中国人群宫颈癌危险因素的系统文献综述

IF 2.7 Q2 OBSTETRICS & GYNECOLOGY

Womens Health Pub Date : 2018-12-01 DOI:10.1177/1745506518816599

Xiao Li, Shangying Hu, Yunkun He, L. Hernandez Donoso, K. Qu, G. Van Kriekinge, F. Zhao

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引用次数: 15

摘要

目的:人乳头瘤病毒是宫颈癌的必要病因，尤其是人乳头瘤病毒16/18株，在世界范围内约70%的宫颈癌病例中检出。本研究旨在评估是否其他辅助因素，可能是特定的中国人口，参与宫颈癌的发展。这些发现可能支持宫颈癌预防的未来方向。研究设计:系统文献综述。方法:检索MEDLINE、MEDLINE- in - process、EMBASE、中国国家知识基础设施、万方数据、重庆VIP信息等数据库。目标人群为来自中国大陆的青少年或成年人。所有的观察性研究，无论干预或比较报告宫颈癌的危险因素。纽卡斯尔-渥太华量表用于评估研究质量。每个结果的影响都以数值形式报告。结果:共筛选2676篇文献。共有21篇文章符合纳入标准。所有研究均为病例对照设计，主要在中国东南部的医院进行。共有18项研究报告，生活方式行为是宫颈癌发展的重要影响因素。据报告，性行为、妊娠因素、筛查史、疾病史和社会人口状况是宫颈癌发生的重要危险因素。结论:本文综述了当前中国宫颈癌危险因素的最新情况。由于结果的异质性，建议进一步评估以确定这些危险因素与宫颈癌总体风险的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Systematic literature review of risk factors for cervical cancer in the Chinese population

Objectives: Human papillomavirus is the necessary cause of cervical cancer, in particular the human papillomavirus-16/18 strains, which have been detected in ~70% of all cervical cancer cases worldwide. This study aims to assess whether other cofactors, which might be specific for the Chinese population, are involved in the development of cervical cancer. These findings may support the future direction of cervical cancer prevention. Study Design: Systematic literature review. Methods: The following databases were searched: MEDLINE, MEDLINE-IN-PROCESS, EMBASE, China National Knowledge Infrastructure, Wanfang Data and Chongqing VIP Information. The target population were adolescents or adults from mainland China. All observational studies irrespective of intervention or comparator reporting risk factors for cervical cancer were included. The Newcastle-Ottawa Scale was used to assess study quality. The impact of each outcome was reported in numerical terms. Results: A total of 2,676 articles were screened. A total of 21 articles met the inclusion criteria. All studies were case-controlled designs mostly conducted in hospitals of South-Eastern China. A total of 18 studies reported lifestyle behaviours as significant influencing factors in the development of cervical cancer. Sexual behaviour, gestational factors, screening history, disease history and socio-demographics status were reported as significant risk factors for cervical cancer development. Conclusion: This review provides an up-to-date insight of current cervical cancer risk factors in China. Due to the heterogeneity of the results, further evaluation is recommended to determine the association of these risk factors to the overall risk of cervical cancer.

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来源期刊

Womens Health OBSTETRICS & GYNECOLOGY-

CiteScore

2.80

自引率

4.20%

发文量

审稿时长

15 weeks

期刊介绍： For many diseases, women’s physiology and life-cycle hormonal changes demand important consideration when determining healthcare management options. Age- and gender-related factors can directly affect treatment outcomes, and differences between the clinical management of, say, an adolescent female and that in a pre- or postmenopausal patient may be either subtle or profound. At the same time, there are certain conditions that are far more prevalent in women than men, and these may require special attention. Furthermore, in an increasingly aged population in which women demonstrate a greater life-expectancy.