Analysis of the sex ratio of reported gonorrhoea incidence in Shenzhen, China

Xiong, Mingzhou; Lan, Lina; Feng, Tiejian; Zhao, Guanglu; Wang, Feng; Hong, Fuchang; Wu, Xiaobing; Zhang, Chunlai; Wen, Lizhang; Liu, Aizhong; Best, John McCulloch; Tang, Weiming

As the American Centers for Disease Control and Prevention (CDC) estimated, only half of the gonorrhoea cases in America are reported. 4 Actually, the same problem was also presented or even worse in China. The problem occurred in the process of seeking healthcare in clinics, diagnosis, and case report to CISDCP. First, the physician should believe that the patient has a risk of infection and suggest to the patient to get an NG test done. Second, the patient should accept the physician's suggestion and get the NG test done. Third, the patient got a true positive result. Finally, the physician confirmed that the patient had NG infection, and reported this case to CISDCP. It is possible that the physician did not give the test suggestion, or that the patient was unwilling to get the NG test done, and the false-positive results may also be got by patients. The physician may also have forgotten to report the diagnosed gonorrhoea cases to CISDCP on time. In these instances, the information of these patients with gonorrhoea cannot be obtained from CISDCP. Moreover, some of the individuals may get a false-positive test result and be reported to CISDCP even though they do not have NG infection. The widespread use of CISDCP has underscored the importance of ensuring its accuracy. The discrepancies in symptoms and test methods between males and females may even lead to a different degree of accuracy of male and female reported gonorrhoea incidence.