1.Influencing factors for anxiety symptoms among human papilloma virus-infected women
BAI Maochao ; LI Fen ; Dilinuer Tuerxun ; Remila Rezhake ; WANG Yan
Journal of Preventive Medicine 2025;37(6):573-577,582
Objective:
To investigate the influencing factors for anxiety symptoms among human papilloma virus (HPV)-infected women, so as to provide the evidence to improve the mental health of HPV-infected women.
Methods:
HPV-infected women visiting the gynecology department of a tertiary hospital in Urumqi from September to December 2024 were selected using a convenience sampling method. Basic information of HPV-infected women and information related to HPV infection were collected through a self-designed questionnaire. Anxiety symptoms was assessed by using the Generalized Anxiety Disorder-7 (GAD-7), with a GAD-7 score of ≥5 determined to be the presence of anxiety symptoms. Factors affecting anxiety symptoms in HPV-infected women were analyzed using a multivariable logistic regression model.
Results:
A total of 436 HPV-infected women were investigated. Among them, 361 (82.80%) were aged 30-<60 years old, 286 (65.60%) had a high school/technical secondary school or above, 361 (82.80%) had a spouse, 389 (89.22%) had given birth, and 234 (53.67%) had a family monthly income of less than 5 000 yuan. There were 90 HPV-infected women with multiple HPV infections, accounting for 20.64%. The sexual life of 155 people was affected, accounting for 35.55%. A total of 165 HPV-infected women with anxiety symptoms were detected, with a detection rate of 37.84%. Multivariable logistic regression analysis showed that multiple HPV infections (OR=1.776, 95%CI: 1.068-2.954), HPV infection time <3 months (OR=1.858, 95%CI: 1.132-3.050), lack of HPV-related knowledge (OR=1.742, 95%CI: 1.045-2.905), sexual life was affected (OR=3.480, 95%CI: 2.146-5.642), and monthly family income was less than 5 000 yuan (OR=1.815, 95%CI: 1.119-2.946) had a higher risk of anxiety symptoms
Conclusions
The detection rate of anxiety symptoms in HPV-infected women is high. The type of HPV infection, the duration of HPV infection, the understanding of HPV-related knowledge, the impact on sexual life, and the monthly family income are influencing factors of anxiety symptoms among HPV-infected women.
2.Status of high-risk HPV infection and its relationship with vaginal infectious diseases
Maochao Bai ; Yan Wang ; Fanka Li ; Hua Wang ; Yan Guo ; Hui Zhang
Acta Universitatis Medicinalis Anhui 2025;60(9):1719-1724
Objective :
To investigate the high-risk human papillomavirus ( HR-HPV) infection and its relationship with vaginal infectious diseases among women and to provide a basis for the prevention and control of cervical canc- er among women in this region.
Methods:
Uterine exfoliative cells and vaginal secretions were collected from women aged 25-64 years in the resident population ( ≥6 months of residence) who participated in cervical cancer screening and human papillomavirus typing and vaginal microecology tests were performed to compare the status of HPV infections in different age groups.The study subjects were divided into HR-HPV-positive and HR-HPV-nega- tive groups according to whether HR-HPV infection was detected or not,and multifactorial Logistic regression anal- ysis was used to explore the relationship between HR-HPV and vaginal infectious diseases.
Results :
The HR-HPV infection rate of women in this study was 10. 43% ,and the HR-HPV infection rate of each age group was 14. 34% from 25 to 34 years old,10. 16% from 35 to 44 years old,8. 70% from 45 to 54 years old,and 11. 89% from 55 to 64 years old,and there were differences in the infection rate of HR-HPV among different age groups ( P < 0. 05) .Among HR-HPV,HPV52,HPV16,HPV58,HPV51,HPV68 were the most common,with 76. 69% of sin- gle infections,18. 02% of dual infections,4. 46% of triple infections,and 0. 83% of quadruple infections.HR- HPV single infections and multiple infections were prevalent in the age group of 25-34 years old and 55-64 years old.HR-HPV mono-infection and multi-infection rates were statistically different between age groups ( P<0. 05) . The infection rates of bacterial vaginosis ( BV) and trichomoniasis vaginitis ( TV) were higher in HR-HPV-positive patients ( P <0. 05) . Logistic regression analysis showed that the infection rates of BV ( OR = 1. 560,95% CI: 1. 195-2. 035 ) ,TV ( OR = 2. 208,95% CI: 1. 221 -3. 993 ) were risk factors for HR-HPV infection ( P < 0. 05) .
Conclusion
In the screened population of the Fourth Division of Xinjiang Production and Construction Corps,HR-HPV mono-infection is the most prevalent type.Women aged 25-34 and 55-64 years old show higher rates of HR-HPV infection.The most common HR-HPV genotypes,in descending order,are 52,16,58,51,and 68.BV and TV are the two major risk factors closely associated with HR-HPV infection.


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