Title |
Incidência de sífilis congênita e fatores associados à transmissão vertical da sífilis: dados do estudo Nascer no Brasil
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Published in |
Cadernos de Saúde Pública, June 2016
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DOI | 10.1590/0102-311x00082415 |
Pubmed ID | |
Authors |
Rosa Maria Soares Madeira Domingues, Maria do Carmo Leal |
Abstract |
The objectives were to estimate incidence of congenital syphilis and verify factors associated with vertical transmission. A national hospital-based study was performed in 2011-2012 with 23,894 postpartum women using an in-hospital interview and data from patient charts and prenatal cards. Univariate logistic regression was performed to verify factors associated with congenital syphilis. Estimated incidence of congenital syphilis was 3.51 per 1,000 live births (95%CI: 2.29-5.37) and vertical transmission rate was 34.3% (95%CI: 24.7-45.4). Congenital syphilis was associated with lower maternal schooling, black skin color, higher rate of risk factors for prematurity, late initiation of prenatal care, fewer prenatal visits, and lower rate of prenatal serological testing. Fetal mortality was six times higher in congenital syphilis, and newborns with congenital syphilis showed higher hospital admission rates. Congenital syphilis is a persistent public health problem in Brazil and is associated with greater social vulnerability and gaps in prenatal care. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 1 | <1% |
Unknown | 271 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 80 | 29% |
Student > Master | 35 | 13% |
Student > Postgraduate | 16 | 6% |
Student > Doctoral Student | 16 | 6% |
Other | 10 | 4% |
Other | 27 | 10% |
Unknown | 88 | 32% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 73 | 27% |
Nursing and Health Professions | 49 | 18% |
Agricultural and Biological Sciences | 18 | 7% |
Biochemistry, Genetics and Molecular Biology | 13 | 5% |
Pharmacology, Toxicology and Pharmaceutical Science | 7 | 3% |
Other | 19 | 7% |
Unknown | 93 | 34% |