Trends in sexually transmitted and blood-borne infections in China from 2005 to 2021: a joinpoint regression model
Abstract Background Sexually transmitted and blood-borne infections (STBBIs) is a major public health concern in China. This study assessed the overall trends in STBBIs to improve the comprehensive understanding of the burden of STBBIs and provide evidence for their prevention and control. Methods D...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12879-023-08733-8 |
| _version_ | 1797637057644855296 |
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| author | Shuyuan Wang Jialu Chen Yuansheng Li Beibei Zhang Xiang Li Ying Han Junhui Zhang |
| author_facet | Shuyuan Wang Jialu Chen Yuansheng Li Beibei Zhang Xiang Li Ying Han Junhui Zhang |
| author_sort | Shuyuan Wang |
| collection | DOAJ |
| description | Abstract Background Sexually transmitted and blood-borne infections (STBBIs) is a major public health concern in China. This study assessed the overall trends in STBBIs to improve the comprehensive understanding of the burden of STBBIs and provide evidence for their prevention and control. Methods Data for the period from 2005 to 2021 were analyzed across China on infections with hepatitis B or C; syphilis; gonorrhea; and HIV infection. Trends, annual percent change (APC), and average annual percent change (AAPC) in diagnosis rate was analyzed using joinpoint regression models for the five STBBIs together or individually. Results From 2005 to 2021, the overall diagnosis rate of all five STBBIs increased, with an AAPC of 1.3% [95% confidence interval (CI) -0.5% to 3.1%]. Diagnosis rates of HIV, syphilis and hepatitis C increased individually, but it decreased for infections of hepatitis B and gonorrhea. Joinpoint analysis identified four phases in diagnosis rate of hepatitis C; three phases in diagnosis rate of hepatitis B, HIV infection, and syphilis; two in diagnosis rate of gonorrhea infection. Conclusion Despite national efforts to prevent and control STBBIs, their overall diagnosis rate has continued to rise in China, and they remain an important public health challenge. Further efforts should be made to educate the general population about STBBIs, particularly HIV. Interventions targeting vulnerable groups should be adopted and their efficacy monitored through regular analysis of trends. |
| first_indexed | 2024-03-11T12:43:55Z |
| format | Article |
| id | doaj.art-910ce233873d4ad685be465954ba6e9a |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-03-11T12:43:55Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-910ce233873d4ad685be465954ba6e9a2023-11-05T12:09:01ZengBMCBMC Infectious Diseases1471-23342023-10-0123111010.1186/s12879-023-08733-8Trends in sexually transmitted and blood-borne infections in China from 2005 to 2021: a joinpoint regression modelShuyuan Wang0Jialu Chen1Yuansheng Li2Beibei Zhang3Xiang Li4Ying Han5Junhui Zhang6Department of Epidemiology and Health Statistics, School of Public Health, Southwest Medical University, Longmatan DistrictDepartment of Epidemiology and Health Statistics, School of Public Health, Southwest Medical University, Longmatan DistrictDepartment of Epidemiology and Health Statistics, School of Public Health, Southwest Medical University, Longmatan DistrictDepartment of Epidemiology and Health Statistics, School of Public Health, Southwest Medical University, Longmatan DistrictDepartment of Epidemiology and Health Statistics, School of Public Health, Southwest Medical University, Longmatan DistrictDepartment of Epidemiology and Health Statistics, School of Public Health, Southwest Medical University, Longmatan DistrictDepartment of Epidemiology and Health Statistics, School of Public Health, Southwest Medical University, Longmatan DistrictAbstract Background Sexually transmitted and blood-borne infections (STBBIs) is a major public health concern in China. This study assessed the overall trends in STBBIs to improve the comprehensive understanding of the burden of STBBIs and provide evidence for their prevention and control. Methods Data for the period from 2005 to 2021 were analyzed across China on infections with hepatitis B or C; syphilis; gonorrhea; and HIV infection. Trends, annual percent change (APC), and average annual percent change (AAPC) in diagnosis rate was analyzed using joinpoint regression models for the five STBBIs together or individually. Results From 2005 to 2021, the overall diagnosis rate of all five STBBIs increased, with an AAPC of 1.3% [95% confidence interval (CI) -0.5% to 3.1%]. Diagnosis rates of HIV, syphilis and hepatitis C increased individually, but it decreased for infections of hepatitis B and gonorrhea. Joinpoint analysis identified four phases in diagnosis rate of hepatitis C; three phases in diagnosis rate of hepatitis B, HIV infection, and syphilis; two in diagnosis rate of gonorrhea infection. Conclusion Despite national efforts to prevent and control STBBIs, their overall diagnosis rate has continued to rise in China, and they remain an important public health challenge. Further efforts should be made to educate the general population about STBBIs, particularly HIV. Interventions targeting vulnerable groups should be adopted and their efficacy monitored through regular analysis of trends.https://doi.org/10.1186/s12879-023-08733-8Sexually transmitted and blood-borne infectionsJoinpoint regression modelDiagnosis rateTrendChina |
| spellingShingle | Shuyuan Wang Jialu Chen Yuansheng Li Beibei Zhang Xiang Li Ying Han Junhui Zhang Trends in sexually transmitted and blood-borne infections in China from 2005 to 2021: a joinpoint regression model BMC Infectious Diseases Sexually transmitted and blood-borne infections Joinpoint regression model Diagnosis rate Trend China |
| title | Trends in sexually transmitted and blood-borne infections in China from 2005 to 2021: a joinpoint regression model |
| title_full | Trends in sexually transmitted and blood-borne infections in China from 2005 to 2021: a joinpoint regression model |
| title_fullStr | Trends in sexually transmitted and blood-borne infections in China from 2005 to 2021: a joinpoint regression model |
| title_full_unstemmed | Trends in sexually transmitted and blood-borne infections in China from 2005 to 2021: a joinpoint regression model |
| title_short | Trends in sexually transmitted and blood-borne infections in China from 2005 to 2021: a joinpoint regression model |
| title_sort | trends in sexually transmitted and blood borne infections in china from 2005 to 2021 a joinpoint regression model |
| topic | Sexually transmitted and blood-borne infections Joinpoint regression model Diagnosis rate Trend China |
| url | https://doi.org/10.1186/s12879-023-08733-8 |
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