Opportunities and barriers to STI testing in community health centres in China: a nationwide survey

Ong, Jason J.; Peng, Minghui; Zhu, Shanzhu; Lo, Ying Ru; Fairley, Christopher K.; Kidd, Michael; Roland, Martín; Jiang, Shuiping; Wong, William

doi:10.1136/sextrans-2017-053196

Cited by 10 publications

(7 citation statements)

References 11 publications

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“…Lack of training for clinicians was one of the important barriers for performing STI testing. 31 The testing rate increased from 7.90% to 17.86% among university campus through education. 32 Finally, strengthen quality assurance of NG laboratory tests.…”

Section: Discussionmentioning

confidence: 99%

Availability of Laboratory Diagnosis of Gonorrhoea and Its Meaning in Case Reporting in Shandong Province, China

Chen

Gan

Liu

2023

CCID

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Background Gonorrhea, caused by the bacterium Neisseria gonorrhoeae (NG), is a major public health concern worldwide. Aim of the Study The aim of this study is to understand the availability of laboratory diagnosis of gonorrhoea in Shandong province and its meaning in case reporting. Methods Two surveys were conducted among hospitals providing clinical services for sexually transmitted infection (STI) in Shandong Province in 2012 and 2018. The availability of laboratory tests for NG and distribution of reported gonorrhea cases were compared among different hospitals provided clinical services for STI in Shandong province. Descriptive analysis and Chi-square were used for statistical analysis. Results Smear, culture and PCR tests for NG were used among 301(74.69%), 123(30.52%), 43(10.67%) hospitals in 2012 and 356(74.48%), 176(36.82%) and 73(15.27%) hospitals in 2018, respectively. Significant differences were observed in the availability of smear among hospitals at different levels (X 2 =12.159, p=0.000) and with different affiliations (X 2 =4.551, p=0.033) in 2018. Significant differences were observed in the availability of culture and PCR tests among hospitals at different levels both in 2012 (X 2 =34.532, p=0.000; X 2 =7.380, p=0.007) and 2018 (X 2 =49.820, p=0.000; X 2 =21.658, p=0.000). The availability of culture and PCR tests for NG among hospitals in 2018 was higher than that in 2012 (X 2 =3.870, p=0.049; X 2 =4.050, p=0.044). More hospitals reported gonorrhea cases in 2018 than in 2012 (X 2 =6.768, p=0.009). A significant difference was observed in distribution of case reporting among hospitals at different levels in 2018 (X 2 =6.975, p=0.008) and among different types of hospital both in 2012 (X 2 =52.362, p=0.000) and 2018 (X 2 =74.478, p=0.000). Conclusion Poor availability of NG laboratory tests affects case reporting, and which is a crucial reason leading to underreporting of gonorrhea cases in Shandong province.

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Section: Discussionmentioning

confidence: 99%

Availability of Laboratory Diagnosis of Gonorrhoea and Its Meaning in Case Reporting in Shandong Province, China

Chen

Gan

Liu

2023

CCID

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“…Lack of training for clinicians was one of the important barriers for performing STI testing. [42] The testing rate increased from 7.90-17.86% among university campus through education. [43] Finally, strengthen quality assurance of NG laboratory tests.…”

Section: Discussionmentioning

confidence: 99%

Availability of laboratory diagnosis of gonorrhoea and its meaning in case reporting in Shandong province, China

Chen¹,

Gan²,

Liu

2020

Preprint

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Abstract Background The aim of this study is to understand the availability of laboratory diagnosis of gonorrhoea in Shandong province and its meaning in case reporting. Methods Two surveys were conducted among hospitals providing clinical services for sexually transmitted infection(STI) in Shandong Province in 2012 and 2018. The availability of laboratory tests for Neisseria gonorrhoeae (NG) and distribution of reported gonorrhea cases were compared among different hospitals provided clinical services for STI in Shandong province. Descriptive analysis and Chi-square were used for statistical analysis. Results Smear, culture and PCR tests for NG were used among 301(74.69%), 123(30.52%), 43(10.67%) hospitals in 2012 and 356(74.48%), 176(36.82%) and 73(15.27%) hospitals in 2018, respectively. Significant differences were observed in the availability of smear among hospitals at different levels (X2 = 12.159, p = 0.000) and with different affiliations(X2 = 4.551, p = 0.033) in 2018. Significant differences were observed in the availability of culture and PCR tests among hospitals at different levels both in 2012 (X2 = 34.532, p = 0.000; X2 = 7.380, p = 0.007) and 2018 (X2 = 49.820, p = 0.000; X2 = 21.658, p = 0.000). The availability of culture and PCR tests for NG among hospitals in 2018 was higher than that in 2012 (X2 = 3.870, p = 0.049; X2 = 4.050, p = 0.044). More hospitals reported gonorrhea cases in 2018 than in 2012 (X2 = 6.768, p = 0.009). A significant difference was observed in distribution of case reporting among hospitals at different levels in 2018 (X2 = 6.975, p = 0.008) and among different types of hospitals both in 2012 (X2 = 52.362, p = 0.000) and 2018 (X2 = 74.478, p = 0.000). Conclusion Poor availability of NG laboratory tests affects case reporting and is a crucial reason leading to high sex ratio and underreporting of gonorrhea cases in Shandong province. Trial registration Not applicable

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“…Third, clinician training should be strengthened, and STI interventions should be scaled up. The lack of clinician training is one of the important barriers to performing STI testing [41]. Testing rates among university campuses increased from 7.90-17.86%…”

Section: Discussionmentioning

confidence: 99%

Availability of the laboratory diagnosis of gonorrhea and its meaning in case reporting in Shandong Province, China

Chen

Gan

et al. 2020

Preprint

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Background: Gonorrhea, which is caused by the bacterium Neisseria gonorrhea (NG), is a major public health concern worldwide. The aim of this study is to understand the availability of the laboratory diagnosis of gonorrhea in Shandong Province and its meaning in case reporting. Methods: Two surveys were conducted among hospitals providing clinical services for patients with sexually transmitted infections (STIs) in Shandong Province in 2012 and 2018. The availability of laboratory tests for NG and the distribution of reported gonorrhea cases among different hospitals providing clinical services for patients with STIs in Shandong Province were compared. Descriptive analysis and chi-square test were used for statistical analysis. Results: Smear, culture, and PCR tests for NG were used in 301 (74.69%), 123 (30.52%), and 43 (10.67%) hospitals in 2012 and in 356 (74.48%), 176 (36.82%), and 73 (15.27%) hospitals in 2018. Significant differences were observed in the availability of smear tests among hospitals with different levels (X2 = 12.159, p = 0.000) and with different affiliations (X2 = 4.551, p = 0.033) in 2018. Significant differences were observed in the availability of culture and PCR tests among hospitals at different levels in 2012 (X2 = 34.532, p = 0.000; X2 = 7.380, p = 0.007) and 2018 (X2 = 49.820, p = 0.000; X2 = 21.658, p = 0.000). The availability of culture and PCR tests for NG in hospitals in 2018 was higher than that in 2012 (X2 = 3.870, p = 0.049; X2 = 4.050, p = 0.044). More hospitals reported gonorrhea cases in 2018 than that in 2012 (X2 = 6.768, p = 0.009). A significant difference was observed in the distribution of case reporting among hospitals at different levels in 2018 (X2 = 6.975, p = 0.008) and among different types of hospital in 2012 (X2 = 52.362, p = 0.000) and 2018 (X2 = 74.478, p = 0.000). Conclusions: The poor availability of NG laboratory tests affects case reporting and is a crucial reason that leads to the high sex ratio and under-reporting of gonorrhea cases in Shandong Province.

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Opportunities and barriers to STI testing in community health centres in China: a nationwide survey

Abstract: There is potential for improving STI management in China through upskilling the primary care workforce in CHCs. Specific training in STIs is needed, and other structural, logistical and attitudinal barriers are needed to be addressed.

Cited by 10 publications

References 11 publications

Availability of Laboratory Diagnosis of Gonorrhoea and Its Meaning in Case Reporting in Shandong Province, China

Availability of Laboratory Diagnosis of Gonorrhoea and Its Meaning in Case Reporting in Shandong Province, China

Availability of laboratory diagnosis of gonorrhoea and its meaning in case reporting in Shandong province, China

Availability of the laboratory diagnosis of gonorrhea and its meaning in case reporting in Shandong Province, China

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