Prevalence of syphilis and associated factors among pregnant women in Brazil: systematic review and meta-analysis.

Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI:10.61622/rbgo/2024rbgo28

Iana Mundim de Oliveira, Regilane Cordeiro Dos Santos, Renan Alves Silva, Rosane Ribeiro Figueiredo Alves, Bruno César Teodoro Martins, Leonardo Ribeiro Soares

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Abstract

Objective: This systematic review accompanied by a meta-analysis aimed to estimate the prevalence of syphilis in pregnant women in Brazil and describe its associated factors.

Methods: Following the establishment the search strategies and the registration of the review protocol in PROSPERO, we conducted a search for relevant articles in the Pubmed, LILACS, Science Direct, SciELO and Web of Science databases. Our inclusion criteria were cross-sectional studies published between 2005 and 2023, with no language restrictions. The combined prevalence of syphilis infection was estimated using the random effects model in the R Software with a 95% confidence interval (95% CI) and p < 0.01 as statistically significant.

Results: A total of 24 articles were recruited, which together investigated 221,884 women. The combined prevalence of syphilis in pregnant women in Brazil was 1.79% (95% CI: 1.24-2.57%), and the main factors associated with its occurrence were black and brown skin color, low education and factors related to the partner.

Conclusion: There was a high prevalence of syphilis in pregnancy in Brazil, mainly associated with socioeconomic factors.

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巴西孕妇梅毒患病率及相关因素：系统回顾与荟萃分析。

目的本系统综述及荟萃分析旨在估算巴西孕妇梅毒患病率，并描述其相关因素：在制定检索策略并在 PROSPERO 上注册审查协议后，我们在 Pubmed、LILACS、Science Direct、SciELO 和 Web of Science 数据库中检索了相关文章。我们的纳入标准是 2005 年至 2023 年间发表的横断面研究，没有语言限制。使用R软件中的随机效应模型估算梅毒感染的综合流行率，置信区间（95% CI）为95%，P<0.01为具有统计学意义：共征集到 24 篇文章，对 221 884 名女性进行了调查。巴西孕妇梅毒综合患病率为1.79%（95% CI：1.24%-2.57%），与梅毒发生相关的主要因素是黑色和棕色肤色、低学历以及与伴侣相关的因素：结论：巴西妊娠期梅毒发病率较高，主要与社会经济因素有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia

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