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巴西圣埃斯皮里图州 2001-2018 年妊娠梅毒和先天性梅毒的空间分析。

Spatial analysis of syphilis in pregnancy and congenital syphilis in the state of Espírito Santo, Brazil, 2001-2018.

机构信息

Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Espírito Santo, Vitória, ES, Brazil.

Secretaria de Estado da Saúde do Espírito Santo, Vitória, ES, Brasil.

出版信息

Epidemiol Serv Saude. 2020;29(1):e2018193. doi: 10.5123/s1679-49742020000100018. Epub 2020 Apr 6.

DOI:10.5123/s1679-49742020000100018
PMID:32490938
Abstract

OBJECTIVE

to analyze the spatial distribution of syphilis cases in pregnancy and congenital syphilis cases, from 2011 to 2018.

METHODS

this was an ecological study applying spatial analysis of syphilis cases in pregnancy and congenital syphilis reported on the Notifiable Diseases Information System; TerraView 4.2.0 software was used.

RESULTS

seventy-eight municipalities were analyzed, and evidence of a significant cluster was found for syphilis in pregnant women (Moran index=0.38; p=0.01) and for congenital syphilis (Moran index=0.31; p=0.01) in the greater Vitória region and north coast municipalities; along the north and metropolitan coastal regions some 30 municipalities were identified as having higher occurrence of the outcomes, as well as some 14 municipalities with a high proportion of congenital syphilis and a low proportion of syphilis in pregnancy.

CONCLUSION

the study identified places where interventions and prenatal care professional training need to be channeled, with the aim of controlling syphilis in pregnancy and congenital syphilis.

摘要

目的

分析 2011 年至 2018 年期间妊娠梅毒和先天梅毒病例的空间分布。

方法

本研究为应用于妊娠梅毒和先天梅毒报告的传染病监测系统的空间分析的生态研究;采用 TerraView 4.2.0 软件。

结果

对 78 个城市进行了分析,在大维多利亚地区和北部沿海城市发现了妊娠梅毒(莫兰指数=0.38;p=0.01)和先天梅毒(莫兰指数=0.31;p=0.01)的显著聚集性;在北部和沿海地区的约 30 个城市被确定为梅毒和先天梅毒发生率较高的地区,以及 14 个先天梅毒比例较高而妊娠梅毒比例较低的城市。

结论

本研究确定了需要干预和进行产前保健专业培训的地点,以控制妊娠梅毒和先天梅毒。

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