2016~2018年苏州市育龄妇女HPV感染因素分析

目的 调查苏州市育龄妇女人乳头状瘤病毒（HPV）感染情况及其影响因素。方法 以整群抽样方式选取2016年7月~2018年12月苏州市育龄妇女4275例为研究对象，进行HPV和TCT检查，并填写调查问卷，了解HPV感染情况。结果 4275例孕妇中存在HPV感染者964例（22.55%）；HPV发生与年龄、职业、在苏时间、文化程度、每周性生活频率、性伴侣数、避孕方式、性传播疾病史、CIN、吸烟等因素有关，差异有统计学意义（P＜0.05）；Logistic回归分析显示:文化程度、性生活频率、避孕方式、吸烟、年龄、职业是苏州市育龄妇女HPV发生的独立危险因素（P＜0.05）。结论 苏州市育龄妇女HPV感染率较高，文化程度、性生活频率、避孕方式、吸烟、年龄、职业是其发生的独立危险因素，需加强对育龄期女性HPV感染知识宣教，增强认知，定期体检，早发现、早治疗。

Analysis of HPV Infection Factors in Women of Childbearing Age in Suzhou from 2016 to 2018

Objective To investigate the infection status and its influencing factors of human papillomavirus (HPV) in women of childbearing age in Suzhou. Methods A total of 4275 women of childbearing age in Suzhou from July 2016 to December 2018 were enrolled in the study. HPV and TCT were performed and questionnaires were filled out to understand HPV infection. Results Of the 4275 pregnant women, 964 (22.55%) had HPV infection; HPV occurred with age, occupation, time in Suzhou, education level, weekly sexual frequency, number of sexual partners, contraceptive methods, history of sexually transmitted diseases, CIN,there were significant differences in smoking and other factors (P<0.05). Logistic regression analysis showed that the degree of education, sexual life, contraceptive methods, smoking, age, and occupation were independent risk factors for HPV in women of childbearing age in Suzhou(P<0.05).Conclusion The HPV infection rate of women of childbearing age in Suzhou is high. The educational level, sex life frequency, contraceptive method, smoking, age and occupation are independent risk factors. It is necessary to strengthen the knowledge and education of HPV infection in women of childbearing age, enhance cognition, and regularly Physical examination, early detection, early treatment.