ArticleSexually transmitted diseases2018
Social Vulnerability in Congenital Syphilis Case Mothers: Qualitative Assessment of Cases in Indiana, 2014 to 2016.
Article in Sexually transmitted diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Sexually Transmitted Infections Treatment Guidelines, 2021.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2021Guideline
- Infectious Diseases Among People Experiencing Homelessness: A Systematic Review of the Literature in the United States and Canada, 2003-2022.Public health reports (Washington, D.C. : 1974)Pooled it
- Distribution of Mother-to-Child Transmitted (MTCT) Infections and Socioeconomic Vulnerability Within the Gran Chaco Region.Tropical medicine and infectious disease · 2026Article
- Trends in Syphilis Partner Services Outcomes Among Women in 8 US Jurisdictions, 2015-2022.Sexually transmitted diseases · 2026Article
- Neighborhood Social Vulnerability and Access to Expedited Partner Therapy Prescriptions: A Secret Shopper Audit Survey.Sexually transmitted diseases · 2026Article
- Identifying missed prevention opportunities: maternal and congenital syphilis in hospital records and birth certificates in California from 2011 to 2021.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Gestational syphilis and prenatal care: a study in light of individual, social, and programmatic vulnerabilities.Revista da Escola de Enfermagem da U S P · 2026Article
- Characterization of substance use disorder during pregnancy in a syphilis population.Pregnancy (Hoboken, N.J.) · 2025Article
- Patterns of Congenital Syphilis in a Large Public Hospital: Maternal Risk Factors and Infant Outcomes.Sexually transmitted diseases · 2025Article
- Clinical and laboratory characteristics of neurosyphilis: analysis of symptoms and risk factors.European journal of medical research · 2025Article
- Evaluating the Effectiveness of Spousal Testing Among Syphilis-Infected Pregnant Women in the Context of Mother-to-Child Transmission Elimination: A Multicenter Study in Southeastern China.Risk management and healthcare policy · 2025Article
- Multilevel Drivers of Congenital Syphilis, Oregon, 2013 to 2021.Sexually transmitted diseases · 2025Article
- Congenital Syphilis Prevention Challenges, Pacific Coast of Colombia, 2018-2022.Emerging infectious diseases · 2024Review
- Comparing 7-Day Versus 6-8-Day Penicillin Treatment Intervals Among Pregnant People With Syphilis of Late or Unknown Duration: No Difference Found in Incidence of Congenital Syphilis.Open forum infectious diseases · 2023Article
- Risk Factors Associated with Congenital Syphilis, Georgia, 2008-2015.Infectious diseases in obstetrics and gynecology · 2023Observational
- Congenital Syphilis Epidemiology, Prevention, and Management in the United States: A 2022 Update.Cureus · 2022Review
- Understanding perinatal patient's health preferences and patient-provider relationships to prevent congenital syphilis in California and Louisiana.BMC pregnancy and childbirth · 2022Article
- Characteristics of Pregnant Women With Syphilis and Factors Associated With Congenital Syphilis at a Chicago Hospital.Open forum infectious diseases · 2022Article
- Congenital syphilis prevention in the context of methamphetamine use and homelessness.The American journal on addictions · 2022Article
- COVID-19 one year on: identification of at-risk groups for psychological trauma and poor health-protective behaviour using a telephone survey.BMC psychiatry · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundCongenital syphilis occurs when a pregnant woman with syphilis is not diagnosed or treated and the infection is passed in utero, causing severe infant morbidity and mortality. Congenital syphilis is easily prevented if women receive timely and adequate prenatal care. Cases of congenital syphilis are considered indicators of problems in the safety net. However, maternal social and behavioral factors can impede women's care, even when providers follow guidelines.
methodsWe reviewed case interviews and maternal records for 23 congenital syphilis cases reported to the Centers for Disease Control and Prevention from Indiana between 2014 and 2016. We used qualitative methods to analyze narrative notes from maternal interviews to learn more about factors that potentially contributed to congenital syphilis cases.
resultsAll providers followed Centers for Disease Control and Prevention and state recommendations for screening and treatment for pregnant women with syphilis. Twenty-one of 23 women had health insurance. The number of prenatal care visits women had was suboptimal; more than one third of women had no prenatal care. Nearly one third of women's only risk factor was sex with a primary male sex partner. The majority of women suffered social vulnerabilities, including homelessness, substance abuse, and incarceration.
conclusionsDespite provider adherence to guidelines and health insurance availability, some pregnant women with syphilis are unlikely to receive timely diagnosis and treatment. Pregnant women at high risk for syphilis may need additional social and material support to prevent a congenital syphilis case. Additional efforts are needed to reach the male partners of vulnerable females with syphilis.
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