Sexually transmitted diseases in the People's Republic of China in Y2K

Sexually transmitted diseases in the People's Republic of China in Y2K
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DOI:
10.1097/00007435-200003000-00004
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发表时间:
2000-03-01
影响因子:
3.1
通讯作者:
Henderson, GE
Henderson, GE
中科院分区:
医学4区
文献类型:
--
作者:
Cohen, MS;Ping, G;Henderson, GE

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截至1999年,超过12亿人生活在中华人民共和国,占世界人口的五分之一。因此,中国人的健康影响到整个物种。此外,中国的古老文化和共产党政府在20世纪后半叶的戏剧性行动对世界其他地区也很有吸引力。文化和政府力量对控制性传播疾病具有关键影响。[1]事实上,由于中国人现在必须应对性传播疾病的死灰复燃和新的艾滋病流行,因此开发独特而重要的疾病预防方法似乎是不可避免的。[2]性传播疾病很可能是16世纪葡萄牙商人在港口城市传入中国的,和西方一样,这些疾病在中国各地盛行。到1950年,超过1000万中国人患有性病,6.2%的住院病例归因于性病。10%的少数民族、5%的中国城市居民和2-3%的中国农村居民患有梅毒。大多数生活在城市地区的性工作者患有一种或多种性病。2,3性病在中国的传播似乎是由贫困、吸毒和猖獗的商业性工作推动的。中国少数民族的性传播疾病可能是传统的一夫多妻制性行为造成的。2
AS OF 1999, more than 1.2 billion people live in the People's Republic of China, comprising one fifth of the world's population. Accordingly, the health of the Chinese people affects the entire species. In addition, the ancient culture of China and the dramatic actions of the communist government in the last half of the 20th century have proved fascinating to the rest of the world. Cultural and governmental forces have a critical impact on the control of sexually transmitted diseases (STDS). 1 Indeed, as the Chinese people must now deal with a resurgence of STDs and a new HIV epidemic, it seems inevitable that unique and important approaches to disease prevention will be developed.We have previously reviewed the history of STDs in China. 2 Sexually transmitted diseases were most likely introduced into China by Portuguese traders in port cities in the 1500s, and as in the West, these diseases flourished throughout the country. By 1950, more than 10 million Chinese had venereal diseases, and 6.2 percent of all hospital admissions were attributed to STDs. Ten percent of national minorities, 5% of Chinese city dwellers and 2-3% of Chinese rural residents had syphilis. The majority of sex workers living in urban areas had one or more STDs. 2, 3 The spread of STDs in China appears to have been driven by poverty, drug abuse, and rampant commercial sex work. Sexually transmitted diseases among Chinese minorities likely resulted from traditional polygamous sexual practices. 2