Stewart W, Wang X, Shen J, van den Hoek A; International Conference on AIDS.
Int Conf AIDS. 2000 Jul 9-14; 13: abstract no. WePeC4366.
W. Stewart, 16, He Ping Li Zhong Jie an Wei 4, Beijing 100013, China, Tel.: +00-86-10-64271471, Fax: +00-86-10-64271471, E-mail: piu@public.bta.net.cn
Background: Epidemics of STD and HIV are currently increasing in seriousness in China. In 1998 632,000 cases of STD were reported, 37% more than in 1997. Estimated HIV prevalence is 400,000. STD threaten to transform the Chinese HIV epidemic to one of sexual transmission. Quality of care for STD remains low, and the epidemiology of STD is not clearly known among many population groups. The EU-China Programme on STD and HIV/AIDS has implemented a collaborative operational research programme to provide data for policy and decision makers. Methods: The programme includes research: to assess the prevalence of chlamydia and sexual behaviour among university students in Beijing using PCR assay; to assess the prevalence of STD among women with pelvic inflammation; to assess health seeking behaviours among people with STD and factors underlying this; to assess current quality of care in Chinese STD clinics. Results: University students in Beijing have been found to have very low (1/765) prevalence of chlamydia, but 10.5% had had sexual intercourse. Low rates of chlamydia (2/70) have been found in women with pelvic inflammation indicating that syndromic management flowcharts may need to be reassessed. Health seeking behaviour studies indicate significant treatment delay and structural barriers to seeking care. Quality of care in Chinese clinics has been demonstrated to be low, particularly with regard to condom promotion and counselling. Conclusions: Results of the research indicate that some assumptions, e.g. over the extent of chlamydia prevalence, may need reassessment, along with clinical guidelines to be promoted. However, risk behaviour and problems in health seeking need to be addressed by health education and improving quality of care to increase access to services.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- China
- Coitus
- Condoms
- Evaluation Studies
- Female
- HIV Infections
- HIV Seropositivity
- Health
- Health Education
- Health Planning
- Humans
- Prevalence
- Research
- Risk-Taking
- Sexual Behavior
- Sexually Transmitted Diseases
- United States
- organization & administration
- therapy
Other ID:
UI: 102240632
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