High Willingness to Participate in Partner Notification among Women Attending Reproductive Health and STI Clinics in Shenzhen, China: A Cross-Sectional Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Setting and Population
2.2. Questionnaire Survey
2.3. Questions about CT-Related Knowledge and Willingness to Participate in Partner Notification (PN)
2.4. Statistical Analyses
2.5. Ethical Approval
3. Results
3.1. Sociodemographic Characteristics and Sexually Transmitted Infections (STI) Histories and the Correlates with Willingness to Participate in Partner Notification
3.2. CT-Related Knowledge and Willingness to Undergo Routine CT Screening and Partner Notification
3.3. Factors Associated with Willingness to Participate in Partner Notification
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Variables | Total N (%) a | Willing to Participate in Partner Notification | Unwilling to Participate in Partner Notification | χ2 Value | p Value |
---|---|---|---|---|---|
Age groups (n = 10,716) | 32.078 | 0.000 ** | |||
≤24 | 1567 (14.62%) | 1299 (82.90%) | 268 (17.10%) | ||
>24 | 9149 (85.38%) | 8056 (88.05%) | 1093 (11.95%) | ||
Marital status (n = 10,716) | 47.042 | 0.000 ** | |||
Single/Divorced/Widowed | 2253 (21.02%) | 1871 (83.04%) | 382 (16.96%) | ||
Married | 8463 (78.98%) | 7486 (88.46%) | 977 (11.54%) | ||
Living alone or apart (n = 9066) | 2.940 | 0.09 | |||
Yes | 941 (10.38%) | 812 (86.29%) | 129 (13.71%) | ||
No | 8125 (89.62%) | 7167 (88.21%) | 958 (11.79%) | ||
Shenzhen resident (n = 10,570) | 58.501 | 0.000 ** | |||
No | 7442 (70.41%) | 6391 (85.88%) | 1051 (14.12%) | ||
Yes | 3128 (29.59%) | 2855 (91.27%) | 273 (8.73%) | ||
Length of residency (n = 10,616) | 150.454 | 0.000 ** | |||
<1 year | 1366 (12.87%) | 1052 (77.01%) | 314 (22.99%) | ||
≥1 year | 9250 (87.13%) | 8218 (88.84%) | 1032 (11.16%) | ||
Education level (n = 10,674) | 84.705 | 0.000 ** | |||
High school or lower | 6327 (59.27%) | 5376 (84.97%) | 951 (15.03%) | ||
Junior college or higher | 4347 (40.73%) | 3955 (90.98%) | 392 (9.02%) | ||
Monthly income (RMB) (n = 9838) | 39.969 | 0.000 ** | |||
0–4999 | 4213 (42.82%) | 3608 (85.64%) | 605 (14.36%) | ||
5000–9999 | 4101 (41.69%) | 3581 (87.32%) | 520 (12.68%) | ||
10,000+ | 1524 (15.49%) | 1401 (91.93%) | 123 (8.07%) | ||
Health insurance (n = 10,655) | 25.731 | 0.000 ** | |||
No | 3795 (35.62%) | 3230 (85.11%) | 565 (14.89%) | ||
Yes | 6860 (64.38%) | 6073 (88.53%) | 787 (11.47%) | ||
Sexual orientation (n = 10,573) | 3.830 | 0.05 | |||
Homosexuality/bisexuality | 150 (1.42%) | 139 (92.67%) | 11 (7.33%) | ||
Heterosexuality | 10423 (98.58%) | 9102 (87.33%) | 1321 (12.67%) | ||
Ever CT tested (n = 10,517) | 1.692 | 0.19 | |||
No | 9608 (91.36%) | 8386 (87.28%) | 1222 (12.72%) | ||
Yes | 909 (8.64%) | 807 (88.78%) | 102 (11.22%) | ||
Ever CT diagnosed (n = 10,669) | |||||
No | 8897 (83.39%) | 7764 (87.27%) | 1133 (12.73%) | 1.475 | 0.48 |
Yes | 642 (6.02%) | 569 (88.63%) | 73 (11.37%) | ||
Forgot | 1130 (10.59%) | 979 (86.64%) | 151 (13.36%) | ||
Current STI-related symptoms (n = 10,663) | 130.905 | 0.000 ** | |||
Yes | 6593 (61.83%) | 5562 (84.36%) | 1031 (15.64%) | ||
No | 4070 (38.17%) | 3743 (91.97%) | 327 (8.03%) | ||
Having a new sexual partner or multiple sex partners, past 3 months (n = 10,628) | 3.879 | 0.04 * | |||
Yes | 3138 (29.53%) | 2711 (86.39%) | 427 (13.61%) | ||
No | 7490 (70.47%) | 6575 (87.78%) | 915 (12.22%) | ||
CT screening willingness (n = 10,366) | 1774.269 | 0.000 ** | |||
Unwilling | 1026 (9.90%) | 467 (45.52%) | 559 (54.48%) | ||
Willing | 9340 (90.10%) | 8573 (91.79%) | 767 (8.21%) | ||
Knowledge Q1 (n = 10,669) | 0.952 | 0.33 | |||
Lack of understanding | 8034 (75.30%) | 7006 (87.20%) | 1028 (12.80%) | ||
Correct understanding | 2635 (24.70%) | 2317 (87.93%) | 318 (12.07%) | ||
Knowledge Q2 (n = 10,747) | 373.406 | 0.000 ** | |||
Incorrect understanding | 296 (2.75%) | 151 (51.01%) | 145 (48.99%) | ||
Lack of understanding | 7802 (72.60%) | 6845 (87.73%) | 957 (12.27%) | ||
Correct understanding | 2649 (24.65%) | 2389 (90.18%) | 260 (9.82%) | ||
Willingness to participate in partner notification (n = 10,780) | - | - | |||
Unwilling | 1368 (12.69%) | - | - | ||
Willing | 9412 (87.31%) | - | - |
Variables | Crude OR (95% CI) | p Values | Adjusted OR (95% CI) | p Values |
Age groups | ||||
≤24 | Reference | Reference | ||
>24 | 1.52 (1.31,1.76) | 0.000 ** | 1.12 (0.85,1.48) | 0.420 |
Marital status | ||||
Single/Divorced/Widowed | Reference | Reference | ||
Married | 1.56 (1.38,1.78) | 0.000 ** | 1.53 (1.17,2.01) | 0.002 * |
Living alone or apart | ||||
Yes | Reference | Reference | ||
No | 1.19 (0.98,1.45) | 0.087 * | 1.01 (0.79,1.31) | 0.913 |
Shenzhen resident | ||||
No | Reference | Reference | ||
Yes | 1.72 (1.49,1.98) | 0.000 ** | 0.97 (0.79,1.21) | 0.809 |
Length of residency | ||||
<1 year | Reference | Reference | ||
≥1 year | 2.38 (2.06,2.74) | 0.000 ** | 2.26 (1.84,2.77) | 0.000 ** |
Education level | ||||
High school or lower | Reference | Reference | ||
Junior college or higher | 1.78 (1.58,2.02) | 0.000 ** | 1.61 (1.31,1.99) | 0.000 ** |
Monthly income (RMB) | ||||
0–4999 | Reference | Reference | ||
5000–9999 | 1.15 (1.02,1.31) | 0.025 * | 1.00 (0.83,1.20) | 0.963 |
10,000+ | 1.91 (1.56,2.34) | 0.000 ** | 1.20 (0.89,1.62) | 0.226 |
Health insurance | ||||
No | Reference | Reference | ||
Yes | 1.35 (1.20,1.52) | 0.000 ** | 1.02 (0.85,1.22) | 0.829 |
Sexual orientation | ||||
Homosexuality/bisexuality | Reference | Reference | ||
Heterosexuality | 0.55 (0.29,1.01) | 0.054 | 0.74 (0.34,1.63) | 0.462 |
Ever CT tested | ||||
No | Reference | |||
Yes | 1.15 (0.93,1.43) | 0.194 | ||
Ever CT diagnosed | ||||
No | Reference | |||
Yes | 1.14 (0.88,1.46) | 0.316 | ||
Forgot | 0.95 (0.79,1.14) | 0.552 | ||
Current STI-related symptoms | ||||
Yes | Reference | Reference | ||
No | 2.12 (1.86,2.42) | 0.000 ** | 2.01 (1.67,2.42) | 0.000 ** |
Having a new sexual partner or multiple sex partners, past 3 months | ||||
Yes | Reference | Reference | ||
No | 1.13 (1.00,1.28) | 0.049 * | 1.09 (0.91,1.31) | 0.356 |
CT Screening willingness | ||||
Unwilling | Reference | Reference | ||
Willing | 13.38 (11.59,15.44) | 0.000 ** | 11.75 (9.76,14.14) | 0.000 ** |
Knowledge Q1 | ||||
Correct understanding | Reference | |||
Lack of understanding | 0.94 (0.82,1.07) | 0.329 | ||
Knowledge Q2 | ||||
Correct understanding | Reference | Reference | ||
Lack of understanding | 0.78 (0.67,0.90) | 0.001 * | 0.91 (0.74,1.11) | 0.342 |
Incorrect understanding | 0.11 (0.09,0.15) | 0.000 ** | 0.26 (0.18,0.39) | 0.000 ** |
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Share and Cite
Weng, R.; Yu, W.; Hong, F.; Zhang, C.; Wen, L.; Wang, F.; Luo, Y.; Ye, J.; Tang, F.; Wang, H.; et al. High Willingness to Participate in Partner Notification among Women Attending Reproductive Health and STI Clinics in Shenzhen, China: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2020, 17, 386. https://doi.org/10.3390/ijerph17020386
Weng R, Yu W, Hong F, Zhang C, Wen L, Wang F, Luo Y, Ye J, Tang F, Wang H, et al. High Willingness to Participate in Partner Notification among Women Attending Reproductive Health and STI Clinics in Shenzhen, China: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2020; 17(2):386. https://doi.org/10.3390/ijerph17020386
Chicago/Turabian StyleWeng, Rongxing, Weiye Yu, Fuchang Hong, Chunlai Zhang, Lizhang Wen, Feng Wang, Yiting Luo, Jianbin Ye, Fen Tang, Honglin Wang, and et al. 2020. "High Willingness to Participate in Partner Notification among Women Attending Reproductive Health and STI Clinics in Shenzhen, China: A Cross-Sectional Study" International Journal of Environmental Research and Public Health 17, no. 2: 386. https://doi.org/10.3390/ijerph17020386