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Notifiable Sexually Transmitted Infections in China: Epidemiologic Trends and Spatial Changing Patterns

Author

Listed:
  • Bin Zhu

    (School of Public Policy and Administration, Xi’an Jiaotong University, 28 Xianning West Road, Xi’an 710049, China
    Department of Public Policy, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong, China)

  • Yang Fu

    (Department of Public Policy, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong, China)

  • Jinlin Liu

    (School of Public Policy and Administration, Xi’an Jiaotong University, 28 Xianning West Road, Xi’an 710049, China)

  • Ying Mao

    (School of Public Policy and Administration, Xi’an Jiaotong University, 28 Xianning West Road, Xi’an 710049, China)

Abstract

Sexually transmitted infections (STIs) have become one of the major public health threats to the sustainable development of human beings. Among all of the STIs in China, three are listed as the notifiable infectious diseases, i.e., gonorrhea, syphilis, and HIV/AIDS, which demand more attention. This study aims to detect, describe, and compare the spatial-temporal clustering of these notifiable STIs in China and to relate spatial analysis results to epidemiologic trends during the past decade. A descriptive epidemiology analysis and a spatial autocorrelation analysis (global and local) are adopted to study the epidemiologic trends and spatial changing patterns of STIs respectively. The results indicated that there were regional disparities and spatial clusters in the spatial distribution of notifiable STIs in China. However, the incidence rates of the three notifiable STIs displayed relatively different characteristics in epidemiologic trends and the agglomeration level. Overall, the Yangtze River Delta region, the southwestern border area, and some other border regions are the places demanding more attention. In the end, we propose a three-dimensional prevention and control strategy, which focuses on not only the most-at-risk populations, but also the most-at-risk areas and most-at-risk timings. Besides, some measures targeting more than one STI should also be formulated.

Suggested Citation

  • Bin Zhu & Yang Fu & Jinlin Liu & Ying Mao, 2017. "Notifiable Sexually Transmitted Infections in China: Epidemiologic Trends and Spatial Changing Patterns," Sustainability, MDPI, vol. 9(10), pages 1-16, October.
    • Handle: RePEc:gam:jsusta:v:9:y:2017:i:10:p:1784-:d:113892
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    Citations

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    Cited by:

    1. Bin Zhu & Chih-Wei Hsieh & Yue Zhang, 2018. "Incorporating Spatial Statistics into Examining Equity in Health Workforce Distribution: An Empirical Analysis in the Chinese Context," IJERPH, MDPI, vol. 15(7), pages 1-15, June.
    2. Ruth C Chang & Katie Hail-Jares & Huang Zheng & Na He & Jennifer Z H Bouey, 2018. "Mitigating circumstances: A model-based analysis of associations between risk environment and infrequent condom use among Chinese street-based sex workers," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-15, May.
    3. Ying Mao & Rongxin He & Bin Zhu & Jinlin Liu & Ning Zhang, 2020. "Notifiable Respiratory Infectious Diseases in China: A Spatial–Temporal Epidemiology Analysis," IJERPH, MDPI, vol. 17(7), pages 1-15, March.
    4. Bin Zhu & Jinlin Liu & Yang Fu & Bo Zhang & Ying Mao, 2018. "Spatio-Temporal Epidemiology of Viral Hepatitis in China (2003–2015): Implications for Prevention and Control Policies," IJERPH, MDPI, vol. 15(4), pages 1-17, April.

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