Skip to main content
Top
Published in: Virology Journal 1/2022

Open Access 01-12-2022 | Human Papillomavirus | Research

Human papillomavirus prevalence and genotype distribution landscapes in Shannan City, Tibet Tibetan Autonomous Region, China

Authors: Dilu Feng, Sitian Wei, Jun Chen, Zhicheng Yu, Yeshe Lhamo, Hongbo Wang, Xiaowu Zhu

Published in: Virology Journal | Issue 1/2022

Login to get access

Abstract

Background

Data regarding human papillomavirus (HPV) prevalence and genotype distribution are limited in Shannan City, Tibet Tibetan Autonomous Region, China. The purpose of this study is to provide reliable data for guiding women in Shannan City in cervical cancer screening and HPV vaccine innoculation.

Methods

HPV testing was performed on women aged 16–109 years (mean age 44.03 ± 9.25 years) from Shannan City in 2019 and 2020, which was implemented technically by gynecological examination, vaginal discharge smear microscopy, cytology, and HPV detection. The overall prevalence, age-specific prevalence, and genotype distribution were analyzed.

Results

A total of 48,126 women received HPV testing, of which 3929 were detected human papillomavirus. The HPV-positive rate was 8.16% (3929/48,126), and the highest prevalence was in the ≤ 25-year-old age group (12.68%). After the age of 25, the prevalence rate decreased rapidly, and then slowly increased from 7.49% in the 46–55 age group to 9.82% in the ≥ 66 age group, showing a “U-shaped” pattern. The positive prevalence of HPV 16 or 18-only was 1.43%, that of other HPV genotypes except HPV 16 or 18 was 6.39%, and mixed HPV infections including HPV 16 or 18 was 0.34%.

Conclusions

The HPV infection rate in Shannan city is rather low, and the age-specific prevalence of HPV infection presents a “U” curve, suggesting the importance of screening among younger women and the necessity of detection among older women.
Literature
1.
go back to reference Sung H, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209–49.CrossRef Sung H, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209–49.CrossRef
2.
go back to reference Schiffman M, et al. Human papillomavirus and cervical cancer. Lancet. 2007;370(9590):890–907.CrossRef Schiffman M, et al. Human papillomavirus and cervical cancer. Lancet. 2007;370(9590):890–907.CrossRef
3.
go back to reference Crosbie EJ, et al. Human papillomavirus and cervical cancer. Lancet. 2013;382(9895):889–99.CrossRef Crosbie EJ, et al. Human papillomavirus and cervical cancer. Lancet. 2013;382(9895):889–99.CrossRef
4.
go back to reference Staley H, et al. Interventions targeted at women to encourage the uptake of cervical screening. Cochrane Database Syst Rev. 2021;9(9):Cd002834.PubMed Staley H, et al. Interventions targeted at women to encourage the uptake of cervical screening. Cochrane Database Syst Rev. 2021;9(9):Cd002834.PubMed
5.
go back to reference Walboomers JMM, et al. Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. J Pathol. 1999;189(1):12–9.CrossRef Walboomers JMM, et al. Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. J Pathol. 1999;189(1):12–9.CrossRef
6.
go back to reference de Sanjose S, et al. Human papillomavirus genotype attribution in invasive cervical cancer: a retrospective cross-sectional worldwide study. Lancet Oncol. 2010;11(11):1048–56.CrossRef de Sanjose S, et al. Human papillomavirus genotype attribution in invasive cervical cancer: a retrospective cross-sectional worldwide study. Lancet Oncol. 2010;11(11):1048–56.CrossRef
7.
go back to reference Hammer A, et al. Age-specific prevalence of HPV16/18 genotypes in cervical cancer: a systematic review and meta-analysis. Int J Cancer. 2016;138(12):2795–803.CrossRef Hammer A, et al. Age-specific prevalence of HPV16/18 genotypes in cervical cancer: a systematic review and meta-analysis. Int J Cancer. 2016;138(12):2795–803.CrossRef
8.
go back to reference Zhao JW, et al. Prevalence and genotype distribution of human papillomavirus: implications for cancer screening and vaccination in Henan province. China Rev Soc Bras Med Trop. 2016;49(2):237–40.CrossRef Zhao JW, et al. Prevalence and genotype distribution of human papillomavirus: implications for cancer screening and vaccination in Henan province. China Rev Soc Bras Med Trop. 2016;49(2):237–40.CrossRef
9.
go back to reference Yu H, et al. Prevalence and genotype distribution of human papillomavirus among healthy females in Beijing, China, 2016–2019. Infect Drug Resistance. 2021;14:4173–82.CrossRef Yu H, et al. Prevalence and genotype distribution of human papillomavirus among healthy females in Beijing, China, 2016–2019. Infect Drug Resistance. 2021;14:4173–82.CrossRef
10.
go back to reference Li P, et al. Characteristics of human papillomavirus infection among women with cervical cytological abnormalities in the Zhoupu District, Shanghai City, China, 2014–2019. Virol J. 2021;18(1):51.CrossRef Li P, et al. Characteristics of human papillomavirus infection among women with cervical cytological abnormalities in the Zhoupu District, Shanghai City, China, 2014–2019. Virol J. 2021;18(1):51.CrossRef
11.
go back to reference Xiang F, et al. Distribution characteristics of different human papillomavirus genotypes in women in Wuhan, China. J Clin Lab Anal. 2018;32(8):e22581.CrossRef Xiang F, et al. Distribution characteristics of different human papillomavirus genotypes in women in Wuhan, China. J Clin Lab Anal. 2018;32(8):e22581.CrossRef
12.
go back to reference Pan Z, et al. Screening for HPV infection in exfoliated cervical cells of women from different ethnic groups in Yili, Xinjiang, China. Sci Rep. 2019;9(1):3468.CrossRef Pan Z, et al. Screening for HPV infection in exfoliated cervical cells of women from different ethnic groups in Yili, Xinjiang, China. Sci Rep. 2019;9(1):3468.CrossRef
13.
go back to reference Zhong TY, et al. Prevalence of human papillomavirus infection among 71,435 women in Jiangxi Province. China J Infect Public Health. 2017;10(6):783–8.CrossRef Zhong TY, et al. Prevalence of human papillomavirus infection among 71,435 women in Jiangxi Province. China J Infect Public Health. 2017;10(6):783–8.CrossRef
14.
go back to reference Luo Q, et al. Prevalence and genotype distribution of HPV and cervical pathological results in Sichuan Province, China: a three years surveys prior to mass HPV vaccination. Virol J. 2020;17(1):100.CrossRef Luo Q, et al. Prevalence and genotype distribution of HPV and cervical pathological results in Sichuan Province, China: a three years surveys prior to mass HPV vaccination. Virol J. 2020;17(1):100.CrossRef
15.
go back to reference Baloch Z, et al. Epidemiologic characterization of human papillomavirus (HPV) infection in various regions of Yunnan Province of China. BMC Infect Dis. 2016;16:228.CrossRef Baloch Z, et al. Epidemiologic characterization of human papillomavirus (HPV) infection in various regions of Yunnan Province of China. BMC Infect Dis. 2016;16:228.CrossRef
16.
go back to reference Li M, et al. Incidence, persistence and clearance of cervical human papillomavirus among women in Guangdong, China 2007–2018: a retrospective cohort study. J Infect Public Health. 2021;14(1):42–9.CrossRef Li M, et al. Incidence, persistence and clearance of cervical human papillomavirus among women in Guangdong, China 2007–2018: a retrospective cohort study. J Infect Public Health. 2021;14(1):42–9.CrossRef
17.
go back to reference Zhang C, et al. Distribution of human papillomavirus infection: a population-based study of cervical samples from Jiangsu Province. Virol J. 2019;16(1):67.CrossRef Zhang C, et al. Distribution of human papillomavirus infection: a population-based study of cervical samples from Jiangsu Province. Virol J. 2019;16(1):67.CrossRef
18.
go back to reference Li J, et al. Distribution of human papillomavirus genotypes in western China and their association with cervical cancer and precancerous lesions. Arch Virol. 2021;166(3):853–62.CrossRef Li J, et al. Distribution of human papillomavirus genotypes in western China and their association with cervical cancer and precancerous lesions. Arch Virol. 2021;166(3):853–62.CrossRef
19.
go back to reference Jiang L, et al. HPV prevalence and genotype distribution among women in Shandong Province, China: analysis of 94,489 HPV genotyping results from Shandong’s largest independent pathology laboratory. PLoS ONE. 2019;14(1):e0210311.CrossRef Jiang L, et al. HPV prevalence and genotype distribution among women in Shandong Province, China: analysis of 94,489 HPV genotyping results from Shandong’s largest independent pathology laboratory. PLoS ONE. 2019;14(1):e0210311.CrossRef
20.
go back to reference Li J, et al. Analysis of human papillomavirus infection and typing in Shanxi province. Zhonghua Yu Fang Yi Xue Za Zhi. 2014;48(3):192–6.PubMed Li J, et al. Analysis of human papillomavirus infection and typing in Shanxi province. Zhonghua Yu Fang Yi Xue Za Zhi. 2014;48(3):192–6.PubMed
21.
go back to reference Wu X, et al. Prevalence of type-specific human papillomavirus infection among 18–45 year-old women from the general population in Liuzhou, Guangxi Zhuang Autonomous Region: a cross-sectional study. Zhonghua Liu Xing Bing Xue Za Zhi. 2017;38(4):467–71.PubMed Wu X, et al. Prevalence of type-specific human papillomavirus infection among 18–45 year-old women from the general population in Liuzhou, Guangxi Zhuang Autonomous Region: a cross-sectional study. Zhonghua Liu Xing Bing Xue Za Zhi. 2017;38(4):467–71.PubMed
22.
go back to reference Liu J, et al. Epidemiology and persistence of cervical human papillomavirus infection among outpatient women in Heilongjiang province: a retrospective cohort study. J Med Virol. 2020;92:3784–92.CrossRef Liu J, et al. Epidemiology and persistence of cervical human papillomavirus infection among outpatient women in Heilongjiang province: a retrospective cohort study. J Med Virol. 2020;92:3784–92.CrossRef
23.
go back to reference Xue H, et al. Prevalence and genotype distribution of human papillomavirus infection in asymptomatic women in Liaoning province. China J Med Virol. 2015;87(7):1248–53.CrossRef Xue H, et al. Prevalence and genotype distribution of human papillomavirus infection in asymptomatic women in Liaoning province. China J Med Virol. 2015;87(7):1248–53.CrossRef
24.
go back to reference Ji Y, et al. The burden of human papillomavirus and chlamydia trachomatis coinfection in women: a large cohort study in Inner Mongolia. China J Infect Dis. 2019;219(2):206–14.CrossRef Ji Y, et al. The burden of human papillomavirus and chlamydia trachomatis coinfection in women: a large cohort study in Inner Mongolia. China J Infect Dis. 2019;219(2):206–14.CrossRef
25.
go back to reference Jin Q, et al. Prevalence of human papillomavirus infection in women in Tibet Autonomous Region of China. Zhonghua Fu Chan Ke Za Zhi. 2009;44(12):898–902.PubMed Jin Q, et al. Prevalence of human papillomavirus infection in women in Tibet Autonomous Region of China. Zhonghua Fu Chan Ke Za Zhi. 2009;44(12):898–902.PubMed
26.
go back to reference Chen L, et al. The genomic distribution map of human papillomavirus in Western China. Epidemiol Infect. 2021;149:e135.CrossRef Chen L, et al. The genomic distribution map of human papillomavirus in Western China. Epidemiol Infect. 2021;149:e135.CrossRef
27.
go back to reference Suresh A, et al. Prevalence of high-risk HPV and its genotypes-Implications in the choice of prophylactic HPV vaccine. J Med Virol. 2021;93(8):5188–92.CrossRef Suresh A, et al. Prevalence of high-risk HPV and its genotypes-Implications in the choice of prophylactic HPV vaccine. J Med Virol. 2021;93(8):5188–92.CrossRef
28.
go back to reference Bruni L, et al. Cervical human papillomavirus prevalence in 5 continents: meta-analysis of 1 million women with normal cytological findings. J Infect Dis. 2010;202(12):1789–99.CrossRef Bruni L, et al. Cervical human papillomavirus prevalence in 5 continents: meta-analysis of 1 million women with normal cytological findings. J Infect Dis. 2010;202(12):1789–99.CrossRef
29.
go back to reference Zhu B, et al. The prevalence, trends, and geographical distribution of human papillomavirus infection in China: the pooled analysis of 1.7 million women. Cancer Med. 2019;8(11):5373–85.CrossRef Zhu B, et al. The prevalence, trends, and geographical distribution of human papillomavirus infection in China: the pooled analysis of 1.7 million women. Cancer Med. 2019;8(11):5373–85.CrossRef
30.
go back to reference Skinner SR, et al. Efficacy, safety, and immunogenicity of the human papillomavirus 16/18 AS04-adjuvanted vaccine in women older than 25 years: 4-year interim follow-up of the phase 3, double-blind, randomised controlled VIVIANE study. Lancet. 2014;384(9961):2213–27.CrossRef Skinner SR, et al. Efficacy, safety, and immunogenicity of the human papillomavirus 16/18 AS04-adjuvanted vaccine in women older than 25 years: 4-year interim follow-up of the phase 3, double-blind, randomised controlled VIVIANE study. Lancet. 2014;384(9961):2213–27.CrossRef
31.
go back to reference Xue Y, et al. “U” shape of age-specific prevalence of high-risk human papillomavirus infection in women attending hospitals in Shanghai, China. Eur J Obstet Gynecol Reprod Biol. 2009;145(2):214–8.CrossRef Xue Y, et al. “U” shape of age-specific prevalence of high-risk human papillomavirus infection in women attending hospitals in Shanghai, China. Eur J Obstet Gynecol Reprod Biol. 2009;145(2):214–8.CrossRef
32.
go back to reference Liao G, et al. Multi-infection patterns and co-infection preference of 27 human papillomavirus types among 137,943 gynecological outpatients across China. Front Oncol. 2020;10:449.CrossRef Liao G, et al. Multi-infection patterns and co-infection preference of 27 human papillomavirus types among 137,943 gynecological outpatients across China. Front Oncol. 2020;10:449.CrossRef
33.
go back to reference Alder S, et al. Acceptance of human papillomavirus (HPV) vaccination among young women in a country with a high prevalence of HPV infection. Int J Oncol. 2013;43(4):1310–8.CrossRef Alder S, et al. Acceptance of human papillomavirus (HPV) vaccination among young women in a country with a high prevalence of HPV infection. Int J Oncol. 2013;43(4):1310–8.CrossRef
34.
go back to reference Rodríguez AC, et al. Rapid clearance of human papillomavirus and implications for clinical focus on persistent infections. J Natl Cancer Inst. 2008;100(7):513–7.CrossRef Rodríguez AC, et al. Rapid clearance of human papillomavirus and implications for clinical focus on persistent infections. J Natl Cancer Inst. 2008;100(7):513–7.CrossRef
35.
go back to reference González P, et al. Behavioral/lifestyle and immunologic factors associated with HPV infection among women older than 45 years. Cancer Epidemiol Biomark Prev. 2010;19(12):3044–54.CrossRef González P, et al. Behavioral/lifestyle and immunologic factors associated with HPV infection among women older than 45 years. Cancer Epidemiol Biomark Prev. 2010;19(12):3044–54.CrossRef
36.
go back to reference Spinner C, et al. Human papillomavirus vaccine effectiveness and herd protection in young women. Pediatrics. 2019;143(2). Spinner C, et al. Human papillomavirus vaccine effectiveness and herd protection in young women. Pediatrics. 2019;143(2).
37.
go back to reference Marur S, et al. HPV-associated head and neck cancer: a virus-related cancer epidemic. Lancet Oncol. 2010;11(8):781–9.CrossRef Marur S, et al. HPV-associated head and neck cancer: a virus-related cancer epidemic. Lancet Oncol. 2010;11(8):781–9.CrossRef
Metadata
Title
Human papillomavirus prevalence and genotype distribution landscapes in Shannan City, Tibet Tibetan Autonomous Region, China
Authors
Dilu Feng
Sitian Wei
Jun Chen
Zhicheng Yu
Yeshe Lhamo
Hongbo Wang
Xiaowu Zhu
Publication date
01-12-2022
Publisher
BioMed Central
Published in
Virology Journal / Issue 1/2022
Electronic ISSN: 1743-422X
DOI
https://doi.org/10.1186/s12985-022-01775-5

Other articles of this Issue 1/2022

Virology Journal 1/2022 Go to the issue