Online citations, reference lists, and bibliographies.
← Back to Search

Population-based Study Of Chlamydial Infection In China: A Hidden Epidemic.

William L. Parish, E. Laumann, Myron S. Cohen, S. Pan, Heyi Zheng, I. Hoffman, Tianfu Wang, K. H. Ng
Published 2003 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy Visualize in Litmaps
Share
Reduce the time it takes to create your bibliography by a factor of 10 by using the world’s favourite reference manager
Time to take this seriously.
Get Citationsy
CONTEXT Sexually transmitted diseases are increasing rapidly in China. Surveillance data imperfectly indicate current prevalence and risk factors. OBJECTIVES To estimate the prevalence of genital chlamydial and gonococcal infections and to describe patterns of infection by subgroup and behavioral patterns. DESIGN, SETTING, AND PARTICIPANTS A national stratified probability sample of 3426 Chinese individuals (1738 women and 1688 men) aged 20 to 64 years, who were interviewed between August 1999 and August 2000, completed a computer-administered survey, and provided a urine specimen (69% total participation rate). MAIN OUTCOME MEASURE Positive test result for chlamydial or gonococcal infections. RESULTS The overall prevalence per 100 population of chlamydial infection was 2.6 (95% confidence interval [CI], 1.6-4.1) for women and 2.1 (95% CI, 1.3-3.3) for men. For gonococcal infection, the overall prevalence per 100 population was 0.08 (95% CI, 0.02-0.4) for women and 0.02 (95% CI, 0.005-0.1) for men. Risk factors for chlamydial infection among men aged 20 to 44 years were unprotected sex with a commercial sex worker (odds ratio [OR], 8.24; 95% CI, 3.51-19.35), less education (OR, 7.20; 95% CI, 2.31-22.37), and recent sex with their spouse or other steady partner (OR, 7.73; 95% CI, 2.70-22.10). Among women aged 20 to 44 years, risk factors for chlamydial infection were having less education (OR, 2.82; 95% CI, 1.01-7.91) and living in a city (OR, 3.46; 95% CI, 1.67-7.18) or along the southern coast (OR, 2.16; 95% CI, 1.29-3.63) and having a spouse or other steady sexual partner who earned a high income (OR, 2.85; 95% CI, 1.11-7.29), who socialized often (OR, 2.79; 95% CI, 1.08-7.19), or who traveled less than 1 week per year (OR, 5.40; 95% CI, 1.44-20.3). CONCLUSIONS The prevalence of chlamydial infection in China is substantial. The patterns of infection suggest potential avenues for intervention.
This paper references
10.1111/J.2517-6161.1974.TB00981.X
Inference from Complex Samples
L. Kish (1974)
10.2307/2553706
Regression Diagnostics: Identifying Influential Data and Sources of Collinearity.
J. Davidson (1981)
10.2307/2348995
Sampling of Populations: Methods and Applications
P. Levy (1991)
10.2307/2347535
Analysis of complex surveys
C. Skinner (1991)
10.2307/2939232
A community study of gynecological and related morbidities in rural Egypt.
N. Younis (1993)
trarelational sex among Mexican men and their partners ’ risk of HIV and other sexually transmitted diseases
J Pulerwitz (1993)
10.1001/jama.1995.03520320085050
The Social Organization of Sexuality: Sexual Practices in the United States
V. A. Sadock (1995)
10.1093/INFDIS/174.SUPPLEMENT_2.S223
Successful eradication of sexually transmitted diseases in the People's Republic of China: implications for the 21st century.
M. Cohen (1996)
cessful eradication of sexually transmitted diseases in the People ’ s Republic of China : implications for the 21 st Century
MS Cohen (1996)
10.1093/IJE/26.6.1373
Different demographic and sexual correlates for chlamydial infection and gonorrhoea in Rotterdam.
Y. V. van Duynhoven (1997)
10.1001/JAMA.1997.03550230066039
Spread of HIV infection in married monogamous women in India.
R. Gangakhedkar (1997)
10.2307/2658857
Dangerous Pleasures: Prostitution and Modernity in Twentieth-Century Shanghai
Gail Hershatter (1997)
10.1136/STI.74.6.421
Asymptomatic non-ulcerative genital tract infections in a rural Ugandan population.
L. Paxton (1998)
10.1258/0956462981921756
Prevalence and risk factors of HIV-1 and HIV-2 infection in urban and rural areas in Tamil Nadu, India
S. Solomon (1998)
10.1080/00401706.1998.10485496
Regression Models for Categorical and Limited Dependent Variables
J. A. Calvin (1998)
10.1080/713612352
Changes in prostitution and the AIDS epidemic in Thailand.
R. Hanenberg (1998)
10.7326/0003-4819-128-4-199802150-00005
Screening for Chlamydia trachomatis in Asymptomatic Women Attending Family Planning Clinics: A Cost-Effectiveness Analysis of Three Strategies
M. R. Howell (1998)
10.1128/JCM.37.10.3092-3096.1999
Determination of Chlamydia trachomatisPrevalence in an Asymptomatic Screening Population: Performances of the LCx and COBAS Amplicor Tests with Urine Specimens
S. Morré (1999)
10.1097/00007435-199907000-00006
Estimated incidence and prevalence of genital Chlamydia trachomatis infections in the United States, 1996.
S. Groseclose (1999)
10.1097/00007435-199905000-00003
Racial/ethnic group differences in the prevalence of sexually transmitted diseases in the United States: a network explanation.
E. Laumann (1999)
10.1097/00007435-200003000-00003
Epidemiologic Trends of Sexually Transmitted Diseases in China
X. Chen (2000)
10.1097/00007435-200008000-00007
Pattern of Sexually Transmitted Diseases and Risk Factors Among Women Attending an STD Referral Clinic in Nairobi, Kenya
K. Fonck (2000)
10.1136/sti.76.5.375
Low diagnostic accuracy of selective screening criteria for asymptomatic Chlamydia trachomatis infections in the general population
I. V. van Valkengoed (2000)
10.1136/sti.76.4.273
Prevalence of Chlamydia trachomatis in young men in north west London
T. Pierpoint (2000)
10.1108/IJSE.2000.27.3.244.1
The Sex Sector – The Economic and Social Bases of Prostitution in Southeast Asia
Marilyn J. Waring (2000)
Sexually transmitted diseases in the People’s Republic of China in Y2K
MS Cohen (2000)
10.1089/108729101316914476
HIV/AIDS: international perspective.
D. J. Tarantola (2001)
10.2105/AJPH.91.10.1650
Extrarelational sex among Mexican men and their partners' risk of HIV and other sexually transmitted diseases.
J. Pulerwitz (2001)
10.1097/00002030-200104130-00011
High prevalence of syphilis and other sexually transmitted diseases among sex workers in China: potential for fast spread of HIV
A. van den Hoek (2001)
10.1097/00007435-200103000-00009
Level of AIDS and HIV Knowledge and Sexual Practices Among Sexually Transmitted Disease Patients in China
J. Wang (2001)
10.1136/sti.77.4.265
Demographic and behavioural profile of adults infected with chlamydia: a case-control study
K. Radcliffe (2001)
10.1016/S0140-6736(01)06886-6
Sexual behaviour in Britain: reported sexually transmitted infections and prevalent genital Chlamydia trachomatis infection
K. Fenton (2001)
10.1126/SCIENCE.1058187
Reducing HIV Transmission in Developing Countries
P. Jha (2001)
10.1136/BMJ.323.7315.714
China admits its AIDS crisis
T. Plafker (2001)
Release 7, vol
STATA Reference Manual (2001)
Prevalence and risk factors of HIV - 1 and HIV - 2 infection in urban and rural areas in Tamil Nadu , In
S Solomon (2001)
中国2000年人口普查资料 = Tabulation on the 2000 population census of the People's Republic of China
中华人民共和国国务院人口普查办公室 (2002)
10.1258/0956462021924712
What proportion of episodes of gonorrhoea and chlamydia becomes symptomatic?
E. Korenromp (2002)
10.1016/S0010-7824(02)00350-5
Introductory study on female condom use among sex workers in China.
C. Yimin (2002)
10.1258/0956462021925027
Chlamydial infection in males and conseqences for their female sexual partners, an example from rural Kilimanjaro, Tanzania
E. Klouman (2002)
10.1001/JAMA.287.6.726
Untreated gonococcal and chlamydial infection in a probability sample of adults.
C. F. Turner (2002)
Observations on China’s year 2000 AIDS situation
UNAIDS China Office (2002)
AIDS prevention urged
S. Sun (2002)
No condoms please, we’re Chinese
C. Wen (2003)
The interplay of gender, space, and work in China’s floating population
L. Zhang (2003)
10.1023/A:1009549110508
HIV Risk Among Patients Attending Sexually Transmitted Disease Clinics in China
Kyung-hee Choi (2004)
10.1023/A:1009577020621
Psychosocial Profiles of Women with Risky Sexual Partners: The National AIDS Behavioral Surveys (NABS)
M. M. Dolcini (2004)
10.1023/A:1011391424690
Promoting Condom Use With Main Partners: A Behavioral Intervention Trial for Women
A. Gielen (2004)
10.1023/A:1013186806939
Sexual Risk Behavior in Urban Populations of Northeastern Africa
Mohamed M Ali (2004)
AIDS prevention urged . China Daily . March 9 , 2002 Observations on China ’ s year 2000 AIDS situation
S Sun



This paper is referenced by
10.1016/j.lanwpc.2021.100143
Spatiotemporal analysis of 11 years of Chlamydia trachomatis data from southern China
M. Kumi Smith (2021)
10.1016/J.RMCLC.2020.09.003
Actualización de la infección por Chlamydia trachomatis en mujeres
Gigliola Cannoni (2021)
10.1186/s12978-020-01052-0
Nomadic Tibetan women’s reproductive health: findings from cross-sectional surveys with a hard-to-reach population
J. Gipson (2021)
10.3390/ijerph18084032
De-Sexualizing Partner Notification: A Qualitative Study on Chinese Young Adults with Chlamydia
B. Lau (2021)
10.1093/ofid/ofab206
Prevalence of Chlamydia trachomatis Among Pregnant Women, Gynecology Clinic Attendees, and Subfertile Women in Guangdong, China: A Cross-sectional Survey
Changchang Li (2021)
10.1371/journal.pone.0234261
Cross-sectional study of asymptomatic Neisseria gonorrhoeae and Chlamydia trachomatis infections in sexually transmitted disease related clinics in Shenzhen, China
Shu-xia Chang (2020)
10.1080/00224499.2020.1797617
Prevalence and Patterns of Extramarital Sex among Chinese Men and Women: 2000-2015
Y. Zhang (2020)
10.3389/fmicb.2020.00827
Chlamydia trachomatis and Human Papillomavirus Infection in Women From Southern Hunan Province in China: A Large Observational Study
Hongliang Chen (2020)
10.1155/2020/7640758
Coinfection of High-Risk Human Papillomavirus and Lower Genital Tract Pathogens in the Development of High-Grade Cervical Lesions
Hui Zhong (2020)
10.1080/09540121.2020.1785996
Prevalence of and factors associated with behavioral intention to take up home-based HIV self-testing among male clients of female sex workers in China – an application of the Theory of Planned Behavior
Christine Y. K. Lau (2020)
10.1186/s12879-020-05307-w
Prevalence of genital Chlamydia trachomatis infection in the general population: a meta-analysis
P. Huai (2020)
10.1177/0956462419890496
Prevalence of co-infections with other sexually transmitted infections in patients newly diagnosed with anogenital warts in Guangzhou, China
Liuyuan Wang (2020)
10.1111/and.13772
Prevalence, concordance and reproductive sequelae after Chlamydia trachomatis infection in Mexican infertile couples
M. López-Hurtado (2020)
10.1007/978-981-13-8518-6_7
Prevention of Heterosexual Transmission of HIV
K. Rou (2019)
10.1371/journal.pone.0196516
Population-based study of chlamydial and gonococcal infections among women in Shenzhen, China: Implications for programme planning
Zhenzhou Luo (2018)
10.1371/journal.pmed.1002499
Susceptibility of Neisseria gonorrhoeae to azithromycin and ceftriaxone in China: A retrospective study of national surveillance data from 2013 to 2016
Y. Yin (2018)
10.1007/s10461-018-2148-8
Trend and Factors Associated with Condom Use Among Male Clients of Female Sex Workers in Hong Kong: Findings of 13 Serial Behavioural Surveillance Surveys
Jinghua Li (2018)
10.1155/2018/4980396
Prevalence of Sexually Transmitted Infections among Married Women in Rural Nepal
Sunila Shakya (2018)
10.1016/j.puhe.2018.05.015
Spatiotemporal distribution and determinants of gonorrhea infections in mainland China: a panel data analysis.
Wen-ting Cao (2018)
10.22074/ijfs.2018.5184
Molecular Evidence of Chlamydia trachomatis Infection and Its Relation to Miscarriage
S. Bagheri (2018)
10.1186/s12879-018-3432-y
Prevalence, risk factors, and medical costs of Chlamydia trachomatis infections in Shandong Province, China: a population-based, cross-sectional study
P. Huai (2018)
10.4103/0366-6999.225063
Current Research of Chlamydial Infection Diseases in China
X. Li (2018)
10.1136/sextrans-2017-053196
Opportunities and barriers to STI testing in community health centres in China: a nationwide survey
J. Ong (2017)
10.1371/journal.pone.0180801
Is there a relationship between geographic distance and uptake of HIV testing services? A representative population-based study of Chinese adults in Guangzhou, China
W. Chen (2017)
10.1186/s13568-017-0510-2
Presence of Chlamydia trachomatis and Mycoplasma spp., but not Neisseria gonorrhoeae and Treponema pallidum, in women undergoing an infertility evaluation: high prevalence of tetracycline resistance gene tet(M)
M. Li (2017)
10.1186/s12978-016-0271-4
Comparative study in infertile couples with and without Chlamydia trachomatis genital infection
Yuanchang Zhu (2017)
10.1371/journal.pone.0172561
Prevalence and risk factors of chlamydia infection in Hong Kong: A population-based geospatial household survey and testing
W. Wong (2017)
The Sexual Subjectivities of Chinese Young Diaspora in Aotearoa New Zealand
Y. Li (2017)
10.1016/S1473-3099(17)30310-9
Sexually transmitted infections: challenges ahead.
M. Unemo (2017)
10.1016/S1473-3099(17)30364-X
Mycoplasma genitalium: yet another challenging STI.
J. Jensen (2017)
10.1155/2016/6986173
Depression and HIV Risk Behaviors among Female Sex Workers in Guangdong, China: A Multicenter Cross-Sectional Study
Hongcheng Shen (2016)
10.1017/9781107337237.003
An Introduction to Demography
D. L. Poston (2016)
See more
Semantic Scholar Logo Some data provided by SemanticScholar