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Epidemiologia e Serviços de Saúde
versão impressa ISSN 1679-4974versão On-line ISSN 2237-9622
Resumo
NUNES, Patrícia Silva et al. Temporal trend and spatial distribution of syphilis in pregnancy and congenital syphilis in Goiás, Brazil, 2007-2017: an ecological study. Epidemiol. Serv. Saúde [online]. 2021, vol.30, n.1, e2019371. Epub 14-Jan-2021. ISSN 1679-4974. http://dx.doi.org/10.1590/s1679-49742021000100002.
Objective:
To analyze temporal trend and spatial distribution of syphilis in pregnancy and congenital syphilis in Goiás State, Brazil, between 2007 and 2017.
Methods:
This was an ecological time series and spatial distribution study with data obtained from the Notifiable Health Conditions Information System. Prais-Winsten Regression was used to analyze indicator trends by health macro-region. Descriptive spatial analysis was performed to verify case distribution in three different years in the period.
Results:
Between 2007 and 2017, 7,679 cases of syphilis in pregnancy and 1,554 congenital syphilis cases were reported. A rising trend was found in the rates of syphilis in pregnancy (annual percent change [APC] = 18.0 – 95% confidence interval [95%CI] 15.3;20.8) as well as in congenital syphilis rates (APC=16.8 – 95%CI 20.1;33.8); and a 326% increase in the number of municipalities with a congenital syphilis incidence rate >0.5/1,000 live births.
Conclusion:
Growth in syphilis in pregnancy and congenital syphilis detection rates was identified, as was growth in the number of municipalities reporting cases.
Palavras-chave : Syphilis; Syphilis, Congenital; Pregnant Women; Time Series Studies; Geographic Mapping.