Stigma, delayed treatment, and spousal notification among male patients with sexually transmitted disease in China

Sex Transm Dis. 2002 Jun;29(6):335-43. doi: 10.1097/00007435-200206000-00005.

Abstract

Background: Stigmatization may prevent effective control of sexually transmitted diseases (STDs) in China. Thus, its impact needs to be studied.

Goal: The goal of the study was to explore the effect of perceived stigmatization on control of STDs.

Study design: A cross-sectional study was conducted among males attending four STD clinics for the first time for a current STD.

Results: Among 406 patients, 80% felt stigmatized, 28% sought treatment only after suffering symptoms for at least 1 week, and 40% reported continuing to have sex while having symptoms. No association was observed between feelings of stigmatization and delay in seeking treatment. Among those married, 77% expressed unwillingness to notify their spouses. Patients who felt stigmatized were less likely to agree to notify their spouses (odds ratio, 0.42; 95% CI, 0.21-0.85).

Conclusion: Policies are needed to reduce stigmatization, reduce time to treatment, and promote disclosure to sex partners.

Publication types

  • Multicenter Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • China
  • Contact Tracing*
  • Cross-Sectional Studies
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Patient Acceptance of Health Care / psychology*
  • Prejudice*
  • Sexually Transmitted Diseases / prevention & control*
  • Sexually Transmitted Diseases / psychology*
  • Socioeconomic Factors
  • Time Factors