Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 25, Number 8—August 2019
Research

Congenital Syphilis as a Measure of Maternal and Child Healthcare, Brazil

Maria Lusia de Morais Belo Bezerra, Flávia Emília Cavalcante Valença Fernandes, João Paulo de Oliveira Nunes, Solma Lúcia Souto Maior de Araújo Baltar, Karina Perrelli RandauComments to Author , and Karina Perrelli Randau.
Author affiliations: Universidade Federal de Pernambuco, Recife, Brazil (M.L.M.B. Bezerra, F.E.C.V. Fernandes, S.L.S.M.A. Baltar, K.P. Randau); Universidade Federal de Alagoas, Arapiraca, Brazil (J.P.O. Nunes).

Main Article

Table 5

Correlation between congenital syphilis case rates, death, epidemiologic, and socioeconomic variables, Brazil, 2010–2015*

Variable Congenital syphilis,† n = 77,414
 Infant death,‡ 
n = 906
 Fetal death,§ 
n = 2,877
 Stillbirth,¶ 
n = 3,130
r value# p value r value# p value r value# p value r value# p value
Maternal syphilis 0.688 <0.001 0.535 0.002 0.563 0.001 0.301 0.106
Infant death 0.679 <0.001 – – 0.439 0.015 0.523 0.003
Fetal death 0.859 <0.001 0.439 0.015 – – 0.814 <0.001
Stillbirth 0.829 <0.001 0.523 0.003 0.814 <0.001 – –
Maternal schooling >8 y 0.824 <0.001 0.505 0.004 0.748 <0.001 0.737 <0.001
No prenatal care 0.305 0.101 0.132 0.486 0.360 0.051 0.613 <0.001
Inadequate maternal treatment 0.066 0.728 0.160 0.399 0.129 0.498 0.014 0.941
Untreated maternal partner 0.066 0.728 0.342 0.064 0.012 0.950 0.040 0.833
Rapid syphilis test of pregnant women 0.519 0.003 0.419 0.020 0.511 0.003 0.727 <0.001
Illiteracy rates** 0.476 0.418 0.430 0.470 0.251 0.684 0.348 0.566
Human Development Index** 0.355 0.557 0.456 0.441 0.013 0.984 0.040 0.949
Gini Index** 0.323 0.596 0.604 0.281 0.096 0.878 0.103 0.870
Social Vulnerability Index** 0.467 0.426 0.627 0.256 0.172 0.781 0.193 0.754

*Bold text indicates statistically significant values (p<0.05).
†Congenital syphilis rates include spontaneous abortion and stillbirth rates.
‡Death in live-born infants from birth through 12 months of age.
§Fetal death at <22 weeks gestation in mothers with positive syphilis seroreactive tests.
¶Stillborn infants of >22 weeks gestation born to mothers with positive syphilis seroreactive tests.
#Calculated using Pearson correlation coefficient.
**Values from 2010, during the country’s last population census.

Main Article

Page created: July 16, 2019
Page updated: July 16, 2019
Page reviewed: July 16, 2019
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external