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

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.

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.


2021 ◽  
Vol 79 (1) ◽  
pp. 71-73
Author(s):  
Ângela Roda ◽  
João Borges-Costa

Trichomoniasis is one of the most common sexually transmitted infections worldwide. In women, Trichomonas vaginalis infection may present with vaginitis, cervicitis, or pelvic inflammatory disease, while in men it is mainly asymptomatic or causes mild and transient symptoms of urethritis, epididymitis, or prostatitis. In the past, little importance had been given to the impact of T. vaginalis infection on men’s health, since it was believed to be a self-limited condition without sequelae. However, there is growing evidence it is associated with more serious disorders in both men and women and efforts to diagnose and treat this parasitic infection have increased. Recent advances in testing for sexually transmitted diseases using multiplex molecular assays have increased diagnostic opportunities for T. vaginalis infection, especially in men, as detection of the parasite by traditional methods is much more challenging. We describe an unusual case of male urethritis caused by T. vaginalis observed in our consultation of Sexually Transmitted Infections.


2018 ◽  
Vol 29 (2) ◽  
pp. 47-56
Author(s):  
MR Haque ◽  
K Ghosh ◽  
H Sultana ◽  
E Saha ◽  
A Kafi ◽  
...  

Objective: The main objective of the study was to assess the level of awareness on prevention and control of sexually transmitted diseases among 120 sex workers.Material and Methods: The cross-sectional study was conducted for one year. Data were collected through face to face interview using Bengali questionnaire. Data analysis was done using SPSS 17.0 software.Place and Period of Study: The study was conducted from January 1st to December 31st of 2014 among 120 sex workersliving in brothel of Daulodia,Rajbariin Bangladesh.Results: More than half (58.7%) of the respondents had children in the brothels. All the respondents (100%) heard about the sexually transmitted diseases. Majority (86.7%) of the respondents had knowledge on AIDS. Only a few (4.2%) respondents had knowledge on AIDS and Gonorrhea. Majority (91.7 %) of the respondents had knowledge on STD transmission from pregnant women. Almost all (97.5%, 98.3%)) of the respondents had the knowledge about STD transmissionnot from toilet or shaking hands respectively.Almost all of the (95.8%, 94.2%, 94.2%, 85.8% )respondents had the knowledge on STD transmission through sexual intercourse,injection,through mosquito,sharing same razor respectively. Most of them (81.7%) had good level of knowledge on STD transmission. Only above one tenth (11.7%) had moderate and poor level of knowledge.Almost all of them (96.7%, 95.9%, 95.9%) were found touse condom, agreed to keep one partner at a time,to reduce the number of sex partner respectively.Most of them (89.3%)did not knowthe HIV status of partner before sex,almost all (97.5%, 94.2% and 97.5%) agreed to avoid risky sex,to screen blood during transfusion, to avoid sharing needles & blade respectively. All (100%)of the respondents agreed for need of sexuality education for preventing STD.Almost all (98.30%)of the respondents had good awareness on Prevention and Control of Sexually Transmitted Diseases. There was no association between level of education and level of awareness (P> 0.005), between age and level of awareness (P> 0.005) and between duration of work and level of awareness (P> 0.005).Conclusion: Education is the most consistent and important determinant for prevention of STDs among all classes of people.TAJ 2016; 29(2): 47-56


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