Abstract

Genital Chlamydia trachomatis (CT) is one of the most common sexually transmitted infections (STI) worldwide. We explored the factors associated with willingness to participate in partner notification (PN) among women attending reproductive health and STI clinics in Shenzhen, China. An anonymous questionnaire was used to collect the sociodemographic characteristics, STI histories, and willingness to participate in routine CT screening and partner notification. In total, 87.31% (n = 10,780) of participants were willing to notify their sex partner(s) if they were diagnosed with a CT infection. Willingness to complete PN was significantly associated with: being married, residing in Shenzhen ≥1 year, having completed junior college or higher, not currently reporting STI-related symptoms, willing to have routine CT screening, and having a correct understanding of the health sequelae of CT infection. Nearly all women surveyed at reproductive health and STI clinics in Shenzhen reported willingness to complete PN. Promoting PN in these settings could help detect a large number of additional CT cases. Our findings provide evidence and implications for public health interventions on PN and suggest that targeted interventions are urgently needed for particular subpopulations including those not currently married, with shorter residency, lower education, and less awareness about the dangers of CT infection.

Highlights

  • Genital Chlamydia trachomatis (CT) is one of the most common sexually transmitted infections (STI) worldwide

  • Sociodemographic Characteristics and Sexually Transmitted Infections (STI) Histories and the Correlates with Willingness to Participate in Partner Notification

  • Our study found that participants who had lived in Shenzhen longer and who had higher education were more willing to notify their partner about CT infections

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Summary

Introduction

Genital Chlamydia trachomatis (CT) is one of the most common sexually transmitted infections (STI) worldwide. The World Health Organization (WHO) indicated a substantial global burden of CT infections in 2016, with the pooled prevalence of 3.8% in women and about 124.3 million cases of CT worldwide in women and men aged 15–49 years of age [1]. Previous studies in China showed a large burden of CT infections, with a prevalence of 4.1% among women [2] and a higher prevalence (10.1%) among female patients attending sexual and reproductive health clinics [3]. Untreated CT infection in women is associated with several serious sequelae including pelvic inflammatory disease, ectopic pregnancy, chronic pelvic pain, and tubal factor infertility [4]. Public Health 2020, 17, 386; doi:10.3390/ijerph17020386 www.mdpi.com/journal/ijerph

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