title: Higher prevalence of sexual transmitted diseases and correlates of genital warts among heterosexual males attending sexually transmitted infection clinics (MSCs) in Jiangmen, China: implication for the up-taking of STD related service.
abstract: BACKGROUND
  Increasing burden of STDs is one of China's major public health concerns. However, only a limited number of studies have ever investigated the prevalence of these STDs, particular for genital warts and its correlates among heterosexual males attending STD clinics in China. In order to fill this gap, we conducted a cross-sectional study among MSCs in Jiangmen, China, between the years of 2009 and 2010.
  
  
  METHODS
  The eligible participants were recruited from several STD-clinics in public hospitals. We collected demographic information and behaviors of the participants. After HIV and syphilis testing, we further checked whether the participants had genital warts and genital herpes. In addition, urine samples were collected from part of the participants for CT and NG testing.
  
  
  RESULTS
  Of the 533 eligible participants, over three-fifths were aged 35 or below, nearly three quarters had no college degree, over three-fifths were residence of Jiangmen. The prevalence of HIV, syphilis, genital warts, genital herpes, CT and NG were 0.19%, 7.50%, 7.32%, 5.25%, 9.73% and 6.19%, respectively. Living with family members (versus living alone), no STD-related service in past year, experiencing STDs related symptoms in past year, and sex with FSWs in last three months were positively associated with genital warts, with adjusted ORs of 5.54 (95% CI 1.94-15.81), 2.26 (95% CI 1.08-4.74), 1.99 (95% CI 1.00-3.99) and 2.01 (95% CI 1.00-4.04), respectively.
  
  
  CONCLUSIONS
  Our study indicates that the prevalence of STDs among MSCs in Jiangmen was high, which may further spread HIV among MSCs. Targeted interventions that focused on STDs related services uptake should be implemented urgently.
authors: Guangdong Provincial Center for Skin Diseases and STI Control, No. 2 Lujing Road, Guangzhou, 510095, China.
authors: Shujie
authors: S
authors: Huang
authors: Guangdong Provincial Center for Skin Diseases and STI Control, No. 2 Lujing Road, Guangzhou, 510095, China; University of North Carolina Project-China, No. 2 Lujing Road, Guangzhou, 510095, China.
authors: Weiming
authors: W
authors: Tang
authors: Jiangmen Dermatology Hospital, No. 62 Yuejin Road, Jiangmen, 529000, China.
authors: Zhengjun
authors: Z
authors: Zhu
authors: Jiangmen Dermatology Hospital, No. 62 Yuejin Road, Jiangmen, 529000, China.
authors: Hekun
authors: H
authors: Lu
authors: Jiangmen Dermatology Hospital, No. 62 Yuejin Road, Jiangmen, 529000, China.
authors: Xueling
authors: X
authors: Tan
authors: Jiangmen Dermatology Hospital, No. 62 Yuejin Road, Jiangmen, 529000, China.
authors: Baoyuan
authors: B
authors: Zhang
authors: Department of Medicine, Medical School, University of California San Francisco, San Francisco, CA, 94143, United States of America.
authors: John
authors: J
authors: Best
authors: Guangdong Provincial Center for Skin Diseases and STI Control, No. 2 Lujing Road, Guangzhou, 510095, China.
authors: Ligang
authors: L
authors: Yang
authors: Guangdong Provincial Center for Skin Diseases and STI Control, No. 2 Lujing Road, Guangzhou, 510095, China.
authors: Heping
authors: H
authors: Zheng
authors: National Center for STD Control, China CDC. No. 12, Jiangwangmiao, Nanjing, Jiangsu, 210000, China.
authors: Ning
authors: N
authors: Jiang
authors: National Center for STD Control, China CDC. No. 12, Jiangwangmiao, Nanjing, Jiangsu, 210000, China.
authors: Yueping
authors: Y
authors: Yin
authors: Guangdong Provincial Center for Skin Diseases and STI Control, No. 2 Lujing Road, Guangzhou, 510095, China.
authors: Bin
authors: B
authors: Yang
authors: National Center for STD Control, China CDC. No. 12, Jiangwangmiao, Nanjing, Jiangsu, 210000, China.
authors: Xiangsheng
authors: X
authors: Chen
mesh_terms: D002681:China / Q000453:epidemiology; D003218:Condylomata Acuminata / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D020010:Heterosexuality; D006801:Humans; D008297:Male; D016017:Odds Ratio; D015995:Prevalence; D012307:Risk Factors; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000382:microbiology / Q000821:virology; D012959:Socioeconomic Factors