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Epidemiology of human papillomavirus infection and cervical cancer and future perspectives in Hong Kong, Singapore and Taiwan.
Vaccine. 2008 Aug 19; 26 Suppl 12:M60-70.V

Abstract

Hong Kong, Singapore and Taiwan are three island states that are newly emerged affluent economic areas in Asia. The majority of the populations are ethnically Chinese with a total population of 6.98, 4.5 and 23 million, respectively. Cervical cancer has been declining over the last thirty years in all three states and is largely attributable to widespread opportunistic cervical cancer screening. The age-standardized incidence rates of cervical cancer are 9.6 per 100,000 women in Hong Kong in 2004, 10.6 per 100,000 women in Singapore in 2002 and 18.6 per 100,000 women in Taiwan in 2003. High prevalence of human papillomavirus (HPV) was observed in all three states. In cervical cancer, HPV 16 and 18 are the two most prevalent HPV types, but HPV 58 and 52 are also highly prevalent in these three states. Important epidemiological risk factors for invasive cervical cancer include smoking and age at sexual debut for women, although this is changing towards an earlier age. Of the three states, Taiwan was the first to have a comprehensive national screening programme in 1995 followed by Hong Kong in 2002 and Singapore in 2004. Women in these three states are well aware of cervical cancer and the preventative means by Pap smear screening, although their awareness and understanding of the role of HPV in cervical carcinogenesis is low. Prophylactic HPV vaccines have been licensed in the three states. Routine comprehensive public vaccination programme for adolescent girls has yet to be adopted by the governmental agency, despite an affirmative recommendation by medical professional bodies.

Authors+Show Affiliations

Gynaecologic Oncology Section, Department of Obstetrics & Gynaecology, Singapore General Hospital and National Cancer Centre Singapore, Singapore. Tay.sun.kuie@sgh.com.sgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18945415

Citation

Tay, Sun Kuie, et al. "Epidemiology of Human Papillomavirus Infection and Cervical Cancer and Future Perspectives in Hong Kong, Singapore and Taiwan." Vaccine, vol. 26 Suppl 12, 2008, pp. M60-70.
Tay SK, Ngan HY, Chu TY, et al. Epidemiology of human papillomavirus infection and cervical cancer and future perspectives in Hong Kong, Singapore and Taiwan. Vaccine. 2008;26 Suppl 12:M60-70.
Tay, S. K., Ngan, H. Y., Chu, T. Y., Cheung, A. N., & Tay, E. H. (2008). Epidemiology of human papillomavirus infection and cervical cancer and future perspectives in Hong Kong, Singapore and Taiwan. Vaccine, 26 Suppl 12, M60-70. https://doi.org/10.1016/j.vaccine.2008.05.042
Tay SK, et al. Epidemiology of Human Papillomavirus Infection and Cervical Cancer and Future Perspectives in Hong Kong, Singapore and Taiwan. Vaccine. 2008 Aug 19;26 Suppl 12:M60-70. PubMed PMID: 18945415.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Epidemiology of human papillomavirus infection and cervical cancer and future perspectives in Hong Kong, Singapore and Taiwan. AU - Tay,Sun Kuie, AU - Ngan,Hextan Y S, AU - Chu,Tang-Yuan, AU - Cheung,Annie N Y, AU - Tay,Eng Hseon, PY - 2008/11/1/pubmed PY - 2008/12/19/medline PY - 2008/11/1/entrez SP - M60 EP - 70 JF - Vaccine JO - Vaccine VL - 26 Suppl 12 N2 - Hong Kong, Singapore and Taiwan are three island states that are newly emerged affluent economic areas in Asia. The majority of the populations are ethnically Chinese with a total population of 6.98, 4.5 and 23 million, respectively. Cervical cancer has been declining over the last thirty years in all three states and is largely attributable to widespread opportunistic cervical cancer screening. The age-standardized incidence rates of cervical cancer are 9.6 per 100,000 women in Hong Kong in 2004, 10.6 per 100,000 women in Singapore in 2002 and 18.6 per 100,000 women in Taiwan in 2003. High prevalence of human papillomavirus (HPV) was observed in all three states. In cervical cancer, HPV 16 and 18 are the two most prevalent HPV types, but HPV 58 and 52 are also highly prevalent in these three states. Important epidemiological risk factors for invasive cervical cancer include smoking and age at sexual debut for women, although this is changing towards an earlier age. Of the three states, Taiwan was the first to have a comprehensive national screening programme in 1995 followed by Hong Kong in 2002 and Singapore in 2004. Women in these three states are well aware of cervical cancer and the preventative means by Pap smear screening, although their awareness and understanding of the role of HPV in cervical carcinogenesis is low. Prophylactic HPV vaccines have been licensed in the three states. Routine comprehensive public vaccination programme for adolescent girls has yet to be adopted by the governmental agency, despite an affirmative recommendation by medical professional bodies. SN - 0264-410X UR - https://www.unboundmedicine.com/medline/citation/18945415/Epidemiology_of_human_papillomavirus_infection_and_cervical_cancer_and_future_perspectives_in_Hong_Kong_Singapore_and_Taiwan_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0264-410X(08)00631-2 DB - PRIME DP - Unbound Medicine ER -