Changing trends in Chlamydia and gonorrhea infections among female sex workers in Southern China: a surveillance data analysis spanning 2019 to 2022.

Background Female sex workers (FSW) are particularly vulnerable to chlamydia and gonorrhea infections. However, there were few studies that detail the evolving patterns of chlamydia and gonorrhea among Chinese FSW. Therefore, our study endeavors to assess the prevalence of chlamydia and gonorrhea ep...

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Publicado en:Journal of Public Health Vol. 46; no. 1; pp. 72 - 83
Autores principales: Wang, Jinshen, Zhao, Peizhen, Xu, Wenqian, Wang, Cheng
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Mar2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2024
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      pub: Oxford University Press / USA
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        atl: Changing trends in Chlamydia and gonorrhea infections among female sex workers in Southern China: a surveillance data analysis spanning 2019 to 2022.
      aug:
        au:
          Wang, Jinshen
          Zhao, Peizhen
          Xu, Wenqian
          Wang, Cheng
        affil: School of Public Health, Southern Medical University , Guangzhou 510515 , China
      sug:
        subj:
          Chlamydia Infections Trends
          Gonorrhea Trends
          Sex Work
          Women Psychosocial Factors
          Chlamydia Infections Epidemiology
          Gonorrhea Epidemiology
          Disease Outbreaks
          China
          Human
          Cross Sectional Studies
          Odds Ratio
          Sexually Transmitted Diseases Symptoms
          Descriptive Statistics
          Univariate Statistics
          Multivariate Analysis
          Logistic Regression
          Data Analysis Software
          Sexual Behavior
          Adolescence
          Adult
          Chlamydia Infections Prevention and Control
          Gonorrhea Prevention and Control
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
      ab: Background Female sex workers (FSW) are particularly vulnerable to chlamydia and gonorrhea infections. However, there were few studies that detail the evolving patterns of chlamydia and gonorrhea among Chinese FSW. Therefore, our study endeavors to assess the prevalence of chlamydia and gonorrhea epidemics within FSW, investigate their changing trends and scrutinize associated factors. Methods In 2019, China instituted a sentinel surveillance network focused on FSW in Guangdong Province. This network conducted an annual serial cross-sectional survey spanning from April to August. All analyses are predicated on surveillance data accumulated between 2019 and 2022. Results The prevalence of chlamydia increased from 10.1 to 12.3%, exhibiting an annual percentage shift of 6.8%. Conversely, the prevalence of gonorrhea dwindled from 2.0 to 1.3%, marking an annual percentage decline of 13.4% (P <  0.001). After adjusting for covariates, chlamydia exhibited associations with having household registration in other provinces (adjusted odds ratio (aOR = 0.55)), displaying symptoms of sexually transmitted infections (STIs) (aOR = 1.65) and infected with gonorrhea (aOR = 5.68). In parallel, gonorrhea demonstrated associations with providing oral sex to clients (aOR = 3.74), manifesting STIs symptoms (aOR = 4.27) and those infected with chlamydia (aOR = 5.43). Conclusions Our observations underscore the imperative to implement a comprehensive intervention strategy concentrating on chlamydia, while simultaneously fortifying endeavors to expand the scope of gonorrhea prevention services.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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