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The Chinese culture has viewed sex as being taboo; however, since the “open door policy” and economic reforms initiated in 1978, the social structure of China has been changing dramatically. Commercial sex activities have flourished across the country and sexually transmitted diseases (STDs) have reemerged as a major public health problem 30 years after their near-elimination. Controversially suitable to the fact China does not educate their citizens about safe sex, the incident of spiked STD’s has tripled in China, in particular the resurgence of syphilis. This in fact implies greater difficulties for other major epidemiological concerns in China, namely HIV/AIDS. People living with syphilis are at five time’s greater risk of contracting HIV/AIDS. Epidemiological study of Taiwan’s HIV/AIDS epidemic—which is 200 km. off the shore of China—began with the first case reported in December 1984. In 1990, the government promulgated the AIDS Prevention and Control Act. As of Nov. 2009 there are 18,815 reported cases, or 0.082% of the total population. The prevalence rates for HIV and syphilis infections were 2.3% and 11.0%, respectively. Almost half (46.6%) of participants reported having had STD symptoms. Inconsistent condom use with clients in the past month (AOR=5.0; 95%CI=1.8-13.8), less education (OR=2.6; 95% CI=1.1-7.4), and HIV infection (AOR=8.1; 95%CI=1.1-68.5) were independently associated with syphilis infection.

Reference : Email links http://www.globalpost.com/dispatch/worldview/101013/china-syphilis-health-sexually-transmitted-disease http://findarticles.com/p/articles/mi_m2372/is_2_42/ai_n13822485/ http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2745968/ http://www.eht-forum.org/ehtj/journal/v1/pdf/ehtj08006a.pdf http://www.asiaone.com/News/Education/Story/A1Story20100714-226836.html