Surveillance System for STDs in Hong Kong
Author Information
Author(s): Lau Joseph TF, Lin Chunqing, Ho King Man, Lau Man Chun, Tsui Hi Yi, Gu Jing, Lo Kuen Kong
Primary Institution: Centre for Health Behaviours Research, School of Public Health and Primary Care, The Chinese University of Hong Kong
Hypothesis
Can a surveillance system for sexually transmitted diseases (STD) be effectively established in Hong Kong by including data from both private and public doctors?
Conclusion
The study found that relying solely on public health data for STD surveillance is inadequate, and an improved system that includes private-practice doctors is feasible.
Supporting Evidence
- 96% of private-practice doctors found the log-form easy to complete.
- 75% believed it was feasible to implement similar studies annually.
- The ratio of STD cases diagnosed by private-practice versus public-practice doctors was 4:1.
- 0.75% of private patients and 40.92% of public patients presented STD/RTI syndromes.
Takeaway
This study shows that many people with STDs go to private doctors instead of public clinics, so we need to include both types of doctors to get a better idea of how many people are affected.
Methodology
Doctors filled out daily log-forms for 15 days to record STD/RTI cases, and data was projected for the entire population using stratification methods.
Potential Biases
Self-reported data from doctors may introduce inaccuracies, and the study did not account for self-medication or asymptomatic cases.
Limitations
The response rate from private-practice doctors was low, and the study only included three types of private doctors, potentially missing other cases.
Participant Demographics
Of the 277 doctors, 83% were male; most patients seen by O&G doctors were female, while D&V and SHC doctors saw mostly male patients.
Statistical Information
P-Value
0.22%
Confidence Interval
95% CI: 9,420 to 10,994
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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