Trends in sexually transmitted and blood-borne infections in China from 2005 to 2021: a joinpoint regression model

BMC Infectious Diseases

Research

Ying Han¹  Beibei Zhang¹  Yuansheng Li¹  Xiang Li¹  Jialu Chen¹  Shuyuan Wang¹  Junhui Zhang¹ 

[1] Department of Epidemiology and Health Statistics, School of Public Health, Southwest Medical University, Longmatan District, No.1, Section 1, Xianglin Road, Luzhou, Sichuan, People’s Republic of China;

关键词: Sexually transmitted and blood-borne infections;    Joinpoint regression model;    Diagnosis rate;    Trend;    China;   

DOI  :  10.1186/s12879-023-08733-8

 received in 2022-12-14, accepted in 2023-10-20,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundSexually 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.MethodsData 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.ResultsFrom 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.ConclusionDespite 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.

【 授权许可】

CC BY   
© The Author(s) 2023

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