Detection of gestational and congenital syphilis in Paraná state, Brazil, 2007-2021: a time series analysis

• Main Authors: Giovana Gomes de Oliveira (Author), Isadora Gabriella Silva Palmieri (Author), Lucas Vinícius de Lima (Author), Gabriel Pavinati (Author), Vitória Maytana Alves dos Santos (Author), Kelly Cristina Suzue Iamaguchi Luz (Author), Gabriela Tavares Magnabosco (Author)
• Format: Book
• Published: Ministério da Saúde do Brasil, 2024-06-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

Abstract Objective: To describe temporal trends in the detection rates of gestational and congenital syphilis, by maternal age and health macro-region of the state of Paraná, Brazil, 2007-2021. Methods: This was a time-series study using surveillance data; the trend analysis was performed by means of joinpoint regression, and average annual percent change (AAPC) and 95% confidence intervals (95%CI) were estimated. Results: An increase in statewide detection of gestational syphilis (AAPC = 21.7; 95%CI 17.7; 32.8) and congenital syphilis (AAPC = 14.8; 95%CI 13.0; 19.7) was found; an increase was also found in the health macro-regions, with the Northwest (gestational, AAPC = 26.1; 95%CI 23.4; 31.6) and North (congenital, AAPC = 23.8; 95%CI 18.8; 48.9) macro-regions standing out; statewide rising trends were observed for young women [gestational, AAPC = 26.2 (95%CI 22.4; 40.6); congenital, AAPC = 19.4 (95%CI 17.6; 21.8)] and adult women [gestational, AAPC = 21.3 (95%CI 16.9; 31.9); congenital, AAPC = 13.7 (95%CI 11.9; 19.3)]. Conclusion: Maternal and child syphilis detection rates increased in the state, regardless of maternal age and health macro-region.

Item Description

2237-9622
10.1590/s2237-96222024v33e2024188.en