Investigation of High-risk HPV Infection in Kashgar and Evaluation of Health Awareness Education Intervention
10.13471/j.cnki.j.sun.yat-sen.univ（med.sci）.2025.0111
- VernacularTitle:喀什地区妇女高危型HPV感染高危因素分析及三联教育干预效果评价
- Author:
Kelimu ASIMUGULI
1
;
Anwaier MAYIRE
1
;
Xiuwei YANG
1
;
Gang NIU
2
Author Information
1. Gynecology Center of the First People's Hospital of Kashgar， Kashgar Prefecture 844000， China
2. Department of Obstetrics and Gynecology， The First Affiliated Hospital of Sun Yat-sen University， Guangzhou 510080， China
- Publication Type:Journal Article
- Keywords:
Kashgar region;
high-risk HPV;
status of infection;
risk factors;
intervention;
evaluation
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2025;46(1):98-106
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the prevalence of high-risk HPV infection among women in Kashgar area， analyze related risk factors， conduct follow-up and health education interventions for positive cases in the past three years， and assess intervention outcomes to improve HPV screening awareness and reduce cervical cancer incidence. MethodsThis study randomly selected 571 women from Kashgar who underwent HPV screening as part of a health check-up in the First People’s Hospital of Kashgar between January 2021 and June 2023. High-risk HPV-DNA was detected using the PCR-RDB method. Based on the test results， participants were divided into HPV-negative and HPV-positive groups， and the infection rates and associated risk factors were analyzed. Additionally， follow-up was conducted for women who tested positive for high-risk HPV during the screening to assess the effectiveness of health management interventions. ResultsFrom 2021 to 2023， the high-risk HPV positive rate among women in Kashgar showed a year-on-year decline， recorded at 19.15%， 16.43%， and 11.30%， respectively （P<0.001）， with a total of 3，921 cases （16.13%） testing positive for high-risk HPV during this period. Uyghur women had a significantly higher infection rate compared with those of Han nationality and other ethnic minorities （P<0.05）. Risk factors included age， age at first sexual activity， number of sexual partners， contraceptive methods， and a history of vaginal inflammation （P<0.05）. Health management interventions significantly improved participants’ awareness scores regarding cervical cancer prevention and the proportion of women voluntarily receiving HPV vaccination （P<0.05）. ConclusionsHigh-risk HPV infection among Uyghur women in Kashgar area is relatively high， with single infection of HPV-16 and HPV-52 and mixed infections of HPV-16 +HPV-52 and HPV-16 +HPV-58 being predominant. Risk factors include age at first sexual activity， number of sexual partners， contraceptive methods， and history of vaginal inflammation. Through triple-education interventions， the incidence of cervical cancer in Kashgar has been effectively reduced， and standards for primary-level diagnosis， treatment， and health supervision have been improved.
