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INTRODUCTION Syphilis has made a dramatic resurgence in China during the past two decades. During the Cultural Revolution (1966e76), sexually transmitted infections (STI) were so uncommon that they were removed from standard Chinese medical training curricula. 1 As China's market economy expanded during 1980s economic reforms, reported STI, including(More)
BACKGROUND Syphilis cases have risen in many parts of China, with developed regions reporting the greatest share of cases. Since syphilis increases in these areas are likely driven by both increased screening and changes in sexual behaviours, distinguishing between these two factors is important. Examining municipal-level primary syphilis cases with spatial(More)
BACKGROUND Human immunodeficiency virus (HIV) has spread throughout China and to some degree has penetrated the general heterosexual population in some regions. METHODS A cross-sectional survey of 11,461 sexually transmitted disease (STD) clinic attendees in 8 cities in Guangxi, China, was conducted for syphilis and for acute and established HIV(More)
BACKGROUND Methadone maintenance treatment (MMT) has been scaled up by the Chinese government alongside persistent compulsory drug user detention, but the extent to which detention interferes with MMT is unknown. The study systematically reviews Chinese MMT retention rates, reasons for drop out, and behavioural changes. METHOD Chinese and English(More)
BACKGROUND UNAIDS has called for greater HIV/syphilis testing worldwide just as local HIV/syphilis testing programs are cut or altered. New models are needed to make HIV/syphilis testing services sustainable while retaining their essential public health function. Social entrepreneurship, using business principles to promote a social cause, provides a(More)
OBJECTIVE To examine syphilis testing capacity, screening coverage rates and types of syphilis tests used in medical facilities in southern China. METHODS Eleven of the 14 municipalities in Guangdong province participated. Data on syphilis testing capacity, screening coverage and types of syphilis tests used were collected from all types of public medical(More)
BACKGROUND The last decade has seen enormous advances in HIV treatment and care, but how to implement scaled up HIV testing, prevention, and treatment in low-income areas still presents a formidable public health challenge. South China faces expanding syphilis and sexually transmitted HIV epidemics, but health systems characteristics important for scaling(More)
BACKGROUND Commercial sex is one of the major modes of HIV transmission in China. Understanding HIV risk behaviours in female sex workers (FSW) is of great importance for prevention. This study aims to assess the magnitude and temporal changes of risk behaviours in Chinese FSW. METHOD Five electronic databases were searched to identify peer-reviewed(More)
The recent article on scaling up programmes to prevent sexual human immunodeficiency virus (HIV) transmission is timely and addresses a compelling topic. 1 However, there are two points that should be emphasized in understanding how to organize an effective response to China's expanding sexually transmitted HIV epidemic: (i) the heterogeneity within China's(More)