Congenital syphilis, syphilis in pregnancy and prenatal care in Brazil: An ecological study

Izabelle Bezerra Costa, Isac Davidson Santiago Fernandes Pimenta, Kezauyn Miranda Aiquoc and Ângelo Giuseppe Roncalli da Costa Oliveira

PLOS ONE, 2024, vol. 19, issue 6, 1-15

Abstract: The aim of this research was to evaluate the incidence of congenital syphilis and the ratio between congenital syphilis and syphilis in pregnant women in Brazil according to socioeconomic indicators (inadequate water supply and sanitation; illiteracy at 15 years of age or older; household income per capita; proportion of poor people; Gini index; human development index; and average health expenditure per inhabitant by the health system) and prenatal quality-of-care indicators. We conducted an ecological study using a sample composed of 257 municipalities, each with ≥ 100,000 inhabitants. Data was collected from four public databases: the Brazilian Institute of Geography and Statistics, comprising socioeconomical data from the 2010 census; and the data of 2019 available in the databases of the Department of Informatics of the Brazilian Health System, Information and Management of Primary Care, and the Electronic Citizen Information System. Descriptive analysis of dependent and independent variables and bivariate analysis by Negative Binomial regression were carried out. The mean incidence of congenital syphilis was 38% higher in municipalities with a Human Development Index up to 0.785 (ratio of means [RM] = 1.38; p = 0.049) and 57% higher among populations where less than 50% of primary healthcare services provided a rapid test for syphilis (RM = 1.57; p

Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0306120

DOI: 10.1371/journal.pone.0306120

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