巴西孕妇梅毒感染率及相关因素：系统评价和荟萃分析。
Prevalence of syphilis and associated factors among pregnant women in Brazil: systematic review and meta-analysis.
机构信息
Universidade Federal de Goiás GoiâniaGO Brazil Universidade Federal de Goiás, Goiânia, GO, Brazil.
Universidade Federal de Campina Grande CajazeirasPB Brazil Universidade Federal de Campina Grande, Cajazeiras, PB, Brazil.
出版信息
Rev Bras Ginecol Obstet. 2024 May 27;46. doi: 10.61622/rbgo/2024rbgo28. eCollection 2024.
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.
目的
本系统评价通过 meta 分析旨在评估巴西孕妇梅毒感染的流行率，并描述其相关因素。
方法
在建立搜索策略并在 PROSPERO 中注册审查方案后，我们在 Pubmed、LILACS、Science Direct、SciELO 和 Web of Science 数据库中搜索相关文章。我们的纳入标准是 2005 年至 2023 年间发表的无语言限制的横断面研究。使用 R 软件中的随机效应模型估算梅毒感染的合并流行率，置信区间（95%CI）为 95%，p<0.01 为统计学显著。
结果
共纳入 24 篇文章，共调查了 221884 名女性。巴西孕妇梅毒感染的合并流行率为 1.79%（95%CI：1.24-2.57%），与发生相关的主要因素是黑人和棕色皮肤、低教育水平和与伴侣相关的因素。
结论
巴西孕妇梅毒感染的流行率较高，主要与社会经济因素有关。
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