scholarly journals Technologies, strategies and approaches for testing populations at risk of sexually transmitted infections: a systematic review protocol to inform prevention and control in EU/EEA countries

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Suzanna C. Francis ◽  
◽  
Arun Parajuli ◽  
Otilia Mardh ◽  
Jane Falconer ◽  
...  
Author(s):  
Ghimire ◽  
Hallett ◽  
Gray ◽  
Lobo ◽  
Crawford

Migration is a significant risk factor for the acquisition of human immunodeficiency virus (HIV), hepatitis B virus (HBV) and other sexually transmitted infections (STIs). An increasing proportion of these infections in high-income countries, such as Australia, are among migrants moving from low and middle-income countries with a high prevalence of HIV, HBV and other STIs. This systematic review explored the prevention and control of HIV, HBV and other STIs in migrants (>18 years) from Southeast Asia, Northeast Asia and sub-Saharan Africa living in high-income countries with universal health care. This systematic review followed PRISMA guidelines and was registered with PROSPERO. Six academic databases were searched for articles published between 2002 and 2018. Sixteen peer-reviewed articles met the inclusion criteria, consisting of fourteen quantitative and two qualitative studies conducted in Australia, the Netherlands, Canada, Spain, Italy, and Germany. Three levels of interventions were identified: individual, community and structural interventions. Most studies addressed factors at an individual level; interventions were most commonly outreach testing for HIV, HBV and other STIs. Few studies addressed structural factors or demonstrated comprehensive evaluation of interventions. Limited population-specific findings could be determined. To prevent further transmission of HIV, HBV and other STIs, comprehensive public health approaches must consider the complex interactions between migration, health care system determinants, and broader socioeconomic and sociocultural factors.


2020 ◽  
Author(s):  
Han Chunxia ◽  
Ai Zisheng

Abstract 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.


BMJ Open ◽  
2017 ◽  
Vol 7 (1) ◽  
pp. e013634 ◽  
Author(s):  
Babu Rajendran Nithya ◽  
Beryl Primrose Gladstone ◽  
Jesús Rodríguez-Baño ◽  
Frangiscos Sifakis ◽  
Andreas Voss ◽  
...  

2020 ◽  
Author(s):  
Han Chunxia ◽  
Ai Zisheng

Abstract Background:The aim of our study was to analyze the trend changes and region distribution changes of three sexually transmitted infections (STIs) in China and provided a scientific basis for the government to make prevention and control measures.Methods:This study used Joinpoint regression model to fit the morbidity data of three STIs in China from 1999 to 2018. Annual percentage change (APC) and Average annual percentage Change (AAPC) were calculated to evaluate the trend changes of three STIs. We also used hierarchical clustering analysis to analyze the region distribution of three STIs in China from 2003-2018.Results :We analyzed the morbidity data of three STIs in 1999-2018 derived from China Health Statistics Yearbook. The final model of AIDS was the 3 Joinpoint model (P = 0.01) with an annual average percent change (AAPC) of 33.7 (95% CI: 26.1-41.8, P < 0.001). The final model of gonorrhea was the 1 Joinpoint model (P= 0.0025) with an annual average percent change (AAPC) of -4.9 (95% CI: -6.2- -3.6, P < 0.001). The final model of gonorrhea was the 1 Joinpoint model (P < 0.05) with an annual average percent change (AAPC) of 9.1 (95% CI:6.9-11.4, P < 0.001). The region distribution of the morbidity of three STIs mainly concentrated in the southeast coastal areas and Xinjiang, other areas showed low epidemic levels.Conclusions: In a word, the morbidity of three STIs in China is still increasing slowly, the form of prevention and control for STIs is still very severe, especially in coastal provinces and Xinjiang. Therefore, it is necessary to actively popularize knowledge related to STIDs, and carry out large-scale peer education, further reduce epidemic of sexually transmitted infections in China.


2003 ◽  
Vol 30 (1) ◽  
pp. 15-19 ◽  
Author(s):  
CORNELIS A. RIETMEIJER ◽  
SHEANA S. BULL ◽  
MARY McFARLANE ◽  
JENNIFER LANDRIGAN PATNAIK ◽  
JOHN M. DOUGLAS

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