A Nationwide Spatiotemporal Analysis of Syphilis Over 21 Years and Implications for Prevention and Control in China

Author:

Tao Yusha12,Chen Marcus Y34,Tucker Joseph D5678,Ong Jason J348,Tang Weiming567910,Wong Ngai Sze5611,Chu Minjie1,Zhuang Xun1,Fairley Christopher K34,Zhang Lei23412ORCID

Affiliation:

1. Department of Epidemiology and Biostatistics, School of Public Health, Nantong University, Jiangsu, People’s Republic of China, Melbourne, Australia

2. School of Public Health and Preventive Medicine, Faculty of Medicine, Monash University, Melbourne, Australia

3. Melbourne Sexual Health Centre, Alfred Health, Melbourne, Australia

4. Central Clinical School, Faculty of Medicine, Monash University, Melbourne, Australia

5. Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, North Carolina

6. University of North Carolina Project–China

7. SESH (Social Entrepreneurship to Spur Health) Global, Guangzhou, Guangdong, People’s Republic of China, London, United Kingdom

8. Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom

9. Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong

10. Guangdong Center for Skin Diseases and STI Control, Guangzhou, Guangdong

11. Stanley Ho Centre for Emerging Infectious Diseases, Chinese University of Hong Kong, Hong Kong

12. Department of Epidemiology and Biostatistics, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an, Shaanxi, People’s Republic of China

Abstract

Abstract Syphilis control programs have been scaled up due to the substantial burden in China. We analyzed syphilis incidence according to demographic, spatiotemporal, and economic factors. The increasing latent syphilis diagnoses and declining congenital syphilis suggest the effectiveness of scale-up screening. However, primary and secondary cases persist, especially in inland provinces.

Funder

Key Project of Philosophy and Social Sciences Research in Jiangsu Education Department

Nantong Municipal Bureau of Science and Technology

National Science and Technology Major Project

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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