ArticleBMJ public health2025
Seroprevalence of syphilis and associated factors among pregnant women who attended antenatal care follow-up at public hospitals in Bahir Dar city, north-west Ethiopia: a cross-sectional study.
Article in BMJ public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Abstract
Background: Syphilis, caused by Methods: A cross-sectional study was conducted among 551 pregnant women attending ANC at Tibebe Ghion Specialized Hospital, Felege Hiwot Comprehensive Specialized Hospital and Addis Alem Hospital from January to April 2023 Gregorian Calender (G.C). Participants were selected using systematic random sampling, and data were collected through structured interviews using a pretested questionnaire. Data were processed using EpiData V.3.1 and analysed with SPSS V.25, employing bivariate and multivariable logistic regression to identify significant factors. Results: The seroprevalence of syphilis was 2.4% (95% CI: 1.3-3.8), with a higher prevalence among urban residents (3.6%) compared with rural residents (1%). Significant associations were found between syphilis prevalence and a history of stillbirth (adjusted OR (AOR)=7.28; 95% CI: 1.05-24.87) and a history of active or previous sexually transmitted infections (AOR=5.3; 95% CI: 1.23-22.52). Conclusion: The study's seroprevalence aligns with previous findings, emphasising the need for routine syphilis screening and treatment in ANC services. Special attention should be given to women with a history of stillbirth, other adverse pregnancy outcomes or sexually transmitted infections. Enhanced counselling on syphilis screening and treatment is essential to reduce the burden of syphilis and improve maternal and fetal health outcomes.
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