Temporal analysis of gestational and congenital syphilis indicators in Brazil: toward the elimination of vertical transmission by 2030?
ABSTRACT Objective: To analyze, at national and regional levels, the trend of proxy indicators for the progress toward the elimination of the vertical transmission of syphilis in Brazil. Methods: This is an ecological study that assessed the annual percent change (APC) of indicators related to ges...
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Associação Brasileira de Pós-Graduação em Saúde Coletiva
2025-06-01
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| Series: | Revista Brasileira de Epidemiologia |
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| author | Gabriel Pavinati Lucas Vinícius de Lima Marjorie Fairuzy Stolarz Melissa Ferrari Gomes Sidnei Nathan Soares Turquino Gabriela Tavares Magnabosco |
| author_facet | Gabriel Pavinati Lucas Vinícius de Lima Marjorie Fairuzy Stolarz Melissa Ferrari Gomes Sidnei Nathan Soares Turquino Gabriela Tavares Magnabosco |
| author_sort | Gabriel Pavinati |
| collection | DOAJ |
| description | ABSTRACT Objective: To analyze, at national and regional levels, the trend of proxy indicators for the progress toward the elimination of the vertical transmission of syphilis in Brazil. Methods: This is an ecological study that assessed the annual percent change (APC) of indicators related to gestational and congenital syphilis. Results: An APC of 11.15% was observed in the detection rate of gestational syphilis (95% confidence interval — 95%CI 2.78–23.19), with stability in congenital syphilis across all regions. There was a reduction of prenatal care coverage among pregnant women with syphilis (APC=-7.34%; 95%CI -10.15; -5.33), and also a decrease in late diagnosis of the infection (APC=-10.77%; 95%CI -14.29; -8.79). Conclusions: We evidenced challenges in achieving the 2030 elimination targets, highlighting the need for adjustments in current public policies on syphilis prevention and control. |
| format | Article |
| id | doaj-art-e39a5a9c70154dd393bbca0bbd759464 |
| institution | OA Journals |
| issn | 1980-5497 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Associação Brasileira de Pós-Graduação em Saúde Coletiva |
| record_format | Article |
| series | Revista Brasileira de Epidemiologia |
| spelling | doaj-art-e39a5a9c70154dd393bbca0bbd7594642025-08-20T02:05:24ZengAssociação Brasileira de Pós-Graduação em Saúde ColetivaRevista Brasileira de Epidemiologia1980-54972025-06-012810.1590/1980-549720250028Temporal analysis of gestational and congenital syphilis indicators in Brazil: toward the elimination of vertical transmission by 2030?Gabriel Pavinatihttps://orcid.org/0000-0002-0289-8219Lucas Vinícius de Limahttps://orcid.org/0000-0002-9582-9641Marjorie Fairuzy Stolarzhttps://orcid.org/0000-0002-8545-9886Melissa Ferrari Gomeshttps://orcid.org/0000-0003-1705-7030Sidnei Nathan Soares Turquinohttps://orcid.org/0009-0002-5361-0251Gabriela Tavares Magnaboscohttps://orcid.org/0000-0003-3318-6748ABSTRACT Objective: To analyze, at national and regional levels, the trend of proxy indicators for the progress toward the elimination of the vertical transmission of syphilis in Brazil. Methods: This is an ecological study that assessed the annual percent change (APC) of indicators related to gestational and congenital syphilis. Results: An APC of 11.15% was observed in the detection rate of gestational syphilis (95% confidence interval — 95%CI 2.78–23.19), with stability in congenital syphilis across all regions. There was a reduction of prenatal care coverage among pregnant women with syphilis (APC=-7.34%; 95%CI -10.15; -5.33), and also a decrease in late diagnosis of the infection (APC=-10.77%; 95%CI -14.29; -8.79). Conclusions: We evidenced challenges in achieving the 2030 elimination targets, highlighting the need for adjustments in current public policies on syphilis prevention and control.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2025000100902&lng=en&tlng=enSyphilisSyphilis, congenitalInfectious disease transmission, verticalSustainable developmentTime series studies |
| spellingShingle | Gabriel Pavinati Lucas Vinícius de Lima Marjorie Fairuzy Stolarz Melissa Ferrari Gomes Sidnei Nathan Soares Turquino Gabriela Tavares Magnabosco Temporal analysis of gestational and congenital syphilis indicators in Brazil: toward the elimination of vertical transmission by 2030? Revista Brasileira de Epidemiologia Syphilis Syphilis, congenital Infectious disease transmission, vertical Sustainable development Time series studies |
| title | Temporal analysis of gestational and congenital syphilis indicators in Brazil: toward the elimination of vertical transmission by 2030? |
| title_full | Temporal analysis of gestational and congenital syphilis indicators in Brazil: toward the elimination of vertical transmission by 2030? |
| title_fullStr | Temporal analysis of gestational and congenital syphilis indicators in Brazil: toward the elimination of vertical transmission by 2030? |
| title_full_unstemmed | Temporal analysis of gestational and congenital syphilis indicators in Brazil: toward the elimination of vertical transmission by 2030? |
| title_short | Temporal analysis of gestational and congenital syphilis indicators in Brazil: toward the elimination of vertical transmission by 2030? |
| title_sort | temporal analysis of gestational and congenital syphilis indicators in brazil toward the elimination of vertical transmission by 2030 |
| topic | Syphilis Syphilis, congenital Infectious disease transmission, vertical Sustainable development Time series studies |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2025000100902&lng=en&tlng=en |
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