title: Outreach syphilis testing services by different health providers to female sex workers in southern China.
abstract: Health providers have played important roles on delivering prevention and care services to control syphilis in China. The current study was aimed to evaluate the performance of different health providers in providing outreach syphilis testing services to female sex workers (FSWs). The current study carried out during April to August 2009 in Liuzhou was aimed to investigate the services delivered by two different types of clinics in China. A total of 1,808 FSWs recruited from sex work venues were included in the study. Prevalence of positive syphilis test (6.4%) among FSWs accessed by the local center for disease control outreach teams (CDC teams) was significantly lower than that (9.3%) among FSWs accessed by the local reproductive health hospital outreach teams (RHH teams). As compared with CDC teams, RHH teams had more FSWs to be successfully referred to the designated STD clinics for further syphilis confirmation and intervention (85.7% vs. 26.7%, P<0.001). These findings indicate that RHH teams may be more efficient than CDC teams to provide outreach-based services to FSWs. Participation of the reproductive health providers or other medical facilities in outreach services to FSWs should be considered in developing intervention programs in China.
authors: National Center for STD Control, China Center for Disease Control, Nanjing, China. chenxs@ncstdlc.org
authors: Xiang-Sheng
authors: XS
authors: Chen
authors: Yue-Ping
authors: YP
authors: Yin
authors: Guo-Gu
authors: GG
authors: Liu
authors: Wan-Hui
authors: WH
authors: Wei
authors: Hong-Chun
authors: HC
authors: Wang
authors: Yuan-Lin
authors: YL
authors: Yu
authors: David C
authors: DC
authors: Mabey
authors: Rosanna W
authors: RW
authors: Peeling
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D002947:Cities / Q000706:statistics & numerical data; D003159:Community-Institutional Relations; D005260:Female; D006282:Health Personnel / Q000706:statistics & numerical data*; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D012017:Referral and Consultation; D060386:Sex Workers / Q000706:statistics & numerical data*; D013587:Syphilis / Q000175:diagnosis* / Q000453:epidemiology
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