泰国的宫颈癌:2023 年更新。

IF 2 Q2 OBSTETRICS & GYNECOLOGY
Obstetrics and Gynecology Science Pub Date : 2024-05-01 Epub Date: 2024-03-25 DOI:10.5468/ogs.23277
Mayuree Wongpratate, Sureewan Bumrungthai
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引用次数: 0

摘要

宫颈癌继续对泰国妇女的健康构成挑战,是仅次于乳腺癌的第二大常见癌症。由于高危型人类乳头瘤病毒(HPV)是宫颈癌的主要病因,因此有必要进行宫颈癌筛查和 HPV 疫苗接种,以降低该疾病的发病率。目前,世界卫生组织希望通过 90-70-90% 的干预措施,到 2030 年将宫颈癌的发病率降低到每 10 万名妇女每年 4 例或以下。第一项干预措施是为 90%的 15 岁女性接种人乳头瘤病毒疫苗。第二项干预措施包括使用高效筛查测试对 70% 的 35 至 45 岁女性进行筛查。第三项干预措施包括检测 90% 受影响妇女的宫颈病变,以便进行诊断和治疗。在此背景下,本研究回顾了泰国宫颈癌发病率和死亡率的趋势,此外还提供了宫颈癌病因和必要风险因素的最新概况,并报告了宫颈筛查和 HPV 疫苗接种率以及 2019 年冠状病毒病(COVID-19)大流行期间的宫颈癌情况。这项研究可能有助于泰国制定旨在消除宫颈癌的政策,如实施免费 HPV 疫苗接种服务(建议 26 岁或以下女性接种),以及通过诊所和药店提供用于宫颈癌筛查的家用试剂盒。此外,本综述还强调有必要进一步研究 Covid-19 大流行对泰国宫颈癌筛查率的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cervical cancer in Thailand: 2023 update.

Cervical cancer continues to pose a challenge to the health of Thai women, as the second most common cancer after breast cancer. Since high-risk human papillomavirus (HPV) types are the main cause for cervical cancer, cervical cancer screening and HPV vaccination are necessary to reduce the incidence of this disease. At present, the World Health Organization hopes to reduce the incidence of cervical cancer to 4 or less cases per 100,000 women-years using 90%- 70%-90% intervention by 2030. The first intervention involves vaccinating 90% of women aged 15 years with the HPV vaccine. The second intervention involves screening 70% of women between the ages of 35 and 45 years using a high-performance screening test. The third intervention involves detecting cervical lesions in 90% of affected women to enable diagnosis and treatment. In this context, this study reviews trends in the incidence and mortality rates of cervical cancer in Thailand, in addition to providing an up-to-date overview of the causes and necessary risk factors for cervical cancer, as well as reporting on cervical screening and HPV vaccination rates and cervical cancer during the coronavirus disease 2019 (COVID-19) pandemic. This study may prove useful for the formulation of policy aimed at eliminating cervical cancer in Thailand, such as the implementation of a free HPV vaccine service and providing athome kits for cervical screening through clinics and pharmacies. In addition, this review also highlights the need for further research on the effects of the COVID-19 pandemic on cervical cancer screening rates in Thailand.

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来源期刊
Obstetrics and Gynecology Science
Obstetrics and Gynecology Science Medicine-Obstetrics and Gynecology
CiteScore
3.80
自引率
15.80%
发文量
58
审稿时长
16 weeks
期刊介绍: Obstetrics & Gynecology Science (NLM title: Obstet Gynecol Sci) is an international peer-review journal that published basic, translational, clinical research, and clinical practice guideline to promote women’s health and prevent obstetric and gynecologic disorders. The journal has an international editorial board and is published in English on the 15th day of every other month. Submitted manuscripts should not contain previously published material and should not be under consideration for publication elsewhere. The journal has been publishing articles since 1958. The aim of the journal is to publish original articles, reviews, case reports, short communications, letters to the editor, and video articles that have the potential to change the practices in women''s health care. The journal’s main focus is the diagnosis, treatment, prediction, and prevention of obstetric and gynecologic disorders. Because the life expectancy of Korean and Asian women is increasing, the journal''s editors are particularly interested in the health of elderly women in these population groups. The journal also publishes articles about reproductive biology, stem cell research, and artificial intelligence research for women; additionally, it provides insights into the physiology and mechanisms of obstetric and gynecologic diseases.
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