Banca de DEFESA: MARIA AUXILIADORA SANTOS SOARES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : MARIA AUXILIADORA SANTOS SOARES
DATA : 17/12/2020
HORA: 09:00
LOCAL: Remotamente
TÍTULO:

ASSOCIATION BETWEEN INCIDENCE RATES FOR GESTATIONAL SYPHILIS AND CONGENITAL SYPHILIS AND PRENATAL COVERAGE IN THE STATE OF BAHIA

PALAVRAS-CHAVES:

Congenital syphilis; Gestacional syphilis; Prenatal care; Health Information System; Bahia.

PÁGINAS: 92
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Epidemiologia
RESUMO:

Introduction: Syphilis is a chronic infectious disease, spread through sexual contact, blood
transfusion or vertical transmission; it may be classified as acquired, gestational or congenital
syphilis. Congenital syphilis results in severe outcomes during pregnancy and after the birth,
highlighting short comings in prenatal care, given that it can be avoided when gestational
syphilis is detected and adequately treated. Objective: To describe the characteristics, degree
of completeness and distribution of gestational and congenital syphilis cases, and to analyze
the association between the incidence rates of gestational and congenital syphilis and prenatal
care coverage in the period between 2007 and 2017 in the State of Bahia. Methodology:
Ecological and longitudinal study, which adopted as units of analysis the municipalities of the
State of Bahia. Secondary data from the Health Information System databases was employed.
The incidence rates for gestational and congenital syphilis were considered the dependent
variables, while prenatal care coverage was assumed as the independent variable. A
descriptive analysis of gestational and congenital syphilis cases was carried out for the health
macro-regions and for the State. The records completeness at the state level was assessed as
the percentage of records with missing information in relation to the total number of cases
reported per studied period. The analysis of the association between the outcomes and
prenatal care coverage was completed by means of panel data, with a fixed-effects negative
binomial model, controlling for socio-economic, demographic and time variables. Data was
processed and organized with Excel, and analyzed with the software StateSE 12. Results: The
evolution in temporal data showed an increase in incidence rates for gestational and
congenital syphilis in the State and across the health macro-regions. The degree of
completeness was assessed to be fair or poor for some variables. The multivariate analysis
pointed at a statistically significant positive association between prenatal care coverage and
the incidence of gestational syphilis, which increased by 22% and 25% in the municipalities
with a prenatal care coverage between 45.00% and 64.99% (RR = 1,22; IC95% = 1,11 -
1,33),and above 64.99% (RR = 1,25; IC95% = 1,10 - 1,43), respectively. No statistically
significant association was found between prenatal care coverage and the incidence rate for
congenital syphilis. Conclusions: The findings suggest that prenatal care has been effective
for the detection of gestational syphilis cases, however it has not induced a reduction in the
incidence rate of congenital syphilis.

MEMBROS DA BANCA:
Interno - 1226136 - JOILDA SILVA NERY
Externo à Instituição - MARCIA SAO PEDRO LEAL SOUZA - SESAB
Presidente - 284.048.585-00 - ROSANA AQUINO GUIMARAES PEREIRA - UFBA