Syphilis can be transmitted by pregnant women to their children and is a public health problem in Africa.
A cross-sectional survey was conducted in 24 antenatal clinics from 2002 to 2003 and increased to 30 sites from 2005 to 2011. Participants were tested for syphilis and HIV. Multi-variate logistic regression was performed to identify risks associated with syphilis and its co-infection with HIV.
Results showed that
- syphilis decreased from 3.8% in 2002 to 2.0% in 2011.
- Syphilis in the HIV-infected participants increased from 6.0% in 2002 to 10.8% in 2011,
- but decreased from 3.7% to 1.7% in the HIV-negative participants.
- In 2011, syphilis in urban participants was 2.7% and 1.4% in rural ones.
- HIV-infected participants screened positive for syphilis more frequently in both rural and urban areas.
- Older participants (25-49 years) residing in urban areas and women with secondary or high education were less likely to screen positive for syphilis.
- HIV-syphilis co-infection was more likely in women residing in urban areas, but less likely in women with secondary/high education.
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- 1Rwanda Biomedical Center, Ministry of Health, Kigali, Rwanda firstname.lastname@example.org.
- 2Rwanda Biomedical Center, Ministry of Health, Kigali, Rwanda.
- 3Global Health Equity, Brigham & Women's Hospital, Boston, MA, USA Partners in Health / Inshuti Mu Buzima, Rwinkwavu, Rwanda.
- 4U.S. Centers for Disease Control and Prevention (CDC), Center for Global Health (CGH), Division of Global HIV/AIDS (DGHA), Rwanda.
- 5Institute of Human Virology and Division of Infectious Diseases, University of Maryland School of Medicine, Baltimore, Maryland, MD, USA.
- 6Rwanda Biomedical Center, Ministry of Health, Kigali, Rwanda Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland.
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