SynthesisBMC infectious diseases2016
Sustained high prevalence of viral hepatitis and sexually transmissible infections among female sex workers in China: a systematic review and meta-analysis.
Synthesis in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Prevalence and associated factors of syphilis among female sex workers in East Africa: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Pooled it
- Disparities in burden of herpes simplex virus type 2 in China: systematic review, meta-analyses, and meta-regressions.Frontiers in immunology · 2024Pooled it
- Safety and immunogenicity of anHuman vaccines & immunotherapeutics · 2022Trial
- Evaluation of the service quality and diagnostic performance of syphilis self-test kits purchased from E-commerce platforms in China.Scientific reports · 2026Article
- A qualitative exploration of perceived risks, motivations, and risk management strategies among brothel-based female sex workers in Ibadan, Nigeria.BMC public health · 2025Article
- Prevalence, trends, and correlates of HIV, syphilis, and HCV infections among male attendees at STD clinics in Southwest China: a 13-year cross-sectional study (2010-2022).BMC infectious diseases · 2025Article
- Observational
- Viral hepatitis in China during 2002-2021: epidemiology and influence factors through a country-level modeling study.BMC public health · 2024Article
- Spatial-temporal analysis of hepatitis B in Fujian Province, China in 2012-2021.Infectious medicine · 2024Article
- Social and structural determinants associated with the prevalence of sexually transmitted infections among female commercial sex workers in Dhaka City, Bangladesh.PLOS global public health · 2024Article
- HPV types 16/18 L1 E6 and E7 proteins seropositivity and cervical cancer risk in HIV-positive and HIV-negative black South African women.Infectious agents and cancer · 2022Article
- Prevalence and associated factors of sexually transmitted infections among methamphetamine users in Eastern China: a cross-sectional study.BMC infectious diseases · 2022Article
- Uptake and correlates of chlamydia and gonorrhea testing among female sex workers in Southern China: a cross-sectional study.BMC public health · 2021Article
- Seroprevalence of Hepatitis B Virus and Associated Factors Among Female Sex Workers Using Respondent-Driven Sampling in Hawassa City, Ethiopia.Infection and drug resistance · 2021Article
- Article
- Article
- Correlates of trichomoniasis among female sex workers who inject drugs in two Mexico-US border cities.International journal of STD & AIDS · 2020Article
- Alcohol Use and Experiences of Partner Violence Among Female Sex Workers in Coastal Andhra Pradesh, India.Violence against women · 2019Article
- Characteristics of the vaginal microbiome in cross-border female sex workers in China: a case-control study.PeerJ · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 1980's economic boom has been associated with a rapid expansion of China's sex industry over the past three decades. Consequently, the spread of sexually transmitted infections (STIs) and hepatitis infections among female sex workers (FSW) has become an important public health issue in China. This study identifies prevalence and risks of hepatitis and STIs in Chinese FSWs.
methodFour electronic databases were searched for Chinese and English language peer-reviewed studies conducted between 01/2000-12/2011 that reported prevalence of hepatitis and STIs (excluding HIV) among Chinese FSW. Following the PRISMA guidelines, meta-analysis was used to estimate pooled prevalence and 95% confidence intervals for each infection.
resultThree hundred and thirty nine articles (34 in English and 305 in Chinese) investigating 603,647 FSWs in 29 Chinese provinces were included in this review. Over the period 2000-2011, the seroprevalence of active hepatitis B and hepatitis C among FSW were 10.7% (7.3-15.5%) and 1.0% (0.7-1.3%), respectively. The most prevalent STI was human papillomavirus (HPV, 27.0% [10.1-55.1%]), followed by herpes simplex virus-2 (HSV-2, 15.8% [11.7-20.9%]), chlamydia (13.7% [12.1-15.4%]), gonorrhoea (6.1% [5.3-7.0%]), syphilis (5.2% [4.8-5.7%]), genital warts (3.3% [2.5-4.2%]) and Trichomonas vaginitis (2.1% [1.5-24.2%]). Disease burden of both hepatitis and STI among FSW were concentrated in South Central and Southwest China. In particular, chlamydia and syphilis demonstrated a significant declining trend during the studied period (P < 0.05). Compared with the general Chinese population, FSW had significantly higher prevalence of all STIs except Trichomonas vaginitis. Further, compared to the general FSW population, HIV-positive FSW had significantly higher prevalence of syphilis, chlamydia, HSV-2 and Trichomonas vaginitis.
conclusionPrevalence of hepatitis and STIs remained high and mostly stable among Chinese FSW over the period of 2000-2011. Targeted STI and hepatitis surveillance and interventions should be strengthened among Chinese FSWs, especially those who are HIV-positive.
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