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Shanghai: Difference between revisions

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{{setLocation
{{setLocation
|Country=China
|Country=China
|State=East China
|City=Shanghai
|City=Shanghai
}}
}}


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===What to Get & Where to Get It===
===What to Get & Where to Get It===
[[File:Yasmin china.jpg|200px | thumb|left|frame|'''Yasmin birth control pills purchased in China''']]
[[File:Marvelon.jpg|200px | thumb|left|frame|'''Marvelon, a common birth control brand found in China''']]


In China, you don't need a prescription to purchase birth control. However, if you do want to consult with a doctor beforehand, you can typically schedule an appointment with a doctor at a Western hospital for 600-700 yuan or with a Chinese doctor for much cheaper.<ref>[http://www.shanghaiexpat.com/blog/community/health-and-medicine/what-not-pack-when-moving-shanghai-pill-12002.html What Not to Pack When Moving to Shanghai: the Pill.]</ref>
In China, you don't need a prescription to purchase birth control. However, if you do want to consult with a doctor beforehand, you can typically schedule an appointment with a doctor at a Western hospital for 600-700 yuan or with a Chinese doctor for much cheaper.<ref>[http://www.shanghaiexpat.com/blog/community/health-and-medicine/what-not-pack-when-moving-shanghai-pill-12002.html What Not to Pack When Moving to Shanghai: the Pill.]</ref>
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===What to Get & Where to Get It===
===What to Get & Where to Get It===
'''Note:''' The longest-lasting EC, [http://www.ellaone.com/ ellaOne], is not available in China. However, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.


In Chinese, the morning after pill is 避孕药 (pronounced "bìyùn yào"). If you go into a Chinese pharmacy, the pharmacist will probably ask if you want birth control pills for "every day" or "just one time." The "just one time" pills are emergency contraception/morning after pills.  
In Chinese, the morning after pill is 避孕药 (pronounced "bìyùn yào"). If you go into a Chinese pharmacy, the pharmacist will probably ask if you want birth control pills for "every day" or "just one time." The "just one time" pills are emergency contraception/morning after pills.  


====Dedicated EC (Anti-Progestin)====
* In China, if you want dedicated emergency contraception (the morning after pill), here are the brands that are anti-progestin. For these brands, you take 1 pill within 120 hours after unprotected sex: Fu Nai Er (10 mg), Fu Nai Er (25 mg), Hou Ding Nuo (10 mg), Hou Ding Nuo (25 mg), Hua Dian (10 mg), Hua Dian (25 mg), Si Mi An (10 mg) and Si Mi An (25 mg). For these brands, you take 2 pills within 120 hours after unprotected sex: Bi Yun (12.5mg).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref>
 
* In China, if you want dedicated emergency contraception (the morning after pill), here are the brands that are progestin-only. For these brands, you take 1 pill within 120 hours after unprotected sex: An Ting (1.5mg), Bao Shi Ting (1.5 mg), Dan Mei (1.5 mg), Hui Ting, Jin Xiao (1.5 mg), Jin Yu Ting (1.5 mg), Ka Rui Ding and Xian Ju (1.5 mg). For these brands, you take  2 pills within 120 hours after unprotected sex: Ai Wu You (0.75 mg), An Ting (0.75mg), Bao Shi Ting (Postinor-2, 0.75mg), Dan Mei (0.75 mg), Hui Ting (0.75 mg), Jin Xiao (0.75 mg), Le Ting (0.75 mg), Yi Ting (0.75 mg), Yu Ting (0.75 mg).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref>
''Take 1 pill within 120 hours after unprotected sex:''
* If you can't access dedicated emergency contraception, you can use regular birth control pills as EC. To do this, you can take Levonorgestrel Pill (take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref>
 
Fu Nai Er (10 mg), Fu Nai Er (25 mg), Hou Ding Nuo (10 mg), Hou Ding Nuo (25 mg), Hua Dian (10 mg), Hua Dian (25 mg), Si Mi An (10 mg) and Si Mi An (25 mg)
 
''Take 2 pills within 120 hours after unprotected sex:''
 
Bi Yun (12.5mg)
 
====Dedicated EC (Progestin Only)====
 
''Take 1 pill within 120 hours after unprotected sex:''
 
An Ting (1.5mg), Bao Shi Ting (1.5 mg), Dan Mei (1.5 mg), Hui Ting, Jin Xiao (1.5 mg), Jin Yu Ting (1.5 mg), Ka Rui Ding and Xian Ju (1.5 mg)
 
''Take 2 pills within 120 hours after unprotected sex:''
 
Ai Wu You (0.75 mg), An Ting (0.75mg), Bao Shi Ting (Postinor-2, 0.75mg), Dan Mei (0.75 mg), Hui Ting (0.75 mg), Jin Xiao (0.75 mg), Le Ting (0.75 mg), Yi Ting (0.75 mg), Yu Ting (0.75 mg)  
 
====Oral Contraceptives used for EC / Progestin-Estrogen Combined====
 
''Take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later:''
 
Levonorgestrel Pill


===Costs===
===Costs===
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In China today, there is often strong social stigma regarding STIs/STDs. In a 2008 study of Shanghai migrant women, over 50% agreed that people who acquired HIV through drugs or sex deserved it. Yet only 3.7% had ever been tested for HIV.<ref>[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3022510/ STIGMA AGAINST HIV-INFECTED PERSONS AMONG MIGRANT WOMEN LIVING IN SHANGHAI, CHINA]</ref> In 2016, another study concluded that "people who contracted HIV from 'blameless' routes (e.g., with stable partners) may have less stigmatized experience compared to people who contracted HIV from 'blamable' routes (e.g., injecting drug use, sex with sex workers).<ref>[http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0151078 Stigma against People Living with HIV/AIDS in China: Does the Route of Infection Matter?]</ref>
In China today, there is often strong social stigma regarding STIs/STDs. In a 2008 study of Shanghai migrant women, over 50% agreed that people who acquired HIV through drugs or sex deserved it. Yet only 3.7% had ever been tested for HIV.<ref>[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3022510/ STIGMA AGAINST HIV-INFECTED PERSONS AMONG MIGRANT WOMEN LIVING IN SHANGHAI, CHINA]</ref> In 2016, another study concluded that "people who contracted HIV from 'blameless' routes (e.g., with stable partners) may have less stigmatized experience compared to people who contracted HIV from 'blamable' routes (e.g., injecting drug use, sex with sex workers).<ref>[http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0151078 Stigma against People Living with HIV/AIDS in China: Does the Route of Infection Matter?]</ref>


===What to Get & Where to Get It===
===Helpful Terminology===


Chinese words for STDs/STIs:<ref>[http://www.healthandsafetyinshanghai.com/shanghai-std.html Shanghai STD Guide]</ref>
Chinese words for STDs/STIs:<ref>[http://www.healthandsafetyinshanghai.com/shanghai-std.html Shanghai STD Guide]</ref>
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Hepatitis B: Yǐxíng gānyán 乙型肝炎
Hepatitis B: Yǐxíng gānyán 乙型肝炎


====Testing Facilities====
===Testing Facilities===
 
Note: You'll typically pay a fee for a bundle of STD tests at public Chinese clinics. But you'll be charged an extra fee if you also want an HPV test.


* [http://www.shskin.com Shanghai Skin Disease & STD Clinic (上海市皮肤病性病医院)]: This clinic is in a Chinese public hospital so prices are lower. Tests for chlamydia, hepatitis B, HIV, syphilis. Read an account [http://www.smartshanghai.com/articles/wellbeing/burning-questions-how-to-get-an-std-test here ], [http://www.shanghaiexpat.com/phpbbforum/std-testing-t108053.html here] and [http://madshanghai.com/getting-and-std-check-in-shanghai/ here] about getting tested at the clinic. Tests range from 400-500rmb with an 18rmb registration fee. Address: 196 Wuyi Lu, near Anxi Lu, 武夷路196号, 近安西路 PHONE: 6183 3107 AREA: METRO: 20 mins walk from Jiangsu Rd. Hours: Monday-Saturday, Morning Hours, Registration: 7:30-11am, Treatment Hours: 8am-Midday. Afternoon Hours: Registration: 12:30-4:15pm, Treatment Hours: 1:30-5pm.
* [http://www.shskin.com Shanghai Skin Disease & STD Clinic (上海市皮肤病性病医院)]: This clinic is in a Chinese public hospital so prices are lower. Tests for chlamydia, hepatitis B, HIV, syphilis. Read an account [http://www.smartshanghai.com/articles/wellbeing/burning-questions-how-to-get-an-std-test here ], [http://www.shanghaiexpat.com/phpbbforum/std-testing-t108053.html here] and [http://madshanghai.com/getting-and-std-check-in-shanghai/ here] about getting tested at the clinic. Tests range from 400-500rmb with an 18rmb registration fee. Address: 196 Wuyi Lu, near Anxi Lu, 武夷路196号, 近安西路 PHONE: 6183 3107 AREA: METRO: 20 mins walk from Jiangsu Rd. Hours: Monday-Saturday, Morning Hours, Registration: 7:30-11am, Treatment Hours: 8am-Midday. Afternoon Hours: Registration: 12:30-4:15pm, Treatment Hours: 1:30-5pm.
* Huashan Hospital (华山医院): This is another public hospital where you can be tested at a cheaper rate. Tests for chlamydia, hepatitis B, herpes, gonorrhea, syphilis, HIV. Costs are about 452.50RMB, includes a registration fee of 15.50RMB (2012). Note that there are some English-speaking doctors on staff but you'll get  your test results in Chinese. Click [http://www.timeoutshanghai.com/features/Health__Wellness/8044/Shanghai-sexual-health-guide-part-two.html here] for personal testimonial.
* Huashan Hospital (华山医院): This is another public hospital where you can be tested at a cheaper rate. Tests for chlamydia, hepatitis B, herpes, gonorrhea, syphilis, HIV. Costs are about 452.50RMB, includes a registration fee of 15.50RMB (2012). Note that there are some English-speaking doctors on staff but you'll get  your test results in Chinese. Click [http://www.timeoutshanghai.com/features/Health__Wellness/8044/Shanghai-sexual-health-guide-part-two.html here] for personal testimonial.
* Shanghai People's Number One Hospital: Tests for chlamydia, hepatitis B, gonorrhea, syphilis, HIV. Costs 285.50RMB, includes a registration fee of 15.50RMB.  Click [http://www.timeoutshanghai.com/features/Health__Wellness/8044/Shanghai-sexual-health-guide-part-two.html here] for personal testimonial.
* Shanghai People's Number One Hospital: Tests for chlamydia, hepatitis B, gonorrhea, syphilis, HIV. Costs 285.50RMB, includes a registration fee of 15.50RMB.  Click [http://www.timeoutshanghai.com/features/Health__Wellness/8044/Shanghai-sexual-health-guide-part-two.html here] for personal testimonial.
* [http://www.sinoaid.cn/shanghai-stds-testing.html  Sino-Aid]: "is where you can have sexual health check ups, included HIV and STD (Sexually Transmitted Diseases) testing. In our STDs Testing Center you should be seen anonymously if you want to be. Our STDs Center is located in both Pudong and Puxi area of Shanghai. You may need to make an appointment with us @ 021 - 5108 2260 or send your requires to info@sinoaid.cn."
* [http://www.sinoaid.cn/shanghai-stds-testing.html  Sino-Aid]: This clinic "is where you can have sexual health check ups, included HIV and STD (Sexually Transmitted Diseases) testing. In our STDs Testing Center you should be seen anonymously if you want to be. Our STDs Center is located in both Pudong and Puxi area of Shanghai. You may need to make an appointment with us @ 021 - 5108 2260 or send your requires to info@sinoaid.cn."
* [http://www.worldpathclinic.com WorldPath]: 1,000RMB/ consultation; 800RMB/smear test; 1,200RMB/ HPV test. Address: 399 Nanquan Bei Lu, near Century Avenue, Pudong (2020 7888). Open 9am- 8pm Mon-Fri; 9am-5.30pm Sat- Sun.  
* [http://www.worldpathclinic.com WorldPath]: 1,000RMB/ consultation; 800RMB/smear test; 1,200RMB/ HPV test. Address: 399 Nanquan Bei Lu, near Century Avenue, Pudong (2020 7888). Open 9am- 8pm Mon-Fri; 9am-5.30pm Sat- Sun.  
* [http://www.parkwayhealth.cn/ Parkway Health]: Tests for syphilis, gonorrhea, HIV and HPV. RMB1,300/consultation, RMB226/syphilis, RMB300/gonorrhea, RMB286/HIV, RMB1,060/HPV. Staff speak English, Spanish and French, depending on location.
* [http://www.parkwayhealth.cn/ Parkway Health]: Tests for syphilis, gonorrhea, HIV and HPV. RMB1,300/consultation, RMB226/syphilis, RMB300/gonorrhea, RMB286/HIV, RMB1,060/HPV. Staff speak English, Spanish and French, depending on location.
* [http://www.shanghai.ufh.com.cn/ United Family Hospital]: Staff speak English, Japanese, German, Portuguese and French, depending on locationIt. Costs vary but can be up to 1000 RMB for a consultation,RMB400-500/chlamydia; RMB300/syphilis; RMB300-400/gonnoreah; RMB600/HIV; RMB100/hepatitis B; RMB800/herpes (2013).<ref>[http://www.cityweekend.com.cn/shanghai/article/guide-to-sti-testing-shanghai%E2%80%99s-hospitals A Guide to STI Testing at Shanghai’s Hospitals]</ref>
* [http://www.shanghai.ufh.com.cn/ United Family Hospital]: Staff speak English, Japanese, German, Portuguese and French, depending on locationIt. Costs vary but can be up to 1000 RMB for a consultation,RMB400-500/chlamydia; RMB300/syphilis; RMB300-400/gonnoreah; RMB600/HIV; RMB100/hepatitis B; RMB800/herpes (2013).<ref>[http://www.cityweekend.com.cn/shanghai/article/guide-to-sti-testing-shanghai%E2%80%99s-hospitals A Guide to STI Testing at Shanghai’s Hospitals]</ref>
[http://en.renai.cn/news/122.html  Ren'ai Hospital VIP ward]: "Renai hospital is a member hospital of Bo Ai medical group... the largest privately-owned Chinese healthcare group with 26 medical facilities across Chinese mainland... Renai hospital is the first private hospital, established in Shanghai in 2001. Renai pioneered the introduction of personalized care to healthcare service sector... The Renai International Medical Center, offers direct billing services with international and local insurance companies for policy holders. It is located in the bustling city center, Xu Jia Hui area, where there is convenient transportation from every corner of Shanghai." Appointment Center : (8621)54893781 Appointment Center : 64688888-801/810, 24hr ER Hotline : 15021633821, Address: No.127, Caoxi Rd. Xuhui District. Shanghai 200235 P.R.C
* [http://en.renai.cn/news/122.html  Ren'ai Hospital VIP ward]: "Renai hospital is a member hospital of Bo Ai medical group... the largest privately-owned Chinese healthcare group with 26 medical facilities across Chinese mainland... Renai hospital is the first private hospital, established in Shanghai in 2001. Renai pioneered the introduction of personalized care to healthcare service sector... The Renai International Medical Center, offers direct billing services with international and local insurance companies for policy holders. It is located in the bustling city center, Xu Jia Hui area, where there is convenient transportation from every corner of Shanghai." Appointment Center : (8621)54893781 Appointment Center : 64688888-801/810, 24hr ER Hotline : 15021633821, Address: No.127, Caoxi Rd. Xuhui District. Shanghai 200235 P.R.C
* [http://www.www.sithc.com Shanghai International Travel Healthcare Center]: This is for foreigners. Address: 15 Jinbang Lu, Changning district. Contact: 021-6268-6171 (main line); 021-6268-8851 (physical examination for foreigners); 021-6268-5072 (vaccination for foreigners); fax: 021-6268-3088. Hours: No specific hours; make an appointment first., Fees: 640 yuan; 470 yuan (students). Additional fees, such as delivery fees, may apply.
* [http://www.www.sithc.com Shanghai International Travel Healthcare Center]: This is for foreigners. Address: 15 Jinbang Lu, Changning district. Contact: 021-6268-6171 (main line); 021-6268-8851 (physical examination for foreigners); 021-6268-5072 (vaccination for foreigners); fax: 021-6268-3088. Hours: No specific hours; make an appointment first., Fees: 640 yuan; 470 yuan (students). Additional fees, such as delivery fees, may apply.
* Shanghai Association for STD/HIV/AIDS Prevention & Control: This association is included in the AIDS Healthcare Foundation (AHF) directory. They may be able to refer you to a provider that works for you and may even test themselves (we're not sure). Address: No. 1477, Beijing West Road, Jingan District, Shanghai, Shanghai, China. Phone: (+86) 13701741904.


====Support====
====Support====
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===Costs===
===Costs===


If you choose to go to a public clinic, prices will be cheaper. However, anonymity is not guaranteed. Overall, expect to pay anywhere from 300-1000 RMB for the consultation and between 100-800RMB per test.
* You'll typically pay a fee for a bundle of STD tests at public Chinese clinics. But you'll be charged an extra fee if you also want an HPV test.
* If you choose to go to a public clinic, prices will be cheaper. However, anonymity is not guaranteed. Overall, expect to pay anywhere from 300-1000 RMB for the consultation and between 100-800RMB per test.


==Medications & Vaccines==
==Medications & Vaccines==
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===Laws & Social Stigmas===
===Laws & Social Stigmas===


While you'll find many medications in Shanghai, overseas prescriptions are typically not valid. Also, hospital pharmacies only accept prescriptions from their own doctors. China has strict laws regarding medicine imports, as well, which makes foreign/western medicines rather expensive. In the past, it was reportedly very common buy antibiotics at Chinese pharmacies with no prescription, though is increasingly less common. If you don't speak Chinese, be sure to bring a Chinese translation of the medicine you want, as the specific brand may not be available in China. For a list of recommended pharmacies, check out the "Contraception" section.
While you'll find many medications in Shanghai, overseas prescriptions are typically not valid. Also, hospital pharmacies only accept prescriptions from their own doctors. China has strict laws regarding medicine imports, as well, which makes foreign/western medicines rather expensive. In the past, it was reportedly very common to buy antibiotics at Chinese pharmacies with no prescription, though is increasingly less common. If you don't speak Chinese, be sure to bring a Chinese translation of the medicine you want, as the specific brand may not be available in China. For a list of recommended pharmacies, check out the "Contraception" section.


If you are interested to learn more about pharmacies in China, here's an [http://www.pharmacytimes.com/publications/career/2013/pharmacycareers_fall2013/worlds-apart-health-care-and-pharmacy-in-china account written by a pharmacy student], visiting China from the United States.
If you are interested to learn more about pharmacies in China, here's an [http://www.pharmacytimes.com/publications/career/2013/pharmacycareers_fall2013/worlds-apart-health-care-and-pharmacy-in-china account written by a pharmacy student], visiting China from the United States.
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===Laws & Social Stigmas===
===Laws & Social Stigmas===
For decades, China had the "One Child Policy" in place. However, citizens who were ethnically non-Han Chinese, or if they were sole children (and lived in certain provinces), or if they lived in certain rural areas, did not need to follow the policy. There were certainly many reported negative effects of this policy, including the gender disparity in births and preference of boys over girls, the difficulty in adoption, unregistered children, birth tourism, and the overall secrecy and financial difficulty suffered by families who had more than one child, among many other issues. However, the policy also helped improve the quality of life for many women in Chinese society, as well, many of whom held a lower status in the household and were unable to seek educational and work opportunities due to the pressure to bear and support many children.<ref>[https://en.wikipedia.org/wiki/One-child_policy Wikipedia: One-child policy]</ref>
When the policy was abolished in 2015, China did so because "they have too many men, too many old people, and too few young people. They have this huge crushing demographic crisis as a result of the one-child policy. And if people don’t start having more children, they’re going to have a vastly diminished workforce to support a huge aging population."<ref>[http://news.nationalgeographic.com/2015/10/151030-china-one-child-policy-mei-fong/ How China’s One-Child Policy Backfired Disastrously]</ref>


===What to Get & Where to Get It===
===What to Get & Where to Get It===
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==List of Additional Resources==
==List of Additional Resources==
* Click [https://www.equaldex.com/region/china here] to learn about LGBTQ rights and laws in China. It is important to note that, as of May 2018, homosexuality is legal in China but homosexual marriage is not recognized. It is legal to change your gender, but surgery is required by the government before they legally recognize the change in gender. There are no legal protections against housing or employment discrimination for LGBTQ people.
* [http://www.womenofchina.cn/ All China Women's Federation]: This women's rights organization was started in 1949, and it's the official leader of the women's movement in China. It works to promote policies and protections for women in the government and society.
* [http://www.chinacsrmap.org/Org_Show_EN.asp?ID=151 The Cultural Development Center for Rural Women]: "The Cultural Development Center for Rural Women is an NGO promoting the advancement and personal development of rural women."
* [http://www.bjlgbtcenter.org.cn/ Beijing LGBT Center]: Their mission is "to empower China's LGBT community to live rewarding lives unconstrained by sexuality, gender, or other identities." Email: bjlgbt@gmail.com


==References==
==References==
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