{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T06:09:57Z","timestamp":1778911797574,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:00:00Z","timestamp":1758844800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2025,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Congenital syphilis rates have been increasing since 2012 and are associated with adverse health outcomes. There is variability in screening guidelines, and little is known about provider knowledge of them. The purpose was to assess the awareness and acceptability of prenatal syphilis guidelines among physicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      We cross-sectionally assessed prenatal provider (MD\/DO;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 201) awareness and adoption of national guidelines. Feasibility was assessed through the feasibility of the intervention measure, acceptability using the acceptability of the intervention measure, and appropriateness using the intervention appropriateness measure. Each measure included four items on a five-point Likert scale from strongly disagree (1) to strongly agree (5). The final analysis compared relative advantage, compatibility, complexity, observability, and trialability across the guidelines. Data analysis was completed in SAS v9.4, and this study was approved by the university\u2019s IRB.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Providers discussed (84%) and recommended (91%) prenatal syphilis screening to their patients. Providers (87%) were aware of their professional organizations\u2019 prenatal syphilis screening recommendations and utilized the American Academy of Pediatrics\/American Congress of Obstetrics and Gynecology guideline (74%). Universal screening (62%), pregnancy trimester (54%), and professional organizations\u2019 recommended guidelines (54%) were associated with recommending syphilis screening to prenatal patients. The most important factor was universal screening (33%). The Centers for Disease Control and Prevention guideline had the highest mean relative advantage score (3.56,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.020), and the United States Preventive Services Task Force guideline was viewed as significantly clearer (9.76) compared to the other guidelines (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.007).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Participants discussed and recommended prenatal syphilis screening to their patients despite variability in screening guidelines. Future studies should analyze guideline dissemination to fully understand the adoption process.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15409996251382057","type":"journal-article","created":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T11:59:03Z","timestamp":1758887943000},"page":"1357-1364","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Awareness, Acceptability, and Adoption of Prenatal Syphilis Screening Guidelines"],"prefix":"10.1177","volume":"34","author":[{"given":"Stacey B.","family":"Griner","sequence":"first","affiliation":[{"name":"College of Public Health, University of North Texas Health Science Center, Fort Worth, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malinee","family":"Neelamegam","sequence":"additional","affiliation":[{"name":"College of Public Health, University of North Texas Health Science Center, Fort Worth, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaeli","family":"Johnson","sequence":"additional","affiliation":[{"name":"College of Public Health, University of North Texas Health Science Center, Fort Worth, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashlyn","family":"Kinard","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Washington University, St. Louis, Missouri, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra N.","family":"Farris","sequence":"additional","affiliation":[{"name":"College of Public Health, University of North Texas Health Science Center, Fort Worth, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Brosnan","sequence":"additional","affiliation":[{"name":"College of Health Professions, University of North Texas Health Science Center, Fort Worth, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meaghan","family":"Nelsen","sequence":"additional","affiliation":[{"name":"Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,26]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7246e1"},{"key":"e_1_3_2_3_2","unstructured":"Centers for Disease Control and Prevention. Sexually Transmitted Infections Surveillance. 2023. Available from: https:\/\/www.cdc.gov\/sti-statistics\/annual\/index.html"},{"key":"e_1_3_2_4_2","unstructured":"Centers for Disease Control and Prevention. Sexually Transmitted Infections (STI) Treatment Guidelines. 2021. Available from: https:\/\/www.cdc.gov\/std\/treatment-guidelines\/default.htm"},{"key":"e_1_3_2_5_2","volume-title":"Guidelines for Perinatal Care","author":"American Academy of Pediatrics and American College of Obstetricians and Gynecologists [AAP\/ACOG]","year":"2017","unstructured":"American Academy of Pediatrics and American College of Obstetricians and Gynecologists [AAP\/ACOG]. Guidelines for Perinatal Care, Eighth Edition. American Academy of Pediatrics; 2017."},{"key":"e_1_3_2_6_2","unstructured":"American College of Obstetricians and Gynecologists. Screening for Syphilis in Pregnancy. Available from: https:\/\/www.acog.org\/clinical\/clinical-guidance\/practice-advisory\/articles\/2024\/04\/screening-for-syphilis-in-pregnancy"},{"key":"e_1_3_2_7_2","unstructured":"United States Preventive Services Task Force. Syphilis Infection During Pregnancy: Screening. Available from: https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation\/syphilis-infection-in-pregnancy-screening"},{"key":"e_1_3_2_8_2","unstructured":"Centers for Disease Control and Prevention. State Statutory and Regulatory Language Regarding Prenatal Syphilis Screenings in the United States. Available from: https:\/\/www.cdc.gov\/syphilis\/hcp\/prenatal-screening-laws\/index.html"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000002089"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2023.100937"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0249419"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000001936"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/olq.0000000000002072"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2022.12.002"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-023-01286-z"},{"key":"e_1_3_2_16_2","volume-title":"Diffusion of Innovations","author":"Rogers EM","year":"2003","unstructured":"Rogers EM. Diffusion of Innovations. Fifth ed. Free Press; Simon and Schuster; 2003."},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-4-50"},{"key":"e_1_3_2_18_2","volume-title":"Dynata\u2019s Approach to Data Quality","author":"Dynata I","year":"2024","unstructured":"Dynata I. Dynata\u2019s Approach to Data Quality. Dynata; 2024."},{"issue":"1","key":"e_1_3_2_19_2","article-title":"Prenatal COVID-19 vaccine recommendations: Physician behaviors, comfort, and perceived patient receptiveness","volume":"8","author":"Griner SB","year":"2025","unstructured":"Griner SB, , Aiken J, , Johnson KC, et al. Prenatal COVID-19 vaccine recommendations: Physician behaviors, comfort, and perceived patient receptiveness. Health Behav Res, 2025; 8(1).","journal-title":"Health Behav Res"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0635-3"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-3-41"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1093\/her\/17.3.315"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.4278\/0890-1171-6.3.214"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15057"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehad279"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12961-021-00764-4"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04883-w"},{"key":"e_1_3_2_28_2","volume-title":"Screening for Chlamydia Trachomatis and Neisseria Gonorrhoeae During Pregnancy: A Health Technology Assessment","author":"Kanga IWD","year":"2018","unstructured":"Kanga IWD, , Hatchette T, et al. Screening for Chlamydia Trachomatis and Neisseria Gonorrhoeae During Pregnancy: A Health Technology Assessment. Canadian Agency for Drugs and Technologies in Health; 2018."},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.07.041"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-022-07100-3"},{"key":"e_1_3_2_31_2","unstructured":"National Committee for Quality Assurance. National STI Awareness Week: Increases in Chlamydia Screening Rates and a New HEDIS Measure for Congenital Syphilis. Available from: https:\/\/www.ncqa.org\/blog\/national-sti-awareness-week-increases-in-chlamydia-screening-rates-and-a-new-hedis-measure-for-congenital-syphilis\/"},{"key":"e_1_3_2_32_2","unstructured":"Frederiksen BN Ranji U Gomez I et al. A National Survey of OBGYNs\u2019 Experiences After Dobbs. 2023. 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