Prevalence of syphilis in pregnancy and prenatal syphilis testing in Brazil: Birth in Brazil study

Detalhes bibliográficos
Autor(a) principal: Domingues,Rosa Maria Soares Madeira
Data de Publicação: 2014
Outros Autores: Szwarcwald,Celia Landmann, Souza Junior,Paulo Roberto Borges, Leal,Maria do Carmo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000500766
Resumo: OBJECTIVE Determine the coverage rate of syphilis testing during prenatal care and the prevalence of syphilis in pregnant women in Brazil. METHODS This is a national hospital-based cohort study conducted in Brazil with 23,894 postpartum women between 2011 and 2012. Data were obtained using interviews with postpartum women, hospital records, and prenatal care cards. All postpartum women with a reactive serological test result recorded in the prenatal care card or syphilis diagnosis during hospitalization for childbirth were considered cases of syphilis in pregnancy. The Chi-square test was used for determining the disease prevalence and testing coverage rate by region of residence, self-reported skin color, maternal age, and type of prenatal and child delivery care units. RESULTS Prenatal care covered 98.7% postpartum women. Syphilis testing coverage rate was 89.1% (one test) and 41.2% (two tests), and syphilis prevalence in pregnancy was 1.02% (95%CI 0.84;1.25). A lower prenatal coverage rate was observed among women in the North region, indigenous women, those with less education, and those who received prenatal care in public health care units. A lower testing coverage rate was observed among residents in the North, Northeast, and Midwest regions, among younger and non-white skin-color women, among those with lower education, and those who received prenatal care in public health care units. An increased prevalence of syphilis was observed among women with < 8 years of education (1.74%), who self-reported as black (1.8%) or mixed (1.2%), those who did not receive prenatal care (2.5%), and those attending public (1.37%) or mixed (0.93%) health care units. CONCLUSIONS The estimated prevalence of syphilis in pregnancy was similar to that reported in the last sentinel surveillance study conducted in 2006. There was an improvement in prenatal care and testing coverage rate, and the goals suggested by the World Health Organization were achieved in two regions. Regional and social inequalities in access to health care units, coupled with other gaps in health assistance, have led to the persistence of congenital syphilis as a major public health problem in Brazil.
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spelling Prevalence of syphilis in pregnancy and prenatal syphilis testing in Brazil: Birth in Brazil studySyphilis SerodiagnosisPregnant WomenPrenatal CareSocioeconomic FactorsHealth InequalitiesInfectious Disease Transmission, Vertical OBJECTIVE Determine the coverage rate of syphilis testing during prenatal care and the prevalence of syphilis in pregnant women in Brazil. METHODS This is a national hospital-based cohort study conducted in Brazil with 23,894 postpartum women between 2011 and 2012. Data were obtained using interviews with postpartum women, hospital records, and prenatal care cards. All postpartum women with a reactive serological test result recorded in the prenatal care card or syphilis diagnosis during hospitalization for childbirth were considered cases of syphilis in pregnancy. The Chi-square test was used for determining the disease prevalence and testing coverage rate by region of residence, self-reported skin color, maternal age, and type of prenatal and child delivery care units. RESULTS Prenatal care covered 98.7% postpartum women. Syphilis testing coverage rate was 89.1% (one test) and 41.2% (two tests), and syphilis prevalence in pregnancy was 1.02% (95%CI 0.84;1.25). A lower prenatal coverage rate was observed among women in the North region, indigenous women, those with less education, and those who received prenatal care in public health care units. A lower testing coverage rate was observed among residents in the North, Northeast, and Midwest regions, among younger and non-white skin-color women, among those with lower education, and those who received prenatal care in public health care units. An increased prevalence of syphilis was observed among women with < 8 years of education (1.74%), who self-reported as black (1.8%) or mixed (1.2%), those who did not receive prenatal care (2.5%), and those attending public (1.37%) or mixed (0.93%) health care units. CONCLUSIONS The estimated prevalence of syphilis in pregnancy was similar to that reported in the last sentinel surveillance study conducted in 2006. There was an improvement in prenatal care and testing coverage rate, and the goals suggested by the World Health Organization were achieved in two regions. Regional and social inequalities in access to health care units, coupled with other gaps in health assistance, have led to the persistence of congenital syphilis as a major public health problem in Brazil. Faculdade de Saúde Pública da Universidade de São Paulo2014-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000500766Revista de Saúde Pública v.48 n.5 2014reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.1590/S0034-8910.2014048005114info:eu-repo/semantics/openAccessDomingues,Rosa Maria Soares MadeiraSzwarcwald,Celia LandmannSouza Junior,Paulo Roberto BorgesLeal,Maria do Carmoeng2014-10-27T00:00:00Zoai:scielo:S0034-89102014000500766Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2014-10-27T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Prevalence of syphilis in pregnancy and prenatal syphilis testing in Brazil: Birth in Brazil study
title Prevalence of syphilis in pregnancy and prenatal syphilis testing in Brazil: Birth in Brazil study
spellingShingle Prevalence of syphilis in pregnancy and prenatal syphilis testing in Brazil: Birth in Brazil study
Domingues,Rosa Maria Soares Madeira
Syphilis Serodiagnosis
Pregnant Women
Prenatal Care
Socioeconomic Factors
Health Inequalities
Infectious Disease Transmission, Vertical
title_short Prevalence of syphilis in pregnancy and prenatal syphilis testing in Brazil: Birth in Brazil study
title_full Prevalence of syphilis in pregnancy and prenatal syphilis testing in Brazil: Birth in Brazil study
title_fullStr Prevalence of syphilis in pregnancy and prenatal syphilis testing in Brazil: Birth in Brazil study
title_full_unstemmed Prevalence of syphilis in pregnancy and prenatal syphilis testing in Brazil: Birth in Brazil study
title_sort Prevalence of syphilis in pregnancy and prenatal syphilis testing in Brazil: Birth in Brazil study
author Domingues,Rosa Maria Soares Madeira
author_facet Domingues,Rosa Maria Soares Madeira
Szwarcwald,Celia Landmann
Souza Junior,Paulo Roberto Borges
Leal,Maria do Carmo
author_role author
author2 Szwarcwald,Celia Landmann
Souza Junior,Paulo Roberto Borges
Leal,Maria do Carmo
author2_role author
author
author
dc.contributor.author.fl_str_mv Domingues,Rosa Maria Soares Madeira
Szwarcwald,Celia Landmann
Souza Junior,Paulo Roberto Borges
Leal,Maria do Carmo
dc.subject.por.fl_str_mv Syphilis Serodiagnosis
Pregnant Women
Prenatal Care
Socioeconomic Factors
Health Inequalities
Infectious Disease Transmission, Vertical
topic Syphilis Serodiagnosis
Pregnant Women
Prenatal Care
Socioeconomic Factors
Health Inequalities
Infectious Disease Transmission, Vertical
description OBJECTIVE Determine the coverage rate of syphilis testing during prenatal care and the prevalence of syphilis in pregnant women in Brazil. METHODS This is a national hospital-based cohort study conducted in Brazil with 23,894 postpartum women between 2011 and 2012. Data were obtained using interviews with postpartum women, hospital records, and prenatal care cards. All postpartum women with a reactive serological test result recorded in the prenatal care card or syphilis diagnosis during hospitalization for childbirth were considered cases of syphilis in pregnancy. The Chi-square test was used for determining the disease prevalence and testing coverage rate by region of residence, self-reported skin color, maternal age, and type of prenatal and child delivery care units. RESULTS Prenatal care covered 98.7% postpartum women. Syphilis testing coverage rate was 89.1% (one test) and 41.2% (two tests), and syphilis prevalence in pregnancy was 1.02% (95%CI 0.84;1.25). A lower prenatal coverage rate was observed among women in the North region, indigenous women, those with less education, and those who received prenatal care in public health care units. A lower testing coverage rate was observed among residents in the North, Northeast, and Midwest regions, among younger and non-white skin-color women, among those with lower education, and those who received prenatal care in public health care units. An increased prevalence of syphilis was observed among women with < 8 years of education (1.74%), who self-reported as black (1.8%) or mixed (1.2%), those who did not receive prenatal care (2.5%), and those attending public (1.37%) or mixed (0.93%) health care units. CONCLUSIONS The estimated prevalence of syphilis in pregnancy was similar to that reported in the last sentinel surveillance study conducted in 2006. There was an improvement in prenatal care and testing coverage rate, and the goals suggested by the World Health Organization were achieved in two regions. Regional and social inequalities in access to health care units, coupled with other gaps in health assistance, have led to the persistence of congenital syphilis as a major public health problem in Brazil.
publishDate 2014
dc.date.none.fl_str_mv 2014-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000500766
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000500766
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0034-8910.2014048005114
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
dc.source.none.fl_str_mv Revista de Saúde Pública v.48 n.5 2014
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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