Evidence map›Paper›PMID 37188340›Full record

ArticleThe American journal of tropical medicine and hygiene2023

Spatial Distribution of Gestational Syphilis in Brazil: Socioeconomic and Health Services Inequalities.

Janmilli da Costa Dantas, Cristiane da Silva Ramos Marinho, Yago Tavares Pinheiro, Maria Ângela Fernandes Ferreira, Richardson Augusto Rosendo da Silva

Abstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Spatiotemporal heterogeneity of gestational syphilis in the 1st Health Region of Pará in the Brazilian Amazon.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
    Article
  3. Article
  4. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Janmilli da Costa DantasGraduate Program in Collective Health, Federal University of Rio Grande do Norte, Natal, Brazil.
Cristiane da Silva Ramos MarinhoGraduate Program in Collective Health, Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Brazil.
Yago Tavares PinheiroGraduate Program in Collective Health, Federal University of Rio Grande do Norte, Natal, Brazil.
Maria Ângela Fernandes FerreiraGraduate Program in Collective Health, Department of Dentistry, Federal University of Rio Grande do Norte, Natal, Brazil.
Richardson Augusto Rosendo da SilvaGraduate Program in Collective Health, Health Sciences Center, Federal University of Rio Grande do Norte, Natal, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to analyze the spatial distribution of gestational syphilis from 2008 to 2018 in Brazil and identify correlations with socioeconomic and health-care aspects. This ecological study used municipalities of Brazil as the unit of analysis. Data collection took place between June and July 2021. Data were extracted for 2008 to 2018, and information on the epidemic in animals in the country was obtained from data records. The gestational syphilis detection rate was the dependent variable, and the independent variables were the Municipal Human Development Index, the proportion of doctors per inhabitant in primary health care (PHC), and the percentage of PHC coverage. The data went through an aggregation process in 482 immediate regions of urban articulation. The global Moran's I index and the local spatial correlation indicator detected territorial clusters using GeoDa software. The gestational syphilis detection rate was distributed unevenly in the immediate regions of urban articulation between 2008 and 2018, and presented a negative spatial correlation with the Municipal Human Development Index (Moran's I = -0.243, P ≤ 0.05), the percentage of PHC coverage (Moran's I = -0.163, P ≤ 0.05), and the proportion of doctors per inhabitants in PHC (Moran's I = -0.164, P ≤ 0.05). Socioeconomic inequalities, mainly related to the availability of human resources and access to health services, are correlated with the spatial distribution of gestational syphilis in Brazil. Investments in social policies and strengthening of PHC are essential for controlling gestational syphilis.

Indexed as

SyphilisAnimalsBrazilCitiesHealth ServicesHumansSocioeconomic FactorsSpatial Analysis

Identifiers

PMID37188340
PMCPMC10324014

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.