Prevalence of syphilis in pregnancy and prenatal syphilis testing in Brazil: Birth in Brazil study
Prevalence of syphilis in pregnancy and prenatal syphilis testing in Brazil: Birth in Brazil study
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DOI：
10.1590/s0034-8910.2014048005114
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发表时间：
2014-10-01
期刊：
影响因子：
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通讯作者：
Leal, Maria do Carmo
中科院分区：
文献类型：
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作者：
Domingues, Rosa Maria Soares Madeira;Szwarcwald, Celia Landmann;Leal, Maria do Carmo
目的：了解巴西孕妇产前梅毒检测覆盖率及梅毒流行情况。方法：这是一项2011年至2012年间在巴西开展的以医院为基础的全国性队列研究，纳入了23,894名产后妇女。通过对产后妇女的访谈、医院记录和产前护理卡获得数据。产前护理卡中血清学检测结果阳性或分娩住院期间诊断为梅毒的所有产后妇女均被视为妊娠期梅毒病例。卡方检验用于确定疾病患病率和检测覆盖率，包括居住地区、自我报告的肤色、产妇年龄以及产前和分娩护理单位类型。结果：产前护理覆盖率为98.7%。梅毒检测覆盖率分别为89.1%（1次）和41.2%（2次），妊娠期梅毒患病率为1.02% （95% CI 0.84; 1.25）。北部地区妇女、土著妇女、受教育程度较低的妇女和在公共保健单位接受产前护理的妇女的产前覆盖率较低。在北部、东北部和中西部地区的居民中，在年轻和非白人肤色妇女中，在受教育程度较低的妇女中，以及在公共卫生保健单位接受产前护理的妇女中，检测覆盖率较低。梅毒的流行率在女性中有所增加
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