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GMJ News > GMJ Briefs > Syphilis Dominates HIV Co-infection Landscape: 45% Prevalence in Major Chinese Cohort

Syphilis Dominates HIV Co-infection Landscape: 45% Prevalence in Major Chinese Cohort

GMJ
Last updated: 07/06/2026 18:14
By
Prof. Giorgi Pkhakadze
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1 Min Read
Medical chart showing STI prevalence rates among HIV-positive patients in China
A 14-year Chinese study of nearly 48,000 HIV-positive patients reveals 40% experienced recurrent sexually transmitted infections. Systematic screening identified 23% more infections than symptom-based approaches, supporting integrated care models. — Photo: Towfiqu barbhuiya / Pexels
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1 min read|133 words

A definitive 14-year longitudinal analysis of China’s HIV population has established syphilis as the leading sexually transmitted infection among people living with HIV. The study of 47,892 patients across 15 provinces found that 45.2% experienced syphilis co-infection, followed closely by human papillomavirus at 38.1%.

Dr. Wei Chen, principal investigator at the National Center for AIDS/STD Control and Prevention, emphasized that persistent syphilis co-infection represents a critical challenge for HIV care programs. The research employed systematic STI screening during HIV care enrollment and routine follow-up visits, providing unprecedented epidemiological clarity on co-infection patterns.

These findings align with global health observations in similar populations, confirming that syphilis control remains essential within HIV management strategies. The data indicates that integrated screening and treatment protocols are vital components of comprehensive HIV care delivery.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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