TY - JOUR AB - Determining the spatial distribution of human papillomavirus (HPV) and performing accurate public health analyses helps to distinguish areas of healthcare that require further research, and enables therapeutic techniques and approaches in healthcare to be focused more accurately. A total of 4,560 women were enrolled in the present study. Flow‑through hybridization and gene chip assays were used to detect the genotypes of HPV infection. Heat maps were then generated to present the spatial distribution of HPV infections in Zhejiang Province according to genotype. Of the exfoliated cervical cell samples from the 4,560 women, HPV was detected in 1,886 samples. HPV‑16, ‑58, ‑52 and ‑18 were the most prevalently identified genotypes in the population included in the present study. HPV‑16 and ‑58 infections were mainly distributed in the northern and central regions of Zhejiang Province, such as in Hangzhou and Shaoxing, where the prevalence was higher than that in the southern regions (P<0.05). HPV‑18 infection was widespread throughout Zhejiang Province, but had a much lower infection rate in Ningbo and Huzhou (P<0.05). High infection rates of HPV‑52 were mainly detected in Hangzhou and the eastern coastal areas of Wenzhou, with a relatively low rate of infection in the center of the province (P<0.05). In conclusion, HPV‑16, ‑58, ‑52 and ‑18 were the four most prevalent HPV genotypes observed in Zhejiang Province. Heat maps were created to display the spatial distribution of HPV infection according to genotype, which varied by geographical regions. The results indicate that for individuals in Ningbo or Wenzhou, bivalent or quadrivalent vaccines may be suitable, but for those in Hangzhou and Shaoxing, nonavalent vaccines are strongly recommended. AD - Department of Gynecological Oncology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang 310062, P.R. China Department of Gynecology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310002, P.R. China AU - Xing,Jie AU - Tan,Tao AU - Guo,Yang-Long AU - Zhu,Jian-Qing AU - Zheng,Ai-Wen AU - Yu,Ai-Jun AU - Niu,Zheng DA - 2021/05/01 DO - 10.3892/ol.2021.12627 IS - 5 JO - Oncol Lett KW - human papillomavirus distribution heat maps genotype PY - 2021 SN - 1792-1074 1792-1082 SP - 366 ST - Heat maps present the spatial distribution of human papillomavirus infection in Zhejiang Province, China T2 - Oncology Letters TI - Heat maps present the spatial distribution of human papillomavirus infection in Zhejiang Province, China UR - https://doi.org/10.3892/ol.2021.12627 VL - 21 ER -