Temporal trend and spatial distribution of syphilis in pregnancy and congenital syphilis in Goiás, Brazil, 2007-2017: an ecological study.

Autor:	Nunes PS; Instituto Federal de Educação, Ciência e Tecnologia de Goiás, Núcleo de Estudos e Pesquisas em Promoção da Saúde, Goiânia, GO, Brasil., Guimarães RA; Universidade Federal de Goiás, Instituto de Patologia Tropical e Saúde Pública, Goiânia, GO, Brasil., Rosado LEP; Secretaria de Estado da Saúde de Goiás, Hospital Materno-Infantil de Goiânia, Goiânia, GO, Brasil., Marinho TA; Instituto Federal de Educação, Ciência e Tecnologia de Goiás, Núcleo de Estudos e Pesquisas em Promoção da Saúde, Goiânia, GO, Brasil., Aquino ÉC; Universidade Federal de Goiás, Instituto de Patologia Tropical e Saúde Pública, Goiânia, GO, Brasil., Turchi MD; Universidade Federal de Goiás, Instituto de Patologia Tropical e Saúde Pública, Goiânia, GO, Brasil.
Jazyk:	English; Portuguese
Zdroj:	Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil [Epidemiol Serv Saude] 2021 Jan 22; Vol. 30 (1), pp. e2019371. Date of Electronic Publication: 2021 Jan 22 (Print Publication: 2021).
DOI:	10.1590/S1679-49742021000100002
Abstrakt:	Objective: To analyze temporal trend and spatial distribution of syphilis in pregnancy and congenital syphilis in Goiás State, Brazil, between 2007 and 2017. Methods: This was an ecological time series and spatial distribution study with data obtained from the Notifiable Health Conditions Information System. Prais-Winsten Regression was used to analyze indicator trends by health macro-region. Descriptive spatial analysis was performed to verify case distribution in three different years in the period. Results: Between 2007 and 2017, 7,679 cases of syphilis in pregnancy and 1,554 congenital syphilis cases were reported. A rising trend was found in the rates of syphilis in pregnancy (annual percent change [APC] = 18.0 - 95% confidence interval [95%CI] 15.3;20.8) as well as in congenital syphilis rates (APC=16.8 - 95%CI 20.1;33.8); and a 326% increase in the number of municipalities with a congenital syphilis incidence rate >0.5/1,000 live births. Conclusion: Growth in syphilis in pregnancy and congenital syphilis detection rates was identified, as was growth in the number of municipalities reporting cases.
Databáze:	MEDLINE
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