The aim of this study was to
examine trends in infectious syphilis epidemiology among women in Winnipeg,
Canada. A descriptive study of syphilis among Winnipeg residents between 2003
and 30 June 2015 was undertaken. Adjusted rate ratios (ARR) and 95% confidence
intervals (95% CI) from Poisson regression analyses are reported.
Characteristics of men and women were compared using logistic regression, with
adjusted odds ratios (AOR) reported.
Between 2014 and 2015, the rate of
syphilis was 1.7/100,000, representing a five-fold increase since 2006-2013.
All cases have been heterosexual, 90% 20-39 years of age, and 59% living in
Winnipeg's inner core. Approximately 24% were pregnant at diagnosis; no cases
of congenital syphilis have been reported. Compared to men, women were more
likely to report alcohol use (AOR: 3.8, 95% CI: 1.2-11.9) and co-infection with
chlamydia (AOR: 5.0, 95% CI: 1.1-22.9).
In conclusion, the rates of infectious
syphilis are increasing among women. Prenatal screening and education for
inner-core women and the health care providers serving them should be
prioritized.
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By: Shaw SY1, Ross C2, Nowicki DL3, Marshall S2, Stephen S2, Davies C2, Riddell J2, Bailey K2, Elliott LJ4, Reimer JN5, Plourde PJ4.
- 1Population and Public Health Program, Winnipeg Regional Health Authority, Winnipeg, Canada Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada umshaw@myumanitoba.ca.
- 2Population and Public Health Program, Winnipeg Regional Health Authority, Winnipeg, Canada.
- 3Population and Public Health Program, Winnipeg Regional Health Authority, Winnipeg, Canada Department of Medical Microbiology, University of Manitoba, Winnipeg, Canada.
- 4Population and Public Health Program, Winnipeg Regional Health Authority, Winnipeg, Canada Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada Department of Medical Microbiology, University of Manitoba, Winnipeg, Canada.
- 5Population and Public Health Program, Winnipeg Regional Health Authority, Winnipeg, Canada Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada Department of Family Medicine, University of Manitoba, Winnipeg, Canada.
- Int J STD AIDS. 2016 Jan 13. pii: 0956462415627397
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