Chlamydia trachomatis infection among patients attending sexual and reproductive health clinics: A cross-sectional study in Bao'an District, Shenzhen, China

Yan, Ruilin; Ye, Yunfeng; Fan, Qin-Ying; Huang, Yanhui; Wen, Gui-chun; Li, Limei; Cai, Yumao; Feng, Tiejian; Huang, Zhiming

doi:10.1371/journal.pone.0212292

Cited by 9 publications

(12 citation statements)

References 50 publications

(60 reference statements)

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“…According to the multivariate analysis, marital status and registered residence were not significantly associated with CT infection, but being single, divorced, or widowed and registered residence of other provinces were potential risk factors of CT infection in the univariate analysis. Consistent with our findings, a study in Shenzhen reported that single, divorced, or widowed and migrant women were more likely to have unprotected sexual behavior, and thus more likely to infect CT [13] …”

Section: Discussionsupporting

confidence: 91%

“…We observed a CT prevalence of more than 16%, with higher prevalence among STD clinic patients and lower prevalence among gynecology clinic patients. Our observed prevalence was significantly higher than that reported in Shenzhen (5.4% in 2012), [7] Shaanxi (3.4%), [9] and Beijing (2.2%), [10] and higher than that in Shenzhen (10.3% in 2018) [13] . This difference might be associated with the admittance criteria of our study participants as we required that eligible participants had urinary or genital tract symptoms.…”

Section: Discussioncontrasting

confidence: 56%

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High prevalence of Chlamydia trachomatis infection among women attending STD and gynecology clinics in Jiangsu province, China

Hu¹,

Zhou²,

Shi³

et al. 2021

Medicine

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Epidemics of Chlamydia trachomatis (CT) infection among women are major global public health concerns. This study examined the prevalence of CT infection and associated factors among women attending sexually transmitted disease (STD) and gynecology clinics in Jiangsu province, China.A cross-sectional survey was conducted among women attending STD and gynecology clinics in the province during 2018 to 2019. Socio-demographic and behavioral information were collected through face-to-face questionnaire survey. Cervical swab specimens were collected to test for CT. Chi square tests were used to compare differences in CT prevalence between subgroups of characteristics. Multivariate logistic regression analysis was used to identify factors associated with CT infection.A total of 2664 participants were enrolled. The prevalence of CT infection was 16.6% (95% confidence interval: 15.0%–18.1%). Of those, CT prevalence among participants from STD clinics (19.4%) and South Jiangsu (18.5%) were higher. Female outpatients who were service personnel (adjusted odds ratio [aOR] = 1.667, P = .004) or farmers (aOR = 1.593, P = .039), lived in South Jiangsu (aOR = 1.796, P = .004), and were from STD clinics (aOR = 1.608, P = .022) were more likely to infect CT.Our study showed a high prevalence of CT infection among women attending STD and gynecology clinics in Jiangsu province, China. CT screening, surveillance and treatment promotion should therefore be of top priority on the CT prevention agenda.

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Section: Discussionsupporting

confidence: 91%

Section: Discussioncontrasting

confidence: 56%

High prevalence of Chlamydia trachomatis infection among women attending STD and gynecology clinics in Jiangsu province, China

Hu¹,

Zhou²,

Shi³

et al. 2021

Medicine

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“…A nationwide scheme called the National Chlamydia Screening Programme (NCSP) was put forward in the UK [ 10 ], and all sexually active men and women aged under 25 years were targeted for annual chlamydia screening through various clinical and nonclinical settings. Similarly, the Shenzhen Gonorrhea and Chlamydia Intervention Programme (SGCIP), a pilot project of a national programme in China (the China Chlamydia Intervention Programme), was launched in 2017, and it was the first city-level CT screening programme in China [ 11 ]. However, there are no policy strategies for routine CT screening in China.…”

Section: Introductionmentioning

confidence: 99%

“…Besides, adults aged 25 years or older should not be neglected in CT screening in China. A study in China reported a high prevalence (9.09%) of CT infection among hospital-based patients aged > 25 years [ 11 ]. It is known that CT screening in the population with CT prevalence > 3% is cost-effective [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Associated factors of willingness to undergo routine chlamydia trachomatis screening among hospital-based patients in Shenzhen, China: a cross-sectional study

Weng¹,

Hong²,

Zhang³

et al. 2020

BMC Public Health

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Background Chlamydia trachomatis (CT) is a common sexually transmitted infection (STI) with significant morbidity. The study aimed to explore the willingness to undergo routine CT screening and its associated factors among hospital-based patients in Shenzhen. Methods We used data from the Shenzhen Gonorrhea and Chlamydia Intervention Programme. Participants were recruited with a stratified purposeful sampling design from 1 April 2018 to 16 May 2018. A structured questionnaire was used to obtain data on baseline characteristics and CT-related participant information. Results Of the 16,546 participants, 64.79% were women, with a mean age of 31.85 ± 7.31 of all participants. Of the participants, 88.78% were willing to undergo routine CT screening. According to multivariate logistic regression analyses, willingness to undergo routine CT screening was associated with the following (P < 0.05): being a woman (AOR = 1.53, 95% CI = 1.34–1.75), one year or more residency in Shenzhen (AOR = 1.64, 95% CI = 1.37–1.95), any secondary education (AOR = 2.46, 95% CI = 1.92–3.15), monthly income ≥ RMB 10,000 (AOR = 1.24, 95% CI = 1.01–1.51), having forgotten CT diagnosis history (AOR = 1.42, 95% CI = 1.12–1.79), without current STI-related symptoms (AOR = 1.24, 95% CI = 1.10–1.41), and having correct understanding of the sequelae of CT infection (AOR = 1.68, 95% CI = 1.39–2.03). Conclusion This study reported high willingness to undergo routine CT screening among hospital-based patients in Shenzhen, and provided evidence for the promotion and the implementation of strategies and recommendations on routine CT screening in China.

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“…The World Health Organization (WHO) indicated a substantial global burden of CT infections in 2016, with the pooled prevalence of 3.8% in women and about 124.3 million cases of CT worldwide in women and men aged 15-49 years of age [1]. Previous studies in China also showed a large burden of CT infections, with a prevalence of 4.1% among women [2] and a higher prevalence (10.1%) among female patients attending sexual and reproductive health clinics [3]. Untreated CT infection in women is associated with several serious sequelae including pelvic inflammatory disease, ectopic pregnancy, chronic pelvic pain, and tubal factor infertility [4].…”

Section: Introductionmentioning

confidence: 99%

High Willingness to Participate in Partner Notification among Women Attending Reproductive Health and STI Clinics in Shenzhen, China: A Cross-Sectional Study

Weng

Wang

Hong

et al. 2020

IJERPH

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Genital Chlamydia trachomatis (CT) is one of the most common sexually transmitted infections (STI) worldwide. We explored the factors associated with willingness to participate in partner notification (PN) among women attending reproductive health and STI clinics in Shenzhen, China. An anonymous questionnaire was used to collect the sociodemographic characteristics, STI histories, and willingness to participate in routine CT screening and partner notification. In total, 87.31% (n = 10,780) of participants were willing to notify their sex partner(s) if they were diagnosed with a CT infection. Willingness to complete PN was significantly associated with: being married, residing in Shenzhen ≥1 year, having completed junior college or higher, not currently reporting STI-related symptoms, willing to have routine CT screening, and having a correct understanding of the health sequelae of CT infection. Nearly all women surveyed at reproductive health and STI clinics in Shenzhen reported willingness to complete PN. Promoting PN in these settings could help detect a large number of additional CT cases. Our findings provide evidence and implications for public health interventions on PN and suggest that targeted interventions are urgently needed for particular subpopulations including those not currently married, with shorter residency, lower education, and less awareness about the dangers of CT infection.

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Chlamydia trachomatis infection among patients attending sexual and reproductive health clinics: A cross-sectional study in Bao'an District, Shenzhen, China

Cited by 9 publications

References 50 publications

High prevalence of Chlamydia trachomatis infection among women attending STD and gynecology clinics in Jiangsu province, China

High prevalence of Chlamydia trachomatis infection among women attending STD and gynecology clinics in Jiangsu province, China

Associated factors of willingness to undergo routine chlamydia trachomatis screening among hospital-based patients in Shenzhen, China: a cross-sectional study

High Willingness to Participate in Partner Notification among Women Attending Reproductive Health and STI Clinics in Shenzhen, China: A Cross-Sectional Study

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