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New Syphilis Cases in Older Adults, 2004–2019: An Analysis of Surveillance Data From South China
Background: Sexual health among older adults is a major public health concern globally. The syphilis burden is increasing in older adults in China. This study aimed to describe factors associated with syphilis infection and diagnosis among older adults in China during a 16 year period. Methods: Usin...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8674684/ https://www.ncbi.nlm.nih.gov/pubmed/34926524 http://dx.doi.org/10.3389/fmed.2021.781759 |
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author | Wang, Cheng Zhao, Peizhen Xiong, Mingzhou Tucker, Joseph D. Ong, Jason J. Hall, Brian J. Sami, Mojgan Zheng, Heping Yang, Bin |
author_facet | Wang, Cheng Zhao, Peizhen Xiong, Mingzhou Tucker, Joseph D. Ong, Jason J. Hall, Brian J. Sami, Mojgan Zheng, Heping Yang, Bin |
author_sort | Wang, Cheng |
collection | PubMed |
description | Background: Sexual health among older adults is a major public health concern globally. The syphilis burden is increasing in older adults in China. This study aimed to describe factors associated with syphilis infection and diagnosis among older adults in China during a 16 year period. Methods: Using 16 years of data (2004–2019) from the syphilis case report system of Guangdong, China, we compared data from older adults (aged ≥50 years) with those from younger people (aged 15–49 years). We compared the two age group with the Chi-square test for difference, and Joinpoint regression models to assess the temporal trends. Results: During the study period, 242,115 new syphilis diagnoses were reported in older adults. The mean notification rate of new diagnoses was 64.1 per 100,000 population across the entire 16-year period, which significantly increased over time (average annual percent change [AAPC] 16.2%, 95% CI 13.7–18.7). Syphilis diagnoses increased significantly over time among less developed cities and older women. In 2019, compared with younger adults, newly diagnosed older adults were more likely to be male, native to reporting city, had unknown transmission routes, and were diagnosed late. Conclusion: Our findings call for an urgent need to deliver more targeted prevention interventions for older adults, such as strengthen awareness among health care providers, and integration of syphilis services and primary health care for older adults. |
format | Online Article Text |
id | pubmed-8674684 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-86746842021-12-17 New Syphilis Cases in Older Adults, 2004–2019: An Analysis of Surveillance Data From South China Wang, Cheng Zhao, Peizhen Xiong, Mingzhou Tucker, Joseph D. Ong, Jason J. Hall, Brian J. Sami, Mojgan Zheng, Heping Yang, Bin Front Med (Lausanne) Medicine Background: Sexual health among older adults is a major public health concern globally. The syphilis burden is increasing in older adults in China. This study aimed to describe factors associated with syphilis infection and diagnosis among older adults in China during a 16 year period. Methods: Using 16 years of data (2004–2019) from the syphilis case report system of Guangdong, China, we compared data from older adults (aged ≥50 years) with those from younger people (aged 15–49 years). We compared the two age group with the Chi-square test for difference, and Joinpoint regression models to assess the temporal trends. Results: During the study period, 242,115 new syphilis diagnoses were reported in older adults. The mean notification rate of new diagnoses was 64.1 per 100,000 population across the entire 16-year period, which significantly increased over time (average annual percent change [AAPC] 16.2%, 95% CI 13.7–18.7). Syphilis diagnoses increased significantly over time among less developed cities and older women. In 2019, compared with younger adults, newly diagnosed older adults were more likely to be male, native to reporting city, had unknown transmission routes, and were diagnosed late. Conclusion: Our findings call for an urgent need to deliver more targeted prevention interventions for older adults, such as strengthen awareness among health care providers, and integration of syphilis services and primary health care for older adults. Frontiers Media S.A. 2021-12-02 /pmc/articles/PMC8674684/ /pubmed/34926524 http://dx.doi.org/10.3389/fmed.2021.781759 Text en Copyright © 2021 Wang, Zhao, Xiong, Tucker, Ong, Hall, Sami, Zheng and Yang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Medicine Wang, Cheng Zhao, Peizhen Xiong, Mingzhou Tucker, Joseph D. Ong, Jason J. Hall, Brian J. Sami, Mojgan Zheng, Heping Yang, Bin New Syphilis Cases in Older Adults, 2004–2019: An Analysis of Surveillance Data From South China |
title | New Syphilis Cases in Older Adults, 2004–2019: An Analysis of Surveillance Data From South China |
title_full | New Syphilis Cases in Older Adults, 2004–2019: An Analysis of Surveillance Data From South China |
title_fullStr | New Syphilis Cases in Older Adults, 2004–2019: An Analysis of Surveillance Data From South China |
title_full_unstemmed | New Syphilis Cases in Older Adults, 2004–2019: An Analysis of Surveillance Data From South China |
title_short | New Syphilis Cases in Older Adults, 2004–2019: An Analysis of Surveillance Data From South China |
title_sort | new syphilis cases in older adults, 2004–2019: an analysis of surveillance data from south china |
topic | Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8674684/ https://www.ncbi.nlm.nih.gov/pubmed/34926524 http://dx.doi.org/10.3389/fmed.2021.781759 |
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