دورية أكاديمية

Temporal Trend of Gestational Syphilis between 2008 and 2018 in Brazil: Association with Socioeconomic and Health Care Factors.

التفاصيل البيبلوغرافية
العنوان: Temporal Trend of Gestational Syphilis between 2008 and 2018 in Brazil: Association with Socioeconomic and Health Care Factors.
المؤلفون: Dantas JDC; Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal 59064-630, Brazil., Marinho CDSR; Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz 59078-900, Brazil., Pinheiro YT; Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal 59064-630, Brazil., Silva RARD; Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal 59064-630, Brazil.; Center of Health Sciences, Department of Nursing, Federal University of Rio Grande do Norte, Natal 59078-900, Brazil.
المصدر: International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Dec 08; Vol. 19 (24). Date of Electronic Publication: 2022 Dec 08.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Basel : MDPI, c2004-
مواضيع طبية MeSH: Syphilis*/epidemiology , Pregnancy Complications, Infectious*/epidemiology , Syphilis, Congenital*/epidemiology , Syphilis, Congenital*/prevention & control, Pregnancy ; Female ; Humans ; Brazil/epidemiology ; Literacy ; Delivery of Health Care ; Socioeconomic Factors
مستخلص: The increased number of cases in recent years has turned syphilis into a global public health problem. In 2020, 115,371 cases of acquired syphilis were reported (detection rate of 54.5 cases/100,000 inhabitants) in Brazil. In that same period, the country notified 61,441 cases of gestational syphilis (detection rate of 21.6 per 1000 live births). The number of syphilis cases points to the need to reinforce surveillance, prevention, and infection control actions, which is a worrying scenario for government organizations. This study aims to describe the temporal trend of gestational syphilis from 2008 to 2018 in Brazilian regions and to associate its detection rate with socioeconomic and health care indicators. We conducted an ecological study of temporal trends using secondary data from the Department of Informatics of the Unified Health System. The temporal trend was analyzed using the Joinpoint Regression program. The annual percent change (APC) and 95% confidence intervals (95%CI) were estimated and tested; statistical significance was assessed using the Monte Carlo permutation test. Correlations were assessed using Pearson's correlation coefficient, and statistical significance was calculated using Pearson's product-moment correlation. The gestational syphilis detection rate increased between 2008 and 2018. The South region showed the greatest trend, whereas the Midwest region presented the lowest trend. The following variables were significantly correlated with the gestational syphilis detection rate: Municipal Human Development Index, illiteracy rate, percentage of primary health care coverage, and proportion of doctors, nurses, and basic health units per inhabitant. Health policies are needed to mitigate social vulnerabilities and strengthen primary health care.
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فهرسة مساهمة: Keywords: Treponema pallidum; communicable diseases; pregnancy; prenatal care; syphilis
تواريخ الأحداث: Date Created: 20221223 Date Completed: 20221226 Latest Revision: 20231106
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9778377
DOI: 10.3390/ijerph192416456
PMID: 36554342
قاعدة البيانات: MEDLINE
الوصف
تدمد:1660-4601
DOI:10.3390/ijerph192416456