemic. Weekly incidences of gonorrhea, syphilis, human immunodeficiency virus (HIV), and enterovirus were extracted from the national surveillance database. Results Over the period from 2015 to 2022, a sustained increase in gonorrhea notifications was evident (linear trend with a rising slope of 0.24 and an R-squared value of 0.62). When comparing the pre-pandemic period (2017-2019) with the pandemic period (2020-2022), a significant surge in gonorrhea notifications was observed (85 notifications per week pre-pandemic vs 143 notifications during the pandemic, representing a 68% increase, P Conclusions Our study highlights a significant rise in gonorrhea notifications during the pandemic. Despite disruptions to gonorrhea testing and medical services, and the implementation of NPI, there was no significant decrease in the incidence of gonorrhea in Taiwan. Gonorrhea emerged as a critical public health concern during the pandemic.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"21 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Community-engaged strategies to improve sexual health services for adults aged 45 and above in the United Kingdom: a qualitative data analysis. 改善英国 45 岁及以上成年人性健康服务的社区参与战略：定性数据分析。

IF 1.8 4区医学

Sexual health Pub Date : 2024-11-01 DOI: 10.1071/SH24143

Michel Nunez, Yoshiko Sakuma, Hayley Conyers, Suzanne Day, Fern Terris-Prestholt, Jason J Ong, Stephen W Pan, Tom Shakespeare, Joseph D Tucker, Eneyi E Kpokiri, Dan Wu

{"title":"Community-engaged strategies to improve sexual health services for adults aged 45 and above in the United Kingdom: a qualitative data analysis.","authors":"Michel Nunez, Yoshiko Sakuma, Hayley Conyers, Suzanne Day, Fern Terris-Prestholt, Jason J Ong, Stephen W Pan, Tom Shakespeare, Joseph D Tucker, Eneyi E Kpokiri, Dan Wu","doi":"10.1071/SH24143","DOIUrl":"10.1071/SH24143","url":null,"abstract":"Background Sexual health is an essential component of health and well-being across the life course. However, sexual health research often focuses on young adults and excludes those aged 45years and older. We organized a national crowdsourcing open call and co-creation events to identify recommendations to improve sexual health service provision for middle-aged and older adults in the United Kingdom (UK). Methods We conducted a crowdsourcing open call and seven co-creation events consisting of workshop-style meetings and one-to-one in-depth interviews. Open call submissions and qualitative data from the co-creation events were analyzed using a thematic approach. A social-ecological framework was used to code deductively, but new codes were allowed to emerge. Thematic categories were organized to describe factors influencing the accessibility and inclusivity of sexual health services for middle-aged and older adults. Results We received 22 submissions in total; of those, 35% of participants reported a disability, 40% of individuals were aged 45-65years, and 6% of submissions came from individuals that identified as gay/lesbian. Five key themes highlighted that improving sexual health services for adults aged 45years and over requires a multi-leveled approach: increase sexual health education, enhance patient and provider relationships, utilize community-led sexual health promotion efforts and delivery of reliable sexual health information, improve inclusive sexual health services, and break down sexual health taboos against adults aged 45+ years. Conclusions Our data suggest that middle-aged and older adults can co-create compelling strategies to enhance sexual health services for middle-aged and older adults in the UK. Further implementation research is needed to pilot these strategies.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"21 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sexual health in an aging world: a global call to action for more resilient services for older and disabled adults. 老龄化世界中的性健康：为老年人和残疾成年人提供更有弹性的服务的全球行动呼吁。

IF 1.8 4区医学

Sexual health Pub Date : 2024-11-01 DOI: 10.1071/SH24137

Sophia Randazzo, Suzanne Day, Isabella Kritzer, Huachun Zou, Hayley Conyers, Yoshiko Sakuma, Dan Wu, Eneyi E Kpokiri, Lianne Gonsalves, Joseph D Tucker

引用次数: 0

Perceptions, experiences and concerns with sexually transmitted infections among current and former PrEP users: a longitudinal qualitative study of gay, bisexual and queer men in Canada. 目前和以前的 PrEP 使用者对性传播感染的看法、经历和担忧：一项针对加拿大男同性恋、双性恋和同性恋男性的纵向定性研究。

IF 1.8 4区医学

Sexual health Pub Date : 2024-11-01 DOI: 10.1071/SH23195

Emerich Daroya, Alex Wells, Mark Gaspar, Jad Sinno, Mark Hull, Nathan J Lachowsky, Darrell H S Tan, Daniel Grace

{"title":"Perceptions, experiences and concerns with sexually transmitted infections among current and former PrEP users: a longitudinal qualitative study of gay, bisexual and queer men in Canada.","authors":"Emerich Daroya, Alex Wells, Mark Gaspar, Jad Sinno, Mark Hull, Nathan J Lachowsky, Darrell H S Tan, Daniel Grace","doi":"10.1071/SH23195","DOIUrl":"10.1071/SH23195","url":null,"abstract":"Background Pre-exposure prophylaxis (PrEP) use has been attributed to heightened rates of sexually transmitted infections (STIs), ostensibly due to increased condomless anal sex (CAS) and greater frequency of STI testing. Few qualitative studies have assessed how gay, bisexual and queer men (GBQM) who use PrEP perceive STIs and how these attitudes have evolved post-PrEP uptake. We investigated the perspectives of current and former PrEP users on STIs. Methods Annual, in-depth longitudinal interviews were conducted with 38 current and former PrEP users in Ontario (n =18) and British Columbia (n =20), Canada, as part of a mixed-methods implementation science study (2020-2022). Over 3years, 109 interviews were conducted. Data analysis included reflexive thematic coding and longitudinal recurrent cross-sectional analysis using NVivo 12. Results Four STI-related themes emerged: (1) lack of STI-related concerns due to treatment and prevention optimism, (2) stigma-related concerns, (3) perceived risk among other PrEP users due to increased CAS, and (4) inconsistent testing concerns among non-PrEP users. Over time, some STI-related anxieties decreased with increased knowledge and reduced stigma. However, concerns persisted for other participants due to perceived risky sexual behaviours among other PrEP users and non-PrEP users. Both current and former PrEP users who expressed STI-related apprehensions consistently indicated adopting risk-reduction strategies, including condom use and having fewer sexual partners throughout the study. Conclusions Findings show how varied STI perceptions and experiences among current and former PrEP users shaped sexual decision-making over time. Providers, public health experts, and policymakers should develop a more comprehensive strategy to address STI concerns among GBQM.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"21 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Telehealth for HIV care and management among people living with HIV in Australia: results from an online survey. 澳大利亚艾滋病毒感染者中的远程医疗艾滋病毒护理和管理：在线调查的结果。

IF 1.8 4区医学

Sexual health Pub Date : 2024-11-01 DOI: 10.1071/SH24067

Juan Martinez-Andres, Christopher K Fairley, Timothy Krulic, Jason J Ong, Louise Owen, Anna McNulty, Melanie Bissessor, Caroline Thng, Charlotte Bell, Mahesh Ratnayake, Dean Murphy, Eric P F Chow, Tiffany R Phillips

{"title":"Telehealth for HIV care and management among people living with HIV in Australia: results from an online survey.","authors":"Juan Martinez-Andres, Christopher K Fairley, Timothy Krulic, Jason J Ong, Louise Owen, Anna McNulty, Melanie Bissessor, Caroline Thng, Charlotte Bell, Mahesh Ratnayake, Dean Murphy, Eric P F Chow, Tiffany R Phillips","doi":"10.1071/SH24067","DOIUrl":"10.1071/SH24067","url":null,"abstract":"Background The aims of this study were to evaluate the experiences of telehealth for routine HIV care and identify preferred models of HIV routine care for the future. Methods Anonymous, online questionnaire among people living with HIV aged 18years or older. This survey was advertised via posters with a QR code in six sexual health clinics and one community organisation as well as on social media from November 2021 to December 2022. Results Of 89 participants, the majority were males (80/89, 89.9%), between 36 and 55years old (49/89, 55.1%), spoke English at home (74/89, 84.1%), had been living with HIV for >5years (68/89, 76.4%) and reported having a telehealth consultation since the COVID-19 pandemic began (69/89, 77.5%). The top three liked aspects of telehealth were: the convenience of not leaving home or work (50/69, 72.5%); less travel time (48/69, 69.6%); and avoiding contact with other people (30/69, 43.5%). The top three dislikes of telehealth were: they could not be screened for sexually transmitted infections (STIs) or have a physical examination at the same time (29/69, 42.0%); it was an impersonal experience (20/69, 29.0%); and it was more difficult to discuss health concerns (18/69, 26.1%). Among all participants, the preference for future consultations was to have a mix between in-person and telehealth (40/89, 44.9%); however, nearly one-quarter prefer in-person consultations only (20/89, 22.5%). Conclusions Use of telehealth during COVID-19 has been evaluated positively among people living with HIV that participated in this survey. Participants support the use of telehealth for routine care in conjunction with in-person consultations.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"21 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prescribing pre-exposure prophylaxis for HIV prevention: a cross-sectional survey of general practitioners in Australia. 为预防艾滋病毒而开具接触前预防处方：对澳大利亚全科医生的横断面调查。

IF 1.8 4区医学

Sexual health Pub Date : 2024-11-01 DOI: 10.1071/SH24018

Jason Wu, Christopher K Fairley, Daniel Grace, Benjamin R Bavinton, Doug Fraser, Curtis Chan, Eric P F Chow, Jason J Ong

{"title":"Prescribing pre-exposure prophylaxis for HIV prevention: a cross-sectional survey of general practitioners in Australia.","authors":"Jason Wu, Christopher K Fairley, Daniel Grace, Benjamin R Bavinton, Doug Fraser, Curtis Chan, Eric P F Chow, Jason J Ong","doi":"10.1071/SH24018","DOIUrl":"10.1071/SH24018","url":null,"abstract":"Background Pre-exposure prophylaxis (PrEP) is a safe and effective medication for preventing HIV acquisition. We examined Australian general practitioners' (GP) knowledge of PrEP efficacy, characteristics associated with ever prescribing PrEP and barriers to prescribing. Methods We conducted an online cross-sectional survey of GPs working in Australia between April and October 2022. We performed univariable and multivariable logistic regression analyses to identify factors associated with: (1) the belief that PrEP was at least 80% efficacious; and (2) ever prescribed PrEP. We asked participants to rate the extent to which barriers affected their prescribing of PrEP. Results A total of 407 participants with a median age of 38years (interquartile range 33-44) were included in the study. Half of the participants (50%, 205/407) identified how to correctly take PrEP, 63% (258/407) had ever prescribed PrEP and 45% (184/407) felt confident with prescribing PrEP. Ever prescribing PrEP was associated with younger age (AOR 0.97, 95% CI: 0.94-0.99), extra training in sexual health (AOR 2.57, 95% CI: 1.54-4.29) and being a S100 Prescriber (OR 2.95, 95% CI: 1.47-5.90). The main barriers to prescribing PrEP included: 'Difficulty identifying clients who require PrEP/relying on clients to ask for PrEP' (76%, 310/407), 'Lack of knowledge about PrEP' (70%, 286/407) and 'Lack of time' (69%, 281/407). Conclusion Less than half of our GP respondents were confident in prescribing PrEP, and most had difficulty identifying who would require PrEP. Specific training on PrEP, which focuses on PrEP knowledge, identifying suitable clients and making it time efficient, is recommended, with GPs being remunerated for their time.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"21 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship status and sexual health service engagement among young people in the United Kingdom: a cross-sectional survey study. 英国年轻人的关系状况和性健康服务参与情况：横断面调查研究。

IF 1.8 4区医学

Sexual health Pub Date : 2024-11-01 DOI: 10.1071/SH24094

Jack Large, Selma Vieira, Cora Sargeant, Clare Scholfield, Heather L Armstrong

{"title":"Relationship status and sexual health service engagement among young people in the United Kingdom: a cross-sectional survey study.","authors":"Jack Large, Selma Vieira, Cora Sargeant, Clare Scholfield, Heather L Armstrong","doi":"10.1071/SH24094","DOIUrl":"10.1071/SH24094","url":null,"abstract":"Background Sexual health service engagement is important for the healthy sexual development of young people. Further, as later adolescence and early adulthood are critical periods for relationship development, sexual health needs may vary across this period and be associated with relationship status. Methods A total of 468 participants, aged 16-25years (mean age: 19.7years) and living in the United Kingdom, completed an anonymous, online survey about their sexual health service use. To explore how relationship status is associated with engagement for five different sexual health services, we conducted chi-squared and multivariable logistic regression analyses. Results In general, engagement with sexual health services was low: 28.2% reported accessing free condoms, 21.4% reported STI testing, and 9.4% had used relationship advice services. Among women only, 57.2% had accessed services to start the pill and 19.6% had done so for pregnancy testing. Among all participants, those in relationships were more likely to have accessed sexual health services for free condoms (aOR: 1.71, 95% CI: 1.13, 2.59). Among female participants, those in relationships were more likely to have accessed sexual health services to start the pill (aOR: 2.21, 95% CI: 1.45, 3.36) and for pregnancy testing (aOR: 3.86, 95% CI: 2.20, 6.78). There were no differences by relationship status for accessing sexual health services for STI testing or relationship advice. Conclusions Health care providers and relationship and sexual education providers should encourage all young people to engage with sexual health services, while also recognising that sexual health needs are likely to vary depending on relationship status.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"21 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pelvic myofascial pain is associated with restriction of sexual activity in women with pelvic pain: a cross-sectional study. 盆腔肌筋膜疼痛与患有盆腔疼痛的女性性活动受限有关：一项横断面研究。

IF 1.8 4区医学

Sexual health Pub Date : 2024-10-01 DOI: 10.1071/SH24144

Sara R Till, Andrew Schrepf, Sawsan As-Sanie

{"title":"Pelvic myofascial pain is associated with restriction of sexual activity in women with pelvic pain: a cross-sectional study.","authors":"Sara R Till, Andrew Schrepf, Sawsan As-Sanie","doi":"10.1071/SH24144","DOIUrl":"10.1071/SH24144","url":null,"abstract":"Background Dyspareunia and restriction of sexual activity are often reported by patients with chronic pelvic pain, but less is known about which conditions or factors contribute most to these symptoms. Methods This is a cross-sectional study of consecutive new patients who presented to a chronic pelvic pain and endometriosis referral clinic between January 2013 and December 2015. Patients completed a detailed questionnaire prior to their first visit and underwent a comprehensive standardised pelvic examination at their first visit. Patients were grouped according to description of sexual activity as 'normal activity without pain', 'normal activity but painful', 'severely restricted by pain', or 'absent due to pain.' Primary outcome was restriction of sexual activity due to pain. Multinomial logistic regression was performed with 'normal activity without pain' group as reference category and adjusted for age, depression, history of endometriosis, and pelvic myofascial pain. Results Over half of the 187 patients with chronic pelvic pain described severely restricted (n =75, 40.1%) or absent (n =21, 11.2%) sexual activity due to pain. Pelvic myofascial pain was highly prevalent in this population and pelvic myofascial tenderness score was associated with higher odds of sexual activity that was severely restricted by pain (OR 1.05, 95% CI 1.01-1.09, P =0.006) or absent due to pain (OR 1.09, 95% CI 1.04-1.13, P Conclusion Dyspareunia and sexual dysfunction are highly prevalent among patients with chronic pelvic pain, and pelvic myofascial pain is strongly associated with restriction of sexual activity due to pain.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"21 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142393427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends in high-risk human papillomavirus infection and cervical cytology of women in Karamay City, 2012-2021. 2012-2021 年克拉玛依市妇女的高危人乳头瘤病毒感染和宫颈细胞学检查趋势。

IF 1.8 4区医学

Sexual health Pub Date : 2024-10-01 DOI: 10.1071/SH24057

Xiaoping Jia, Min Jiang, Jing Zhou, Cailing Ma

{"title":"Trends in high-risk human papillomavirus infection and cervical cytology of women in Karamay City, 2012-2021.","authors":"Xiaoping Jia, Min Jiang, Jing Zhou, Cailing Ma","doi":"10.1071/SH24057","DOIUrl":"10.1071/SH24057","url":null,"abstract":"Background To describe the changes in cervical lesions prevalence and high-risk human papillomavirus (HR-HPV) infections from 2012 to 2021, which have never been reported before, to provide direction for the effective implementation of cervical cancer prevention measures. Methods This retrospective study included women aged >25years who received either organised or opportunistic cervical HR-HPV screening from January 2012 to December 2021 in Karamay Central Hospital, Karamay, China. The patients were split into four groups according to age 25-35, 36-45, 46-55 and >55years, respectively. The Joinpoint Regression Program was used to analyse the trends of HR-HPV infection and the detection of cervical lesions. Results Data from 85,429 women revealed a decline in HR-HPV infection rates across all age groups from 2012 to 2021. Although HR-HPV infection rates decreased, cervical lesion detection rates increased, although the proportion of cervical cancer in these lesions declined, likely due to enhanced awareness and HPV vaccination in Karamay. From 2012 to 2021, the prevalence of low-grade squamous intraepithelial lesions was 9.70%, and high-grade squamous intraepithelial lesions was 5.85%. HR-HPV infections were highest in the ≥55years age group, with HPV52 (20.96%) being the most prevalent type. Conclusions In the past 10years, the prevalence of HR-HPV infection has shown a decreasing trend, whereas the detection prevalence of cervical lesions has shown an upward trend among women in Karamay City. Importantly, particular emphasis should be placed on cervical cancer screening in women aged >55years.","PeriodicalId":22165,"journal":{"name":"Sexual health","volume":"21 ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0