Temporal analysis of gestational and congenital syphilis indicators in Brazil: toward the elimination of vertical transmission by 2030?
ABSTRACT Objective: To analyze, at national and regional levels, the trend of proxy indicators for the progress toward the elimination of the vertical transmission of syphilis in Brazil. Methods: This is an ecological study that assessed the annual percent change (APC) of indicators related to ges...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Associação Brasileira de Pós-Graduação em Saúde Coletiva
2025-06-01
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| Series: | Revista Brasileira de Epidemiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2025000100902&lng=en&tlng=en |
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| Summary: | ABSTRACT Objective: To analyze, at national and regional levels, the trend of proxy indicators for the progress toward the elimination of the vertical transmission of syphilis in Brazil. Methods: This is an ecological study that assessed the annual percent change (APC) of indicators related to gestational and congenital syphilis. Results: An APC of 11.15% was observed in the detection rate of gestational syphilis (95% confidence interval — 95%CI 2.78–23.19), with stability in congenital syphilis across all regions. There was a reduction of prenatal care coverage among pregnant women with syphilis (APC=-7.34%; 95%CI -10.15; -5.33), and also a decrease in late diagnosis of the infection (APC=-10.77%; 95%CI -14.29; -8.79). Conclusions: We evidenced challenges in achieving the 2030 elimination targets, highlighting the need for adjustments in current public policies on syphilis prevention and control. |
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| ISSN: | 1980-5497 |