ArticlePloS one2021
A qualitative assessment of structural barriers to prenatal care and congenital syphilis prevention in Kern County, California.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07358949 (Feasibility and Acceptability of Point of Care Rapid Syphilis Testing Among Patients Seeking Family Planning Services in Hawai'i), which is not on this map. Cited by 23 papers.
What it found
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Feasibility and Acceptability of Point of Care Rapid Syphilis Testing Among Patients Seeking Family Planning Services in Hawai'i
Who cites it
23 citing papers in PubMed, 47 citations in OpenAlex.
- Resilience paths: maternal experiences in coping with syphilis exposure or congenital infection and the role of support networks.BMC pregnancy and childbirth · 2026Article
- Characteristics and effectiveness of maternal health interventions to prevent mother-to-child transmission (PMTCT) of syphilis in a global setting: a scoping review using Intervention Mapping as a framework.BMC pregnancy and childbirth · 2026Article
- Health literacy and syphilis knowledge: findings from a national survey of U.S. women of reproductive age.BMC public health · 2025Article
- Increased Reporting of Infants Born With Congenital Syphilis to a Local Department of Public Health: A Quality Improvement Project.Open forum infectious diseases · 2025Article
- Characterization of substance use disorder during pregnancy in a syphilis population.Pregnancy (Hoboken, N.J.) · 2025Article
- Article
- Unraveling the resurgence of syphilis: a deep dive into the epidemic sweeping across the United States; a mini review.Annals of medicine and surgery (2012) · 2025Review
- Congenital syphilis related to primary health care and prenatal care coverage: a spatial analysis, Minas Gerais, 2020-2022.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- Factors Related to the Rise of Congenital Syphilis From the Perspectives of Prenatal Providers and Birthing Parents in Chicago, IL, USA.Open forum infectious diseases · 2024Article
- Social Factors Associated With Congenital Syphilis in Missouri.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024Article
- Patient perspective on the elimination mother-to-child transmission of HIV, syphilis, and hepatitis B in Bali, Indonesia: a qualitative study.BMC public health · 2024Article
- Congenital Syphilis: A Re-Emerging but Preventable Infection.Pathogens (Basel, Switzerland) · 2024Review
- Congenital Syphilis Prevention Challenges, Pacific Coast of Colombia, 2018-2022.Emerging infectious diseases · 2024Review
- The rise of congenital syphilis in Canada: threats and opportunities.Frontiers in public health · 2024Review
- Evaluation of Process Indicators and Challenges of the Elimination of Mother-to-Child Transmission of HIV, Syphilis, and Hepatitis B in Bali Province, Indonesia (2019-2022): A Mixed Methods Study.Tropical medicine and infectious disease · 2023Article
- Congenital Syphilis-An Illustrative Review.Children (Basel, Switzerland) · 2023Review
- Estimation of the Lifetime Quality-Adjusted Life Years (QALYs) Lost Due to Syphilis Acquired in the United States in 2018.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023Article
- Examining associations in congenital syphilis infection and socioeconomic factors between California's small-to-medium and large metro counties.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
- Understanding perinatal patient's health preferences and patient-provider relationships to prevent congenital syphilis in California and Louisiana.BMC pregnancy and childbirth · 2022Article
- Geospatial Social Determinants of Health Correlate with Disparities in Syphilis and Congenital Syphilis Cases in California.Pathogens (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Congenital syphilis is the result of placental transmission from mother to fetus of Treponema pallidum. Although congenital syphilis is preventable through timely treatment, the rate of new infections in the United States (US) has increased each year since 2013, and is increasing at a noticeably greater pace in California (CA). Most research into congenital syphilis has focused on individual psychosocial and behavioral factors that contribute to maternal vulnerability for syphilis. The aim of this study was to evaluate structural barriers to prenatal care access and utilization and congenital syphilis prevention in Kern County, CA. Transcripts from 8 in-depth interviews with prenatal care providers and 5 focus group discussions with 42 pregnant and postpartum persons were examined using thematic analysis. Structural barriers experienced by pregnant and postpartum persons to prenatal care access and utilization included (1) burdens of poverty; (2) stigma around substance use in pregnancy; (3) citizenship status; (4) lack of healthcare coverage; (5) low sexual health literacy; and (6) gender inequality Structural barriers experienced by prenatal care providers in congenital syphilis prevention included (1) limited guidance on clinical management of syphilis in pregnancy; (2) decay in public health infrastructure; and (3) inadequate support for managing patients' social comorbidities. The response to congenital syphilis prevention will require an examination of the complex context of social determinants of health in which persons diagnosed with syphilis live in.
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