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The current status of syphilis prevention and control in Jiangsu province, China: A cross-sectional study.


ABSTRACT:

Objective

To analyze the midterm evaluation data from the National Syphilis Prevention and Control Plan (2010-2020) and evaluate the current status of syphilis prevention and control in Jiangsu province, China.

Methods

We collected data via (1) field surveys conducted in 2015 and (2) data recorded in existing syphilis surveillance systems. We conducted descriptive statistical analysis to evaluate the current landscape of syphilis control initiatives and their potential effect in syphilis control.

Results

The incidence of all cases of syphilis decreased from 2010 (32.3 per 100,000) to 2015 (30.1 per 100,000), with an annual growth of -1.17% (x2trend = -7.52, P<0.001) in Jiangsu province. The incidence of primary and secondary syphilis and congenital syphilis both decreased significantly from 2010 to 2015. The average awareness rate of syphilis knowledge among professional personnel was 95.4% (3781/3963). Rural residents had the lowest awareness rate (83.5%, 1875/2245) and commercial sex workers had the highest awareness rate (92.1%, 7804/8474) in 2015. Only 47.8% (33908/70894) of patients received provider-initiated syphilis counseling and testing (PISTC) services in sexually transmitted disease (STD) clinics, but 94.5% (87927/93020) of all syphilis patients received free testing for syphilis. Overall, 97.2% (9378/9648) of syphilis reported cases of syphilis at medical institutions were confirmed to be accurate, and 92.2% (5850/6345) of patients diagnosed with syphilis at medical institutions received treatment with penicillin.

Conclusion

The syphilis incidence rate in Jiangsu has decreased in recent years, but remains at a high level. It is essential to promote PISTC services to improve knowledge of syphilis and rates of testing and treatment in Jiangsu province.

SUBMITTER: Chen YF 

PROVIDER: S-EPMC5570431 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature

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Publications

The current status of syphilis prevention and control in Jiangsu province, China: A cross-sectional study.

Chen Yuan-Fang YF   Ding Jian-Ping JP   Yan Hong-Jing HJ   Lu Jing J   Ding Ping P   Chen Guo-Hong GH   Li Jian-Jun JJ   Huan Xi-Ping XP   Yang Hai-Tao HT   Tang Wei-Ming WM   Fu Geng-Feng GF  

PloS one 20170824 8


<h4>Objective</h4>To analyze the midterm evaluation data from the National Syphilis Prevention and Control Plan (2010-2020) and evaluate the current status of syphilis prevention and control in Jiangsu province, China.<h4>Methods</h4>We collected data via (1) field surveys conducted in 2015 and (2) data recorded in existing syphilis surveillance systems. We conducted descriptive statistical analysis to evaluate the current landscape of syphilis control initiatives and their potential effect in s  ...[more]

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