Universidade Federal do Ceará, Programa de Pós-graduação em Enfermagem. Fortaleza, CE, Brazil.
Universidade Estadual do Ceará, Departamento de Enfermagem. Fortaleza, CE, Brazil.
Rev Esc Enferm USP. 2021 Sep 15;55:e20200271. doi: 10.1590/1980-220X-REEUSP-2020-0271. eCollection 2021.
To analyze, in the light of the social-ecological theory, the temporal progression of gestational syphilis and its relationship with the implementation of the rede cegonha in Ceará.
This is a retrospective documental study, based on the information system of notifiable diseases about gestational syphilis in the perspective of the social-ecological theory. The sample consisted of all notifications from the state of Ceará in the period from 2007 to 2017. Data collection was carried out in October 2019.
A total of 229,558 cases of gestational syphilis was reported in Brazil; of these, 7,040 were from the state of Ceará (3.1%), with a growing increase in cases over the years. Regarding the distribution of syphilis cases between the period before and after the implementation of the rede cegonha, there was an association with education (p < 0.0001), clinical classification (p < 0.0001), and gestational age (p = 0.0005).
Despite the implementation of public policies and improvement of the epidemiological surveillance system, there is still a long way to go to control syphilis during pregnancy.
根据社会生态学理论分析妊娠梅毒的时间进程及其与塞阿拉州 rede cegonha 实施的关系。
这是一项基于社会生态学理论的传染病报告信息系统的回顾性文献研究。样本包括 2007 年至 2017 年期间来自塞阿拉州的所有妊娠梅毒报告。数据收集于 2019 年 10 月进行。
巴西共报告了 229558 例妊娠梅毒病例；其中，塞阿拉州有 7040 例（3.1%），病例数逐年增加。关于 rede cegonha 实施前后梅毒病例的分布，与教育（p<0.0001）、临床分类（p<0.0001）和孕龄（p=0.0005）有关。
尽管实施了公共政策和改善了流行病学监测系统，但要控制妊娠梅毒仍有很长的路要走。
