{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T18:46:23Z","timestamp":1770749183477,"version":"3.50.0"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T00:00:00Z","timestamp":1701216000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Medical Scientific Research Foundation of Guangdong Province","award":["B2022139"],"award-info":[{"award-number":["B2022139"]}]},{"name":"Medical Scientific Research Foundation of Guangdong Province","award":["C2022088"],"award-info":[{"award-number":["C2022088"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Female sex workers (FSW) are particularly vulnerable to chlamydia and gonorrhea infections. However, there were few studies that detail the evolving patterns of chlamydia and gonorrhea among Chinese FSW. Therefore, our study endeavors to assess the prevalence of chlamydia and gonorrhea epidemics within FSW, investigate their changing trends and scrutinize associated factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In 2019, China instituted a sentinel surveillance network focused on FSW in Guangdong Province. This network conducted an annual serial cross-sectional survey spanning from April to August. All analyses are predicated on surveillance data accumulated between 2019 and 2022.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The prevalence of chlamydia increased from 10.1 to 12.3%, exhibiting an annual percentage shift of 6.8%. Conversely, the prevalence of gonorrhea dwindled from 2.0 to 1.3%, marking an annual percentage decline of 13.4% (P\u00a0&amp;lt;\u00a00.001). After adjusting for covariates, chlamydia exhibited associations with having household registration in other provinces (adjusted odds ratio (aOR\u00a0=\u00a00.55)), displaying symptoms of sexually transmitted infections (STIs) (aOR\u00a0=\u00a01.65) and infected with gonorrhea (aOR\u00a0=\u00a05.68). In parallel, gonorrhea demonstrated associations with providing oral sex to clients (aOR\u00a0=\u00a03.74), manifesting STIs symptoms (aOR\u00a0=\u00a04.27) and those infected with chlamydia (aOR\u00a0=\u00a05.43).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Our observations underscore the imperative to implement a comprehensive intervention strategy concentrating on chlamydia, while simultaneously fortifying endeavors to expand the scope of gonorrhea prevention services.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pubmed\/fdad222","type":"journal-article","created":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T05:06:01Z","timestamp":1701320761000},"page":"72-82","source":"Crossref","is-referenced-by-count":2,"title":["Changing trends in Chlamydia and gonorrhea infections among female sex workers in Southern China: a surveillance data analysis spanning 2019 to 2022"],"prefix":"10.1093","volume":"46","author":[{"given":"Jinshen","family":"Wang","sequence":"first","affiliation":[{"name":"School of Public Health, Southern Medical University , Guangzhou 510515 , China"},{"name":"Dermatology Hospital, Southern Medical University , Guangzhou 510095 , China"},{"name":"Southern Medical University Institute for Global Health , Guangzhou 510095 , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9334-3744","authenticated-orcid":false,"given":"Peizhen","family":"Zhao","sequence":"additional","affiliation":[{"name":"Dermatology Hospital, Southern Medical University , Guangzhou 510095 , China"},{"name":"Southern Medical University Institute for Global Health , Guangzhou 510095 , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenqian","family":"Xu","sequence":"additional","affiliation":[{"name":"School of Public Health, Southern Medical University , Guangzhou 510515 , China"},{"name":"Dermatology Hospital, Southern Medical University , Guangzhou 510095 , China"},{"name":"Southern Medical University Institute for Global Health , Guangzhou 510095 , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Public Health, Southern Medical University , Guangzhou 510515 , China"},{"name":"Dermatology Hospital, Southern Medical University , Guangzhou 510095 , China"},{"name":"Southern Medical University Institute for Global Health , Guangzhou 510095 , China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,11,29]]},"reference":[{"issue":"6","key":"2024022816422484200_ref1","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/S2352-4642(22)00128-6","article-title":"Youth STIs: an epidemic fuelled by shame","volume":"6","author":"The Lancet Child Adolescent 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