Rapid syphilis testing uptake for female sex workers at sex venues in Southern China: implications for expanding syphilis screening
Accessibility of syphilis testing services is critical in syphilis control programs for female sex workers (FSWs), but few FSWs attend public STI clinics or other testing sites. Introduction of free rapid syphilis testing (RST) into outreach programs for FSWs will help improve test uptake. Commercia...
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| Veröffentlicht in: | PloS one 2012-12, Vol.7 (12), p.e52579-e52579 |
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| creator | Chen, Xiang-Sheng Yin, Yue-Ping Shen, Crystal Liu, Guo-Gu Zhu, Zheng-Jun Wei, Wan-Hui Wang, Hong-Chun Huang, Shui-Jie Li, Jing Tucker, Joseph D Mabey, David C Peeling, Rosanna W |
| description | Accessibility of syphilis testing services is critical in syphilis control programs for female sex workers (FSWs), but few FSWs attend public STI clinics or other testing sites. Introduction of free rapid syphilis testing (RST) into outreach programs for FSWs will help improve test uptake.
Commercial sex venues were identified in two cities in South China. In cooperation with health advocacy organizations, health outreach teams from local public health or medical facilities approached all types of sex venues in study areas to offer free RST. Acceptability and uptake of RST among FSWs were evaluated.
A total of 2812 FSWs were offered RST and 2670 (95.0%) accepted syphilis testing. 182 (6.8%) FSWs had a positive RST result among whom 136 (74.7%) were willing to attend an STD clinic for confirmatory testing and treatment. More than half (89, 66.4%) of those with syphilis were not willing to notify their sex partners. Multivariate logistic analysis showed that syphilis test uptake was associated with residing in Jiangmen (AOR, 1.78; 95% CI, 1.15-2.77), older age (AOR, 2.11, 95% CI, 1.17-3.79 for age of 31 years or above), and not working at a service venue (AOR, 1.60; 95% CI, 1.10-2.34).
RST at sex venues is well accepted by FSWs when it is integrated into ongoing outreach services. Such programs provide excellent opportunities for expanding syphilis screening efforts among specific subgroups of FSW who are difficult to reach through clinic-based programs. |
| doi_str_mv | 10.1371/journal.pone.0052579 |
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Commercial sex venues were identified in two cities in South China. In cooperation with health advocacy organizations, health outreach teams from local public health or medical facilities approached all types of sex venues in study areas to offer free RST. Acceptability and uptake of RST among FSWs were evaluated.
A total of 2812 FSWs were offered RST and 2670 (95.0%) accepted syphilis testing. 182 (6.8%) FSWs had a positive RST result among whom 136 (74.7%) were willing to attend an STD clinic for confirmatory testing and treatment. More than half (89, 66.4%) of those with syphilis were not willing to notify their sex partners. Multivariate logistic analysis showed that syphilis test uptake was associated with residing in Jiangmen (AOR, 1.78; 95% CI, 1.15-2.77), older age (AOR, 2.11, 95% CI, 1.17-3.79 for age of 31 years or above), and not working at a service venue (AOR, 1.60; 95% CI, 1.10-2.34).
RST at sex venues is well accepted by FSWs when it is integrated into ongoing outreach services. Such programs provide excellent opportunities for expanding syphilis screening efforts among specific subgroups of FSW who are difficult to reach through clinic-based programs.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0052579</identifier><identifier>PMID: 23300709</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; Adult ; AIDS ; Analysis ; Biology ; China ; Clinics ; Control programs ; Dermatology ; Disease control ; Female ; HIV ; Human immunodeficiency virus ; Humans ; Infections ; Mass Screening - statistics & numerical data ; Medical tests ; Medicine ; Multivariate Analysis ; Occupational health ; Onsite ; Outreach programs ; Outreach services ; Prostitution ; Public health ; Questionnaires ; Screening ; Sex ; Sex industry ; Sex Workers - statistics & numerical data ; Sexual behavior ; Sexually transmitted diseases ; Social services ; STD ; Subgroups ; Syphilis ; Syphilis - diagnosis ; Time Factors ; Workers ; Working women ; Young Adult</subject><ispartof>PloS one, 2012-12, Vol.7 (12), p.e52579-e52579</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012 Chen et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2012 Chen et al 2012 Chen et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-1013d1aeb4995d6ed8fdaed28bdd980bc98ef3bafbf00bf88e6c2528893589b43</citedby><cites>FETCH-LOGICAL-c692t-1013d1aeb4995d6ed8fdaed28bdd980bc98ef3bafbf00bf88e6c2528893589b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3531440/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3531440/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23865,27923,27924,53790,53792,79371,79372</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23300709$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Gatton, Michelle Louise</contributor><creatorcontrib>Chen, Xiang-Sheng</creatorcontrib><creatorcontrib>Yin, Yue-Ping</creatorcontrib><creatorcontrib>Shen, Crystal</creatorcontrib><creatorcontrib>Liu, Guo-Gu</creatorcontrib><creatorcontrib>Zhu, Zheng-Jun</creatorcontrib><creatorcontrib>Wei, Wan-Hui</creatorcontrib><creatorcontrib>Wang, Hong-Chun</creatorcontrib><creatorcontrib>Huang, Shui-Jie</creatorcontrib><creatorcontrib>Li, Jing</creatorcontrib><creatorcontrib>Tucker, Joseph D</creatorcontrib><creatorcontrib>Mabey, David C</creatorcontrib><creatorcontrib>Peeling, Rosanna W</creatorcontrib><title>Rapid syphilis testing uptake for female sex workers at sex venues in Southern China: implications for expanding syphilis screening</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Accessibility of syphilis testing services is critical in syphilis control programs for female sex workers (FSWs), but few FSWs attend public STI clinics or other testing sites. Introduction of free rapid syphilis testing (RST) into outreach programs for FSWs will help improve test uptake.
Commercial sex venues were identified in two cities in South China. In cooperation with health advocacy organizations, health outreach teams from local public health or medical facilities approached all types of sex venues in study areas to offer free RST. Acceptability and uptake of RST among FSWs were evaluated.
A total of 2812 FSWs were offered RST and 2670 (95.0%) accepted syphilis testing. 182 (6.8%) FSWs had a positive RST result among whom 136 (74.7%) were willing to attend an STD clinic for confirmatory testing and treatment. More than half (89, 66.4%) of those with syphilis were not willing to notify their sex partners. Multivariate logistic analysis showed that syphilis test uptake was associated with residing in Jiangmen (AOR, 1.78; 95% CI, 1.15-2.77), older age (AOR, 2.11, 95% CI, 1.17-3.79 for age of 31 years or above), and not working at a service venue (AOR, 1.60; 95% CI, 1.10-2.34).
RST at sex venues is well accepted by FSWs when it is integrated into ongoing outreach services. Such programs provide excellent opportunities for expanding syphilis screening efforts among specific subgroups of FSW who are difficult to reach through clinic-based programs.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>AIDS</subject><subject>Analysis</subject><subject>Biology</subject><subject>China</subject><subject>Clinics</subject><subject>Control programs</subject><subject>Dermatology</subject><subject>Disease control</subject><subject>Female</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infections</subject><subject>Mass Screening - statistics & numerical data</subject><subject>Medical tests</subject><subject>Medicine</subject><subject>Multivariate Analysis</subject><subject>Occupational health</subject><subject>Onsite</subject><subject>Outreach programs</subject><subject>Outreach services</subject><subject>Prostitution</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Screening</subject><subject>Sex</subject><subject>Sex industry</subject><subject>Sex Workers - statistics & numerical data</subject><subject>Sexual behavior</subject><subject>Sexually transmitted diseases</subject><subject>Social services</subject><subject>STD</subject><subject>Subgroups</subject><subject>Syphilis</subject><subject>Syphilis - diagnosis</subject><subject>Time Factors</subject><subject>Workers</subject><subject>Working women</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk1trFDEUxwdRbF39BqIDgujDrrnM1QehFC8LhUKrvoZMcrKb7UwyJpm6ffaLm7102ZE-yDxkcvI7_5P8k5MkLzGaYVriDys7OMPbWW8NzBDKSV7Wj5JTXFMyLQiij4_-T5Jn3q8iRKuieJqcEEoRKlF9mvy54r2Wqb_rl7rVPg3ggzaLdOgDv4FUWZcq6HgLqYd1-tu6G3A-5WE7vQUzgE-1Sa_tEJbgTHq-1IZ_THXXt1rwoK3xWxFY99zIjfKhlBcOwMTQ8-SJ4q2HF_txkvz48vn7-bfpxeXX-fnZxVQUNQlTjDCVmEOT1XUuC5CVkhwkqRop6wo1oq5A0YarRiHUqKqCQpCcVFVN86puMjpJXu90-9Z6tvfPM0xJSSIYTZkk8x0hLV-x3umOuztmuWbbgHULxl3QogUGJFMgJUCpUJZTVQncCEUUVnmUw5tqn_bVhqYDKcAEx9uR6HjF6CVb2FtGc4qzDEWBd3sBZ39FnwPrtBfQttyAHeK-SUlplhU4j-ibf9CHT7enFvE-mTbKxrpiI8rOsrJElNYRmySzB6j4Sei0iI9N6RgfJbwfJUQmwDos-OA9m19f_T97-XPMvj1il8DbsPS2HbaPagxmO1A4670DdTAZI7bplXs32KZX2L5XYtqr4ws6JN03B_0LFHcSDg</recordid><startdate>20121227</startdate><enddate>20121227</enddate><creator>Chen, Xiang-Sheng</creator><creator>Yin, Yue-Ping</creator><creator>Shen, Crystal</creator><creator>Liu, Guo-Gu</creator><creator>Zhu, Zheng-Jun</creator><creator>Wei, Wan-Hui</creator><creator>Wang, Hong-Chun</creator><creator>Huang, Shui-Jie</creator><creator>Li, Jing</creator><creator>Tucker, Joseph D</creator><creator>Mabey, David C</creator><creator>Peeling, Rosanna W</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20121227</creationdate><title>Rapid syphilis testing uptake for female sex workers at sex venues in Southern China: implications for expanding syphilis screening</title><author>Chen, Xiang-Sheng ; Yin, Yue-Ping ; Shen, Crystal ; Liu, Guo-Gu ; Zhu, Zheng-Jun ; Wei, Wan-Hui ; Wang, Hong-Chun ; Huang, Shui-Jie ; Li, Jing ; Tucker, Joseph D ; Mabey, David C ; Peeling, Rosanna W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-1013d1aeb4995d6ed8fdaed28bdd980bc98ef3bafbf00bf88e6c2528893589b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adult</topic><topic>AIDS</topic><topic>Analysis</topic><topic>Biology</topic><topic>China</topic><topic>Clinics</topic><topic>Control programs</topic><topic>Dermatology</topic><topic>Disease control</topic><topic>Female</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Infections</topic><topic>Mass Screening - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Xiang-Sheng</au><au>Yin, Yue-Ping</au><au>Shen, Crystal</au><au>Liu, Guo-Gu</au><au>Zhu, Zheng-Jun</au><au>Wei, Wan-Hui</au><au>Wang, Hong-Chun</au><au>Huang, Shui-Jie</au><au>Li, Jing</au><au>Tucker, Joseph D</au><au>Mabey, David C</au><au>Peeling, Rosanna W</au><au>Gatton, Michelle Louise</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rapid syphilis testing uptake for female sex workers at sex venues in Southern China: implications for expanding syphilis screening</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2012-12-27</date><risdate>2012</risdate><volume>7</volume><issue>12</issue><spage>e52579</spage><epage>e52579</epage><pages>e52579-e52579</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Accessibility of syphilis testing services is critical in syphilis control programs for female sex workers (FSWs), but few FSWs attend public STI clinics or other testing sites. Introduction of free rapid syphilis testing (RST) into outreach programs for FSWs will help improve test uptake.
Commercial sex venues were identified in two cities in South China. In cooperation with health advocacy organizations, health outreach teams from local public health or medical facilities approached all types of sex venues in study areas to offer free RST. Acceptability and uptake of RST among FSWs were evaluated.
A total of 2812 FSWs were offered RST and 2670 (95.0%) accepted syphilis testing. 182 (6.8%) FSWs had a positive RST result among whom 136 (74.7%) were willing to attend an STD clinic for confirmatory testing and treatment. More than half (89, 66.4%) of those with syphilis were not willing to notify their sex partners. Multivariate logistic analysis showed that syphilis test uptake was associated with residing in Jiangmen (AOR, 1.78; 95% CI, 1.15-2.77), older age (AOR, 2.11, 95% CI, 1.17-3.79 for age of 31 years or above), and not working at a service venue (AOR, 1.60; 95% CI, 1.10-2.34).
RST at sex venues is well accepted by FSWs when it is integrated into ongoing outreach services. Such programs provide excellent opportunities for expanding syphilis screening efforts among specific subgroups of FSW who are difficult to reach through clinic-based programs.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23300709</pmid><doi>10.1371/journal.pone.0052579</doi><tpages>e52579</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2012-12, Vol.7 (12), p.e52579-e52579 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1327225223 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acquired immune deficiency syndrome Adult AIDS Analysis Biology China Clinics Control programs Dermatology Disease control Female HIV Human immunodeficiency virus Humans Infections Mass Screening - statistics & numerical data Medical tests Medicine Multivariate Analysis Occupational health Onsite Outreach programs Outreach services Prostitution Public health Questionnaires Screening Sex Sex industry Sex Workers - statistics & numerical data Sexual behavior Sexually transmitted diseases Social services STD Subgroups Syphilis Syphilis - diagnosis Time Factors Workers Working women Young Adult |
| title | Rapid syphilis testing uptake for female sex workers at sex venues in Southern China: implications for expanding syphilis screening |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T20%3A38%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Rapid%20syphilis%20testing%20uptake%20for%20female%20sex%20workers%20at%20sex%20venues%20in%20Southern%20China:%20implications%20for%20expanding%20syphilis%20screening&rft.jtitle=PloS%20one&rft.au=Chen,%20Xiang-Sheng&rft.date=2012-12-27&rft.volume=7&rft.issue=12&rft.spage=e52579&rft.epage=e52579&rft.pages=e52579-e52579&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0052579&rft_dat=%3Cgale_plos_%3EA477033922%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1327225223&rft_id=info:pmid/23300709&rft_galeid=A477033922&rft_doaj_id=oai_doaj_org_article_e24feddee7f0453f8c1bcf2f1f527214&rfr_iscdi=true |