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Volume 30, Number 5—May 2024
Synopsis

Congenital Syphilis Prevention Challenges, Pacific Coast of Colombia, 2018–2022

Jose F. Fuertes-Bucheli1, Diana P. Buenaventura-Alegría1, Adriana M. Rivas-Mina, and Robinson Pacheco-LópezComments to Author 
Author affiliations: Universidad Icesi, Cali, Colombia (J.F. Fuertes-Bucheli, R. Pacheco-López); Centro Internacional de Entrenamiento e Investigaciones Médicas–CIDEIM, Cali (J.F. Fuertes-Bucheli); Hospital Distrital Luis Ablanque de la Plata, Buenaventura, Colombia (D.P. Buenaventura-Alegría); Universidad Libre, Cali (D.P. Buenaventura-Alegría, A.M. Rivas-Mina)

Main Article

Table 2

Factors associated with having >1 screening test for syphilis in a prenatal care program of a public hospital, Buenaventura, Colombia, 2018–2022*

Characteristic >1 syphilis screening test
 Crude OR (95% CI) p value
No
 Yes
Age group, y
<18
Yes 258 (20.8) 353 (16.5) 1.33 (1.11–1.60) 0.001†
No 981 (79.2) 1,786 (83.5) Referent
19–34
Yes 897 (72.4) 1,578 (73.8) 0.93 (0.79–1.09) 0.383
No 342 (27.6) 561 (26.2) Referent
>35
Yes 84 (6.8) 208 (9.7) 0.67 (0.51–0.88) 0.003†
No
 1,155 (93.2)
 1,931 (90.3)
 Referent
Educational level‡
Basic or lower 1,198 (96.7) 2,009 (93.9) 1.89 (1.31–2.77) <0.001†
Postsecondary
 41 (3.3)
 130 (6.1)
 Referent
Socioeconomical stratum§
1: low-low 1,205 (97.3) 1,964 (91.8) 3.16 (2.16–4.74) <0.001†
2: low
 34 (2.7)
 175 (8.2)
 Referent
Residential area
Rural 52 (4.2) 97 (4.5) 0.92 (0.64–1.31) 0.644
Urban
 1,187 (95.8)
 2,042 (95.5)
 Referent
Ethnicity
Afro-Colombian 1,197 (96.6) 2,129 (99.5) 0.13 (0.06–0.27) <0.001†
Other
 42 (3.4)
 10 (0.5)
 Referent
Occupation
Head of household¶ 987 (79.7) 1,670 (78.1) 1.09 (0.92–1.31) 0.278#
Other
 252 (20.3)
 469 (21.9)
 Referent
Marital status
Single 326 (26.3) 319 (14.9) 2.04 (1.71–2.43) <0.001†
With partner**
 913 (73.7)
 1,820 (85.1)
 Referent
History of ≥3 pregnancies
Yes 321 (25.9) 736 (34.4) 0.67 (0.57–0.78) <0.001†
No
 918 (74.1)
 1,403 (65.6)
 Referent
History of spontaneous abortions
Yes 201 (16.2) 477 (22.3) 0.67 (0.56–0.81) <0.001†
No
 1,038 (83.8)
 1,662 (77.7)
 Referent
History of stillbirths
Yes 23 (1.9) 69 (3.2) 0.57 (0.34–0.93) 0.018†
No
 1,216 (98.1)
 2,070 (96.8)
 Referent
Trimester of access to PCP
Second or third 625 (50.4) 951 (44.5) 1.27 (1.10–1.47) <0.001†
First 614 (49.6)
 1,188 (55.5)
 Referent

*Values are no. (%) except as indicated. PCP, prenatal care program. †Indicates variables with a p value of <0.25 included in the logistic regression. ‡Basic or lower: completed secondary school or lower; postsecondary: technical, university, or higher. §Socioeconomic stratum scale in Colombia: 1 to 6, with 1 being the lowest level. ¶Person, whether single or married, who bears the ongoing responsibility for providing financial or social support to their dependents. #Was included in the multivariate analysis for the importance in Colombian social context. **De facto marriage or married.

Main Article

1These first authors contributed equally to this article.

Page created: March 22, 2024
Page updated: April 25, 2024
Page reviewed: April 25, 2024
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