Chlamydia-related knowledge, opinion to opportunistic testing, and practices of providers among different sexually transmitted infections related departments in hospitals in Shenzhen city, China

Abstract Background Chlamydia trachomatis (CT) infection could lead to seriously adverse outcomes if left untreated. This study aimed to determine CT-related knowledge, opinion to testing, and practices of providers among different sexually transmitted infections (STI) related departments in hospita...

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Main Authors: Rongxing Weng, Chunlai Zhang, Lizhang Wen, Yiting Luo, Jianbin Ye, Honglin Wang, Jing Li, Ning Ning, Junxin Huang, Xiangsheng Chen, Yumao Cai
Format: Article
Language:English
Published: BMC 2022-05-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-022-08012-3
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author Rongxing Weng
Chunlai Zhang
Lizhang Wen
Yiting Luo
Jianbin Ye
Honglin Wang
Jing Li
Ning Ning
Junxin Huang
Xiangsheng Chen
Yumao Cai
author_facet Rongxing Weng
Chunlai Zhang
Lizhang Wen
Yiting Luo
Jianbin Ye
Honglin Wang
Jing Li
Ning Ning
Junxin Huang
Xiangsheng Chen
Yumao Cai
author_sort Rongxing Weng
collection DOAJ
description Abstract Background Chlamydia trachomatis (CT) infection could lead to seriously adverse outcomes if left untreated. This study aimed to determine CT-related knowledge, opinion to testing, and practices of providers among different sexually transmitted infections (STI) related departments in hospitals in Shenzhen city, China, and also to explore the differences in these responses. Materials and methods From 1st April 2018 to 15th April 2018, a cross-sectional study was conducted in Shenzhen and 64 of 66 hospitals agreed to participate in this study. In the hospital sites, all the providers from the department of obstetrics and gynecology, department of dermatology and venereology, department of urology, and anorectal surgical department were recruited. A structured paper-based questionnaire was used to obtain data on CT-related information. Results A total of 355 providers from 64 hospitals participated in the current study. Compared to providers from the department of dermatology and venereology, those from the department of obstetrics and gynecology (OR = 0.31, 95% CI 0.16—0.62), department of urology (OR = 0.32, 95% CI 0.16—0.65), and anorectal surgical department (OR = 0.25, 95% CI 0.09—0.71) were less likely to identify that “Be in a long-term mutually monogamous relationship with a partner who has been tested and has negative STI test results.” is an appropriate way for a sexually active person to reduce risk of getting CT. Also, those from the department of obstetrics and gynecology (OR = 0.45, 95% CI 0.23—0.87) were less likely to identify that “Use latex condoms the right way every time you have sex” is another appropriate way. A high proportion of providers agreed that all sexually active patients attending to their department should be screened regularly (77.1%), and they are willing to offer opportunistic CT screening (96.0%). Only 11.4% of respondents correctly identified that the appropriate time frame of the CT retesting is three months. Conclusions Providers among STI-related departments in hospitals showed a very high willingness to offer opportunistic CT screening. However, this study showed important gaps in providers’ knowledge and practices in China, targeted training in CT-related knowledge and practice is urgently needed.
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spelling doaj.art-93cc745cabba48b19a538288764b7a5d2022-12-22T02:53:52ZengBMCBMC Health Services Research1472-69632022-05-0122111310.1186/s12913-022-08012-3Chlamydia-related knowledge, opinion to opportunistic testing, and practices of providers among different sexually transmitted infections related departments in hospitals in Shenzhen city, ChinaRongxing Weng0Chunlai Zhang1Lizhang Wen2Yiting Luo3Jianbin Ye4Honglin Wang5Jing Li6Ning Ning7Junxin Huang8Xiangsheng Chen9Yumao Cai10Department of STD Control and Prevention, Shenzhen Center for Chronic Disease ControlDepartment of STD Control and Prevention, Shenzhen Center for Chronic Disease ControlDepartment of STD Control and Prevention, Shenzhen Center for Chronic Disease ControlDepartment of STD Control and Prevention, Shenzhen Center for Chronic Disease ControlDepartment of STD Control and Prevention, Shenzhen Center for Chronic Disease ControlDepartment of STD Control and Prevention, Shenzhen Center for Chronic Disease ControlDepartment of STD Control and Prevention, Shenzhen Center for Chronic Disease ControlDepartment of STD Control and Prevention, Shenzhen Center for Chronic Disease ControlDepartment of STD Control and Prevention, Shenzhen Center for Chronic Disease ControlChinese Academy of Medical Sciences & Peking Union Medical College Institute of DermatologyDepartment of STD Control and Prevention, Shenzhen Center for Chronic Disease ControlAbstract Background Chlamydia trachomatis (CT) infection could lead to seriously adverse outcomes if left untreated. This study aimed to determine CT-related knowledge, opinion to testing, and practices of providers among different sexually transmitted infections (STI) related departments in hospitals in Shenzhen city, China, and also to explore the differences in these responses. Materials and methods From 1st April 2018 to 15th April 2018, a cross-sectional study was conducted in Shenzhen and 64 of 66 hospitals agreed to participate in this study. In the hospital sites, all the providers from the department of obstetrics and gynecology, department of dermatology and venereology, department of urology, and anorectal surgical department were recruited. A structured paper-based questionnaire was used to obtain data on CT-related information. Results A total of 355 providers from 64 hospitals participated in the current study. Compared to providers from the department of dermatology and venereology, those from the department of obstetrics and gynecology (OR = 0.31, 95% CI 0.16—0.62), department of urology (OR = 0.32, 95% CI 0.16—0.65), and anorectal surgical department (OR = 0.25, 95% CI 0.09—0.71) were less likely to identify that “Be in a long-term mutually monogamous relationship with a partner who has been tested and has negative STI test results.” is an appropriate way for a sexually active person to reduce risk of getting CT. Also, those from the department of obstetrics and gynecology (OR = 0.45, 95% CI 0.23—0.87) were less likely to identify that “Use latex condoms the right way every time you have sex” is another appropriate way. A high proportion of providers agreed that all sexually active patients attending to their department should be screened regularly (77.1%), and they are willing to offer opportunistic CT screening (96.0%). Only 11.4% of respondents correctly identified that the appropriate time frame of the CT retesting is three months. Conclusions Providers among STI-related departments in hospitals showed a very high willingness to offer opportunistic CT screening. However, this study showed important gaps in providers’ knowledge and practices in China, targeted training in CT-related knowledge and practice is urgently needed.https://doi.org/10.1186/s12913-022-08012-3Chlamydia trachomatisProvidersOpportunistic testing
spellingShingle Rongxing Weng
Chunlai Zhang
Lizhang Wen
Yiting Luo
Jianbin Ye
Honglin Wang
Jing Li
Ning Ning
Junxin Huang
Xiangsheng Chen
Yumao Cai
Chlamydia-related knowledge, opinion to opportunistic testing, and practices of providers among different sexually transmitted infections related departments in hospitals in Shenzhen city, China
BMC Health Services Research
Chlamydia trachomatis
Providers
Opportunistic testing
title Chlamydia-related knowledge, opinion to opportunistic testing, and practices of providers among different sexually transmitted infections related departments in hospitals in Shenzhen city, China
title_full Chlamydia-related knowledge, opinion to opportunistic testing, and practices of providers among different sexually transmitted infections related departments in hospitals in Shenzhen city, China
title_fullStr Chlamydia-related knowledge, opinion to opportunistic testing, and practices of providers among different sexually transmitted infections related departments in hospitals in Shenzhen city, China
title_full_unstemmed Chlamydia-related knowledge, opinion to opportunistic testing, and practices of providers among different sexually transmitted infections related departments in hospitals in Shenzhen city, China
title_short Chlamydia-related knowledge, opinion to opportunistic testing, and practices of providers among different sexually transmitted infections related departments in hospitals in Shenzhen city, China
title_sort chlamydia related knowledge opinion to opportunistic testing and practices of providers among different sexually transmitted infections related departments in hospitals in shenzhen city china
topic Chlamydia trachomatis
Providers
Opportunistic testing
url https://doi.org/10.1186/s12913-022-08012-3
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