Missed opportunities for congenital syphilis and HIV perinatal transmission prevention

• Autor(a) principal: Rodrigues, Celeste Souza
• Data de Publicação: 2008
• Outros Autores: Guimarães, Mark Drew Crosland, César, Cibele Comini
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista de Saúde Pública
• Texto Completo: https://www.revistas.usp.br/rsp/article/view/32507
• topic: Sífilis Congênita^i2^sprevenção e contr; Infecções por HIV^i2^sprevenção e contr; Transmissão Vertical de Doença^i2^sprevenção e contr; Cuidado Pré-Natal; Estudos Transversais; Oportunidade Perdida de Prevenção; Sífilis Congénita^i3^sprevención y cont; Infecciones por HIV^i3^sprevención y cont; Transmisión Vertical de Enfermedad^i3^sprevención y cont; Atención Prenatal; Estudios Transversales; Oportunidad Pérdida de Prevención; Syphilis; Congenital^i1^sprevention & cont; HIV Infections^i1^sprevention & cont; Disease Transmission; Vertical^i1^sprevention & cont; Prenatal Care; Cross-Sectional Studies; Missed Prevention Opportunity

OBJECTIVE: To estimate the prevalence of missed opportunities for congenital syphilis and HIV prevention in pregnant women who had access to prenatal care and to assess factors associated to non-testing of these infections. METHODS: Cross-sectional study comprising a randomly selected sample of 2,145 puerperal women who were admitted in maternity hospitals for delivery or curettage and had attended at least one prenatal care visit, in Brazil between 1999 and 2000. No syphilis and/or anti-HIV testing during pregnancy was a marker for missed prevention opportunity. Women who were not tested for either or both were compared to those who had at least one syphilis and one anti-HIV testing performed during pregnancy (reference category). The prevalence of missed prevention opportunity was estimated for each category with 95% confidence intervals. Factors independently associated with missed prevention opportunity were assessed through multinomial logistic regression. RESULTS: The prevalence of missed prevention opportunity for syphilis or anti-HIV was 41.2% and 56.0%, respectively. The multivariate analysis showed that race/skin color (non-white), schooling (