SOCIAL HEALTH DETERMINANTS OF CONGENITAL SYPHILIS IN AN INSURANCE COMPANY IN VALLE DEL CAUCA 2015-2020
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , |
Tipo de documento: | preprint |
Idioma: | spa |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/6113 |
Resumo: | Introducción: CS (congenital syphilis) is a serious disorder that, if it does not cause death at an early age, can cause permanent disorders. This can be almost completely prevented, as long as the mother receives adequate and timely treatment. Objective: To establish the structural and intermediate determinants that best explain the outcome of congenital syphilis. Methodology: Descriptive observational study with analytical intention and focus on social determinants of health, carried out in a cohort of pregnant women confirmed with gestational syphilis, active members of an insured person in Valle del Cauca between 2015 and 2020, exploratory analysis was carried out by absolute frequencies. and related bivariate analyzes with contingency tables using the chi square test and multivariate logistic regression analysis. Results: A higher volume of cases of gestational syphilis was found in women living in urban areas, in the subsidized regime, in socioeconomic status one or two, and in vulnerable population groups such as displaced persons, in prison, and residents of the municipalities of Cali and the district of Bonaventure. Conclusions: The structural and intermediate determinants that increase the probability of congenital syphilis outcome were pregnant women in the subsidized regime, rural area, indigenous and ROM (gypsy) ethnic groups, socioeconomic stratum 2, with late diagnosis, absent prenatal check-ups, without screening tests, without their own treatment or contacts, residents in municipalities far from the capital and with a higher infant mortality rate. |
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SOCIAL HEALTH DETERMINANTS OF CONGENITAL SYPHILIS IN AN INSURANCE COMPANY IN VALLE DEL CAUCA 2015-2020DETERMINANTES SOCIALES EN SALUD DE LA SÍFILIS CONGÉNITA EN UNA ASEGURADORA EN EL VALLE DEL CAUCA 2015-2020SyphilisCongenital Syphilissocial determinants of health and logistic modelsSífilisSífilis Congénitadeterminantes sociales de la salud y modelos logísticosIntroducción: CS (congenital syphilis) is a serious disorder that, if it does not cause death at an early age, can cause permanent disorders. This can be almost completely prevented, as long as the mother receives adequate and timely treatment. Objective: To establish the structural and intermediate determinants that best explain the outcome of congenital syphilis. Methodology: Descriptive observational study with analytical intention and focus on social determinants of health, carried out in a cohort of pregnant women confirmed with gestational syphilis, active members of an insured person in Valle del Cauca between 2015 and 2020, exploratory analysis was carried out by absolute frequencies. and related bivariate analyzes with contingency tables using the chi square test and multivariate logistic regression analysis. Results: A higher volume of cases of gestational syphilis was found in women living in urban areas, in the subsidized regime, in socioeconomic status one or two, and in vulnerable population groups such as displaced persons, in prison, and residents of the municipalities of Cali and the district of Bonaventure. Conclusions: The structural and intermediate determinants that increase the probability of congenital syphilis outcome were pregnant women in the subsidized regime, rural area, indigenous and ROM (gypsy) ethnic groups, socioeconomic stratum 2, with late diagnosis, absent prenatal check-ups, without screening tests, without their own treatment or contacts, residents in municipalities far from the capital and with a higher infant mortality rate.Introducción: La SC (sífilis congénita) es un trastorno grave que, si no provoca la muerte a edad temprana, puede causar trastornos permanentes. Esto puede prevenirse casi por completo, siempre y cuando la madre reciba un tratamiento adecuado y oportuno. Objetivo: Establecer los determinantes estructurales e intermedios que mejor explican el desenlace de sífilis congénita. Metodología:Estudio observacional descriptivo con intención analítica y enfoque en determinantes sociales de la salud, realizado en una cohorte de gestantes confirmadas con sífilis gestacional, afiliadas activas a una asegurada en el Valle del Cauca entre 2015 y 2020, se realizó análisis exploratorios por frecuencias absolutas y relacionadas , análisis bivariados con tablas de contingencia utilizando la prueba de chi cuadrado y análisis multivariado de regresión logística. Results: Se encontró mayor volumen de casos de SG en mujeres residentes de la zona urbana, del régimen subsidiado, de estrato socioeconómico uno o dos y de grupos poblacionales vulnerables como desplazadas, en condición carcelaria y residente en los municipios de Cali y el distrito de Buenaventura. Conclusiones:los determinantes estructurales e intermedios que incrementaron la probabilidad de desenlace de SC fueron las gestantes del régimen subsidiado, área rural, de etnias indígenas y ROM (gitanos), de estrato socioeconómico 2, con diagnóstico tardío, que no asistieron a los controles prenatales, sin pruebas de tamizaje, sin tratamiento propio ni de contactos, residentes en municipios alejados de la capital y con mayor tasa de mortalidad infantil.SciELO PreprintsSciELO PreprintsSciELO Preprints2023-05-22info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/611310.1590/SciELOPreprints.6113spahttps://preprints.scielo.org/index.php/scielo/article/view/6113/11747Copyright (c) 2023 Simon Andres Giraldo Oliveros, Jasbleidy Posu, Eilen Montaño , Nikolle Ortizhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessOliveros, Simon Andres GiraldoPosu, JasbleidyMontaño , EilenOrtiz, Nikollereponame:SciELO Preprintsinstname:Scientific Electronic Library Online (SCIELO)instacron:SCI2023-05-19T01:12:30Zoai:ops.preprints.scielo.org:preprint/6113Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2023-05-19T01:12:30SciELO Preprints - Scientific Electronic Library Online (SCIELO)false |
dc.title.none.fl_str_mv |
SOCIAL HEALTH DETERMINANTS OF CONGENITAL SYPHILIS IN AN INSURANCE COMPANY IN VALLE DEL CAUCA 2015-2020 DETERMINANTES SOCIALES EN SALUD DE LA SÍFILIS CONGÉNITA EN UNA ASEGURADORA EN EL VALLE DEL CAUCA 2015-2020 |
title |
SOCIAL HEALTH DETERMINANTS OF CONGENITAL SYPHILIS IN AN INSURANCE COMPANY IN VALLE DEL CAUCA 2015-2020 |
spellingShingle |
SOCIAL HEALTH DETERMINANTS OF CONGENITAL SYPHILIS IN AN INSURANCE COMPANY IN VALLE DEL CAUCA 2015-2020 Oliveros, Simon Andres Giraldo Syphilis Congenital Syphilis social determinants of health and logistic models Sífilis Sífilis Congénita determinantes sociales de la salud y modelos logísticos |
title_short |
SOCIAL HEALTH DETERMINANTS OF CONGENITAL SYPHILIS IN AN INSURANCE COMPANY IN VALLE DEL CAUCA 2015-2020 |
title_full |
SOCIAL HEALTH DETERMINANTS OF CONGENITAL SYPHILIS IN AN INSURANCE COMPANY IN VALLE DEL CAUCA 2015-2020 |
title_fullStr |
SOCIAL HEALTH DETERMINANTS OF CONGENITAL SYPHILIS IN AN INSURANCE COMPANY IN VALLE DEL CAUCA 2015-2020 |
title_full_unstemmed |
SOCIAL HEALTH DETERMINANTS OF CONGENITAL SYPHILIS IN AN INSURANCE COMPANY IN VALLE DEL CAUCA 2015-2020 |
title_sort |
SOCIAL HEALTH DETERMINANTS OF CONGENITAL SYPHILIS IN AN INSURANCE COMPANY IN VALLE DEL CAUCA 2015-2020 |
author |
Oliveros, Simon Andres Giraldo |
author_facet |
Oliveros, Simon Andres Giraldo Posu, Jasbleidy Montaño , Eilen Ortiz, Nikolle |
author_role |
author |
author2 |
Posu, Jasbleidy Montaño , Eilen Ortiz, Nikolle |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Oliveros, Simon Andres Giraldo Posu, Jasbleidy Montaño , Eilen Ortiz, Nikolle |
dc.subject.por.fl_str_mv |
Syphilis Congenital Syphilis social determinants of health and logistic models Sífilis Sífilis Congénita determinantes sociales de la salud y modelos logísticos |
topic |
Syphilis Congenital Syphilis social determinants of health and logistic models Sífilis Sífilis Congénita determinantes sociales de la salud y modelos logísticos |
description |
Introducción: CS (congenital syphilis) is a serious disorder that, if it does not cause death at an early age, can cause permanent disorders. This can be almost completely prevented, as long as the mother receives adequate and timely treatment. Objective: To establish the structural and intermediate determinants that best explain the outcome of congenital syphilis. Methodology: Descriptive observational study with analytical intention and focus on social determinants of health, carried out in a cohort of pregnant women confirmed with gestational syphilis, active members of an insured person in Valle del Cauca between 2015 and 2020, exploratory analysis was carried out by absolute frequencies. and related bivariate analyzes with contingency tables using the chi square test and multivariate logistic regression analysis. Results: A higher volume of cases of gestational syphilis was found in women living in urban areas, in the subsidized regime, in socioeconomic status one or two, and in vulnerable population groups such as displaced persons, in prison, and residents of the municipalities of Cali and the district of Bonaventure. Conclusions: The structural and intermediate determinants that increase the probability of congenital syphilis outcome were pregnant women in the subsidized regime, rural area, indigenous and ROM (gypsy) ethnic groups, socioeconomic stratum 2, with late diagnosis, absent prenatal check-ups, without screening tests, without their own treatment or contacts, residents in municipalities far from the capital and with a higher infant mortality rate. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-05-22 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
format |
preprint |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/6113 10.1590/SciELOPreprints.6113 |
url |
https://preprints.scielo.org/index.php/scielo/preprint/view/6113 |
identifier_str_mv |
10.1590/SciELOPreprints.6113 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
dc.relation.none.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/article/view/6113/11747 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Simon Andres Giraldo Oliveros, Jasbleidy Posu, Eilen Montaño , Nikolle Ortiz https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Simon Andres Giraldo Oliveros, Jasbleidy Posu, Eilen Montaño , Nikolle Ortiz https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints - Scientific Electronic Library Online (SCIELO) |
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