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Crisis and Opportunity

Chris Beyrer, MD, MPH

JAMA. 2003;289:1303-1305.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Recent findings from a range of studies^1-3 suggest that sexually transmitted diseases (STDs) and the behaviors that spread them are increasing in China. The period of strict social control and the virtual eradication of China's extensive commercial sex industry after the founding of the People's Republic in 1949 has been over since at least 1986—the start of China's "open door policy." Since the late 1980s, more than 100 million people, largely the rural poor, have migrated to China's eastern seaboard, which is the economic engine of the new China.³ Prostitution, in a wide array of forms, has reemerged.⁴

In this issue of THE JOURNAL, the article by Parish et al⁵ on the prevalence of Chlamydia trachomatis provides the first large population-based evidence of the extent of sexual risk taking and its biological consequences among Chinese adults. Using a national stratified probability sampling technique and urinary ligase . . . [Full Text of this Article]

Author Affiliation: Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md.

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