ArticleRevista de saude publica2021
Effect of the coverage of rapid tests for syphilis in primary care on the syphilis in pregnancy in Brazil.
Article in Revista de saude publica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 24 citations in OpenAlex.
- The neglected role of partner treatment in congenital syphilis control in Brazil: nationwide evidence from 2007 to 2023.Lancet regional health. Americas · 2026Article
- [Dual Test in Pregnant Women: Case of a General Zone Hospital with Family Medicine].Revista medica del Instituto Mexicano del Seguro Social · 2026Observational
- [Prenatal care: a temporal analysis using data from the 2013 and 2019 Brazilian National Health Survey].Cadernos de saude publica · 2025Article
- Prenatal syphilis and adverse pregnancy outcomes in women with HIV receiving ART in Brazil: a population-based study.Lancet regional health. Americas · 2024Article
- High Prevalence of Syphilis among Young Pregnant Women in the Brazilian Amazon: A Cross-Sectional Study Based on Clinical Records in a Public Health Reference Unit in the City of Belém.Pathogens (Basel, Switzerland) · 2024Article
- Acquired syphilis in older people in Brazil from 2010-2020.PloS one · 2024Article
- Congenital syphilis, syphilis in pregnancy and prenatal care in Brazil: An ecological study.PloS one · 2024Article
- Estimating the real burden of gestational syphilis in Brazil, 2007-2018: a Bayesian modeling study.Lancet regional health. Americas · 2023Article
- Spatial Distribution of Gestational Syphilis in Brazil: Socioeconomic and Health Services Inequalities.The American journal of tropical medicine and hygiene · 2023Article
- Temporal Trend of Gestational Syphilis between 2008 and 2018 in Brazil: Association with Socioeconomic and Health Care Factors.International journal of environmental research and public health · 2022Article
- Spatiotemporal distribution analysis of syphilis in Brazil: Cases of congenital and syphilis in pregnant women from 2001-2017.PloS one · 2022Article
- Determinants of gestational syphilis among women attending prenatal care programs in the Brazilian Amazon.Frontiers in public health · 2022Article
- Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyze the effect of rapid tests coverage in Primary Care on syphilis detection rate in pregnant women in Brazil, in municipalities with more than 100,000 inhabitants.
methodsThe dependent variable was the syphilis detection rate in pregnant women between 2012 and 2018. As the main independent variables, the methods for measuring the coverage of rapid tests for syphilis in Primary Care were used and, as adjustment variables, some indicators of health services and socioeconomic. We opted for a linear regression model for panel data (panel data analysis), considering the municipality as the unit of analysis and the year as the time variable.
resultsFrom the results of the final model, we can infer that, for a given municipality, as the rate of rapid tests increases by one point for every thousand live births, the detection rate of syphilis in pregnant women increases by an average of 0.02 cases per thousand live births (p < 0.001). This value is adjusted for Family Health coverage, proportion of health facilities per inhabitant, per capita expenditure on health and the Human Development Index.
conclusionsThere was a substantial improvement in the amount of rapid tests available, as well as a significant increase in the number of tests performed in pregnant women, which predicts an increase in syphilis rates in pregnant women. However, a worrying hypothesis is that the number of tests performed on pregnant women during the analyzed period may have been insufficient to detect the progress of the epidemic in this population.
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