Systematic review of temporal trends of congenital syphilis in Brazil
The present study was aimed to retrieve and analyse the temporal trends of congenital syphilis (CS) in Brazil, as well as to list its main associated factors. Methods: In August 2019 a systematic review was developed in four electronic databases (Lilacs, Pubmed, Scielo and Web of Science) and in...
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| Autores principales: | , , , , |
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| Formato: | article |
| Lenguaje: | PT |
| Publicado: |
Universidade de Santa Cruz do Sul
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/b6c6e09ad3d24208abbbfca3730fd260 |
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| Sumario: | The present study was aimed to retrieve and analyse the temporal trends of
congenital syphilis (CS) in Brazil, as well as to list its main associated factors. Methods: In
August 2019 a systematic review was developed in four electronic databases (Lilacs, Pubmed,
Scielo and Web of Science) and in manual searches on reference lists. It was established that
the synthesis of this review would be composed by ecological studies with CS temporal trends
in the Brazilian territory, regardless of the population characteristics and data
representativeness. More specifically, it was also established that the prevalence of CS of the
first and last year of the time series would be presented in the descriptive synthesis. Results:
Of the 2,157 initial studies, 14 adequately met the inclusion criteria and composed the
synthesis. Twelve (85.7%) of these studies showed increases in time trends, with particular
emphasis on the two nationwide studies, which showed positive trends between 2003–2008
(0.4) and 2010–2015 (3.7). Associations were found between CS and socioeconomic and
ethnic factors, especially in the groups of women with low income, low education, brown /
black skin colour and who had untreated partners. Conclusion: most of the available research
showed an increase in the temporal trends of CS, highlighting that these data were observed at
the national, state and municipal levels. Since mothers' socioeconomic and ethnic factors are
associated with higher CS frequencies, efforts are needed to increase the coverage of the
Unified Health System to vulnerable women. |
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