Awareness and knowledge of syphilis among different populations in Guangzhou, Guangdong Province, China

Liu, Ying; Tang, Shaokai; Ye, Xingdong; He, Wanping; Li, Jinliang; Yang, Qian; Kexian, Gao

doi:10.1071/sh12181

Cited by 10 publications

(13 citation statements)

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“…Our result that college students possess the least awareness of syphilis knowledge is similar to the finding of study conducted in Guangzhou (56.5 %) [ 15 ]. Several empirical studies reported that college students in China were sexually active and a few of them were involved in commercial sex, but only half had ever received HIV/STI interventions or services [ 17 , 18 ].…”

Section: Discussionsupporting

confidence: 90%

“…The percentages of awareness in this study range from 51.7 to 81.1 %, which are far from the 2020 goals in the 10-year plan of 85–90 % for the general populations and 95 % for high-risk populations. Similar results were found in other cities located in south China, such as Guangzhou (provincial capital of Guangdong, percentage of awareness among different populations ranged from 53.7 to 90.4 %) [ 15 ]. The large gap between the poor awareness observed in the study and the goal in the 10-year plan may explain why the south China experiences the syphilis epidemic, and the study results raise big challenges to the current syphilis control programs in south China.…”

Section: Discussionsupporting

confidence: 85%

“…The second part contained eight items for measuring syphilis prevention and treatment knowledge, including respects of transmission routes (items 1, 7, and 8), curative effect (item 2), asymptomatic appearance (item 3), prevention measures (item 4), relationship between HIV and syphilis (item 5), and partner notification and screening (item 6). According to the calculation method described by the National CDC and published papers [ 15 ], participants who answered six or more items correctly were assigned to the ‘awareness’ group. The awareness status was considered to be the dependent variable in this study (0 = no, 1 = yes).…”

Section: Methodsmentioning

confidence: 99%

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Poor awareness of syphilis prevention and treatment knowledge among six different populations in south China

Hong

Lan

et al. 2016

BMC Public Health

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BackgroundChina is facing an emerging epidemic of syphilis, and the cities in south China are most affected. Knowledge is a key factor in the prevention of syphilis infection, however, little is reported about how much people know about syphilis. This study was aimed at assessing peoples’ awareness status in a city located in south China.MethodsSix populations were recruited for this study, including urban residents, factory workers, college students, pregnant women, female sex workers (FSWs), and men who have sex with men (MSM). A questionnaire designed by the National Center for Disease Control and Prevention was used to assess participants’ awareness of syphilis knowledge. About 5 % of participants were randomly selected to conduct a telephone survey for confirming the validity of fieldwork.ResultsThe study recruited 3470 participants, and 61.2 % of participants were assigned to the awareness group. College students had the smallest percentage of awareness at 51.7 % (371/718), followed by FSWs at 53.9 % (200/371), factory workers at 56.0 % (381/679), urban residents at 65.4 % (435/665), pregnant women at 66.0 % (451/683), and MSM at 81.1 % (287/354). Multivariate logistic regression analysis showed that MSM and FSWs—but not factory workers and pregnant women—had more awareness of syphilis knowledge when comparing with urban residents; however, college students presented less awareness of syphilis knowledge than urban residents. Participants of younger age, of female gender, with lower education levels and without Shenzhen hukou possessed less awareness of syphilis knowledge than those of older age, of male gender, with higher education levels and with Shenzhen hukou respectively.ConclusionsThe percentages of awareness on syphilis knowledge found in this study are far from the benchmark set in the national 10-year plan. Tailored interventions for different subgroups to increase syphilis awareness are urgently warranted.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-2966-4) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 85%

Section: Methodsmentioning

confidence: 99%

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Poor awareness of syphilis prevention and treatment knowledge among six different populations in south China

Hong

Lan

et al. 2016

BMC Public Health

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“…It also suggests that China should pay more attention to the prevention and treatment of syphilis. At the same time, the relevant studies have shown that the majority of Chinese people's knowledge of syphilis is far lower than the standard of 10-year plan set by the our country, which requires the awareness rate of the general population reaches 90% and that of high-risk population reaches 95% by 2020 [27,28,30]. Therefore, the country should strengthen the publicity of syphilis prevention knowledge, enhance the prevention and control ability and prevent its further spread.…”

Section: Discussionmentioning

confidence: 95%

Trend Analysis of Major Sexually Transmitted Infections in China, 1999-2018

2020

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Background Sexually transmitted infections (STIs) are mainly transmitted by sexual contact or similar sexual contact, which can cause diseases of genitourinary organs ,accessory lymphatic system and major organs of the whole body. STIs include clinically symptomatic diseases and asymptomatic infections. The World Health Organization (WHO) reports that More than 1 million sexually transmitted infections (STIs) are acquired every day worldwide.By analyzing the temporal trend of the sexually transmitted infections incidence in China in the past 20 years, we can provide a scientific basis for the further development of prevention and control measures related to sexually transmitted infections. Methods Joinpoint regression model is used to fit the incidence data of three sexually transmitted diseases in China from 1999 to 2018. Annual percentage change (APC) and Average annual percentage Change (AAPC) are calculated to evaluate the temporal trend changes of the incidence of three major sexually transmitted diseases. Results The overall incidence of AIDS/HIV has been on the rise for 20 years, rising by an average of 33.7% per year (P < 0.05). The most obvious increase is in 2002–2005, an average annual increase of 102.5%. The overall incidence of gonorrhea is on a downward trend, decreasing by 4.9% per year on average (P < 0.05).However, its incidence shows a slow rising trend from 2012 to 2018, with an average annual increase of 6.0%. The overall incidence of syphilis is also on the rise, increasing by an average of 9.1% per year (P < 0.05). Except 1999–2003, the incidence of syphilis shows a downward trend, and the other time stages shows a significant upward trend. Conclusions In the past 20 years, the corresponding measures have been taken in China for sexually transmitted infections and achieved remarkable results, but the three major sexually transmitted infections are still in the forefront of the reported notifiable infectious diseases incidence in China. At the same time, all sexually transmitted infections are beginning to shift from high-risk population to the general population, especially adolescents and the floating population.Therefore, China should still pay more attention to the prevention and control of STIs to hold back their further spread or epidemic.

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“…140 Migrants also tend to be less knowledgeable about prevention strategies for sexually transmitted diseases, thus increasing their vulnerability. 141 Since the early 2000s, urbanisation in China has been associated with rising HIV transmission in conjunction with a major expansion of the commercial sex industry and high mobility of female sex workers. 142 By 2014, there were 500 000 reported cases of people living with HIV/AIDS and 160 000 reported deaths.…”

Section: Risk Factorsmentioning

confidence: 99%

The Tsinghua–Lancet Commission on Healthy Cities in China: unlocking the power of cities for a healthy China

et al. 2018

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Awareness and knowledge of syphilis among different populations in Guangzhou, Guangdong Province, China

Cited by 10 publications

References 1 publication

Poor awareness of syphilis prevention and treatment knowledge among six different populations in south China

Poor awareness of syphilis prevention and treatment knowledge among six different populations in south China

Trend Analysis of Major Sexually Transmitted Infections in China, 1999-2018

The Tsinghua–Lancet Commission on Healthy Cities in China: unlocking the power of cities for a healthy China

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