{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T08:00:44Z","timestamp":1793260844128,"version":"4.5.0"},"reference-count":32,"publisher":"FapUNIFESP (SciELO)","issue":"7","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>O objetivo deste estudo foi analisar a associa\u00e7\u00e3o entre as taxas de incid\u00eancia da s\u00edfilis gestacional e da s\u00edfilis cong\u00eanita e a cobertura de pr\u00e9-natal no per\u00edodo de 2007 a 2017 no Estado da Bahia, Brasil. Trata-se de um estudo ecol\u00f3gico e longitudinal, cujas unidades de an\u00e1lise foram os munic\u00edpios do Estado da Bahia. Foram utilizados dados secund\u00e1rios, obtidos nas bases de dados dos Sistemas de Informa\u00e7\u00e3o em Sa\u00fade. A an\u00e1lise da associa\u00e7\u00e3o entre as taxas de incid\u00eancia e a cobertura do pr\u00e9-natal foi realizada por meio de dados em painel, utilizando o modelo fixo com resposta binomial negativa, controlada pelas vari\u00e1veis socioecon\u00f4mica, demogr\u00e1fica e de tempo. Nas an\u00e1lises multivariadas, a cobertura de pr\u00e9-natal apresentou associa\u00e7\u00e3o positiva estatisticamente significante com a taxa de incid\u00eancia de s\u00edfilis gestacional, mas n\u00e3o foi observada associa\u00e7\u00e3o com a taxa de incid\u00eancia de s\u00edfilis cong\u00eanita. Tendo como refer\u00eancia o grupo de munic\u00edpios com cobertura pr\u00e9-natal &lt; 45%, a taxa de incid\u00eancia de s\u00edfilis gestacional aumentou em 22% e 25%, respectivamente nos munic\u00edpios com cobertura de pr\u00e9-natal entre 45%-64,9% (RR = 1,22; IC95%: 1,11-1,33) e \u2265 65% (RR = 1,25; IC95%: 1,10-1,43). Os achados do estudo indicam que, embora a amplia\u00e7\u00e3o da cobertura de aten\u00e7\u00e3o pr\u00e9-natal nos munic\u00edpios baianos tenha contribu\u00eddo para a melhoria da detec\u00e7\u00e3o dos casos de s\u00edfilis gestacional, n\u00e3o houve impacto na redu\u00e7\u00e3o da taxa de incid\u00eancia de s\u00edfilis cong\u00eanita. A assist\u00eancia pr\u00e9-natal prestada apresenta limita\u00e7\u00f5es, que devem ser alvo de interven\u00e7\u00f5es que promovam a preven\u00e7\u00e3o e o bloqueio da transmiss\u00e3o vertical da s\u00edfilis.<\/jats:p>","DOI":"10.1590\/0102-311x00209520","type":"journal-article","created":{"date-parts":[[2021,7,6]],"date-time":"2021-07-06T23:54:24Z","timestamp":1625615664000},"source":"Crossref","is-referenced-by-count":22,"title":["Associa\u00e7\u00e3o entre as taxas de incid\u00eancia de s\u00edfilis gestacional e s\u00edfilis cong\u00eanita e a cobertura de pr\u00e9-natal no Estado da Bahia, Brasil"],"prefix":"10.1590","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3338-6045","authenticated-orcid":false,"given":"Maria Auxiliadora Santos","family":"Soares","sequence":"first","affiliation":[{"name":"Secretaria de Sa\u00fade de Salvador, Brazil; Universidade Federal da Bahia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3906-5170","authenticated-orcid":false,"given":"Rosana","family":"Aquino","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"548","DOI":"10.2471\/BLT.18.228486","article-title":"Chlamydia, gonorrhoea, trichomoniasis and syphilis global prevalence and incidence estimates, 2016","volume":"97","author":"Rowley J","year":"2019","journal-title":"Bull World Health Organ"},{"key":"ref2","series-title":"Guia de vigil\u00e2ncia em sa\u00fade.","year":"2017","edition":"2\u00aa"},{"key":"ref3","article-title":"Global burden of maternal and congenital syphilis and associated adverse birth outcomes - estimates for 2016 and progress since 2012","volume":"14","author":"Korenromp EL","year":"2019","journal-title":"PLoS One"},{"key":"ref4","series-title":"Nuevas generaciones sin la infecci\u00f3n por el VIH, la s\u00edfilis, la hepatitis B y la enfermedad de Chagas en las Am\u00e9ricas 2018. ETMI Plus.","year":"2019"},{"issue":"45","key":"ref5","article-title":"S\u00edfilis.","volume":"49","year":"2018","journal-title":"Boletim Epidemiol\u00f3gico"},{"issue":"36","key":"ref6","article-title":"S\u00edfilis.","volume":"48","year":"2017","journal-title":"Boletim Epidemiol\u00f3gico"},{"key":"ref7","series-title":"Elimination of mother-to-child transmission of HIV and syphilis in the Americas. Update 2016.","year":"2017"},{"key":"ref8","first-page":"62","article-title":"An\u00e1lise epidemiol\u00f3gica da s\u00edfilis cong\u00eanita no Piau\u00ed.","volume":"8","author":"Almeida PD","year":"2015","journal-title":"Revista Interdisciplinar"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5020\/18061230.2017.6158","article-title":"Acesso \u00e0 assist\u00eancia pr\u00e9-natal no Brasil an\u00e1lise dos dados da Pesquisa Nacional de Sa\u00fade","volume":"30","author":"Nunes ADS","year":"2017","journal-title":"Rev Bras Promo\u00e7 Sa\u00fade"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1590\/1413-81232018232.01772016","article-title":"An\u00e1lise dos casos de s\u00edfilis gestacional e cong\u00eanita nos anos de 2008 a 2010 em Fortaleza, Cear\u00e1, Brasil.","volume":"23","author":"Cardoso ARP","year":"2018","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"S85","DOI":"10.1590\/0102-311X00126013","article-title":"Assist\u00eancia pr\u00e9-natal no Brasil","volume":"30","author":"Viellas EF","year":"2014","journal-title":"Cad Sa\u00fade P\u00fablica"},{"issue":"spe2","key":"ref12","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1590\/0103-11042018s208","article-title":"Avalia\u00e7\u00e3o da qualidade da Aten\u00e7\u00e3o Pr\u00e9-Natal no Brasil","volume":"42","author":"Luz LA","year":"2018","journal-title":"Sa\u00fade Debate"},{"key":"ref13","series-title":"Caderno de Avalia\u00e7\u00e3o e Monitoramento da Aten\u00e7\u00e3o B\u00e1sica - CAMAB."},{"key":"ref14","article-title":"Plano Estadual de Sa\u00fade 2016-2019.","volume":"40","year":"2016","journal-title":"Rev Baiana Sa\u00fade P\u00fablica"},{"key":"ref15","series-title":"Introdu\u00e7\u00e3o \u00e0 econometria: uma abordagem moderna","author":"Woodridge JM","year":"2007"},{"key":"ref16","series-title":"Fixed effects regression Models","doi-asserted-by":"crossref","first-page":"49","DOI":"10.4135\/9781412993869.d20","volume-title":"Fixed effects models for count data","author":"Allison PD","year":"2009"},{"key":"ref17","first-page":"27","article-title":"Incid\u00eancia e distribui\u00e7\u00e3o da s\u00edfilis cong\u00eanita na Bahia, 2005-2012","volume":"40","author":"Brasileiro CSM","year":"2016","journal-title":"Rev Baiana Sa\u00fade P\u00fablica"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"213","DOI":"10.5123\/S1679-49742011000200010","article-title":"Diferenciais intraurbanos de s\u00edfilis cong\u00eanita no Recife, Pernambuco, Brasil (2004-2006).","volume":"20","author":"Melo NGDO","year":"2011","journal-title":"Epidemiol Serv Sa\u00fade"},{"key":"ref19","first-page":"63","article-title":"Maternal and congenital syphilis, underreported and difficult to control.","volume":"19","author":"Lafeta KRG","year":"2016","journal-title":"Rev Bras Epidemiol"},{"key":"ref20","series-title":"Nota T\u00e9cnica DIVEP n\u00ba 02\/2018, de 05 de mar\u00e7o de 2018."},{"key":"ref21","doi-asserted-by":"crossref","first-page":"73","DOI":"10.15446\/rsap.v19n1.49295","article-title":"Acesso de gestantes \u00e0s tecnologias para preven\u00e7\u00e3o e controle da s\u00edfilis cong\u00eanita em Fortaleza-Cear\u00e1, Brasil","volume":"19","author":"Guanabara MAO","year":"2017","journal-title":"Rev Salud P\u00fablica"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"56","DOI":"10.12662\/2317-3076jhbs.v5i1.1012.p56-61.2017","article-title":"Perfil epidemiol\u00f3gico dos casos de s\u00edfilis cong\u00eanita em um munic\u00edpio de m\u00e9dio porte no nordeste brasileiro","volume":"4","author":"Lima VC","year":"2017","journal-title":"J Health Biol Sci"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"70","DOI":"10.15448\/1983-652X.2018.2.26316","article-title":"Perfil e distribui\u00e7\u00e3o espacial da s\u00edfilis cong\u00eanita em Sobral-CE no per\u00edodo de 2007 a 2013","volume":"11","author":"Rodrigues IM","year":"2018","journal-title":"Ci\u00eanc Sa\u00fade (Porto Alegre)"},{"key":"ref24","article-title":"Incid\u00eancia de s\u00edfilis cong\u00eanita e fatores associados \u00e0 transmiss\u00e3o vertical da s\u00edfilis dados do estudo Nascer no Brasil","volume":"32","author":"Domingues RMSM","year":"2016","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref25","first-page":"78","article-title":"Fatores de risco para s\u00edfilis em mulheres estudo caso-controle","volume":"51","author":"Macedo VC","year":"2017","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref26","first-page":"766","article-title":"Preval\u00eancia de s\u00edfilis na gesta\u00e7\u00e3o e testagem pr\u00e9-natal: estudo Nascer no Brasil.","volume":"48","author":"Domingues RMSM","year":"2014","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"2","DOI":"10.17696\/2318-3691.26.1.2019.1137","article-title":"S\u00edfilis cong\u00eanita e gestacional notifica\u00e7\u00e3o e assist\u00eancia pr\u00e9-natal","volume":"26","author":"Favero MLDC","year":"2019","journal-title":"Arch Health Sci"},{"key":"ref28","series-title":"Shortages of benzathine penicillin. How big is the problem? And why it matters."},{"key":"ref29","article-title":"Portaria n\u00ba 156, de 19 de janeiro de 2006. Disp\u00f5e sobre o uso da penicilina na aten\u00e7\u00e3o b\u00e1sica \u00e0 sa\u00fade e nas demais unidades do Sistema \u00danico de Sa\u00fade (SUS).","year":"2006","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o"},{"key":"ref30","series-title":"Caderno de boas pr\u00e1ticas: o uso da penicilina na Aten\u00e7\u00e3o B\u00e1sica para a preven\u00e7\u00e3o da s\u00edfilis cong\u00eanita no Brasil.","year":"2015"},{"key":"ref31","series-title":"Nota Informativa n\u00ba 2, de 19 de setembro de 2017. 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