Table 2. Reproductive characteristics and access and use of health services by women who received prenatal care at a primary healthcare unit, according to syphilis diagnosis.
| Variables | n (%)* | Syphilis † diagnosis | |||
|---|---|---|---|---|---|
|
| |||||
| No n (%) | Yes n (%) | PR (95%CI) | p value | ||
| Block III - Reproductive characteristics | |||||
| Age at first pregnancy | |||||
| ≥25 years | 64 (16) | 60 (16.5) | 4 (11.1) | 1 | |
| 16 to 24 years | 274 (68.7) | 252 (69.5) | 22 (61.1) | 1.28 (0.45-3.60) | 0.634 |
| ≤15 years | 61 (15.3) | 51 (14.0) | 10 (27.8) | 2.62 (0.86-7.93) | 0.088 |
| Number of pregnancies | |||||
| ≤3 pregnancies | 328 (82.2) | 300 (82.6) | 28 (77.8) | 1 | |
| ≥4 pregnancies | 71 (17.8) | 63 (17.4) | 8 (22.2) | 1.31 (0.62-2.77) | 0.464 |
| History of miscarriage | |||||
| No | 333 (83.5) | 305 (84.0) | 28 (77.8) | 1 | |
| Yes | 66 (16.5) | 58 (16.0) | 8 (22.2) | 1.44 (0.68-3.02) | 0.333 |
| Stillbirth history | |||||
| No | 395 (99.0) | 361 (99.4) | 34 (94.4) | 1 | |
| Yes | 4 (1.0) | 2 (0.6) | 2 (5.6) | 5.80 (2.06-16.31) | 0.001 |
| Low weight history | |||||
| No | 360 (90.2) | 325 (89.5) | 35 (97.2) | 1 | |
| Yes | 39 (9.8) | 38 (10.5) | 1 (2.8) | 0.26 (0.37-1.87) | 0.183 |
| History of prematurity* | |||||
| No | 356 (89.7) | 323 (89.5) | 33 (91.7) | 1 | |
| Yes | 41 (10.3) | 38 (10.5) | 3 (8.3) | 0.78 (0.25-2.46) | 0.684 |
| Block IV - Access and use of health services in prenatal care | |||||
| Prenatal PHC model | |||||
| With FHS | 282 (70.7) | 251 (95.4) | 31 (86.1) | 1 | |
| Other | 117 (29.3) | 112 (4.6) | 5 (13.9) | 0.38 (0.15-0.97) | 0.044 |
| Number of prenatal consultations | |||||
| ≥6 consultations | 301 (75.4) | 279 (76.9) | 22 (61.1) | 1 | |
| ≤5 consultations | 98 (24.6) | 84 (23.1) | 14 (38.9) | 1.95 (1.04-3.67) | 0.037 |
| Start of prenatal care | |||||
| First trimester | 238 (59.7) | 221 (60.9) | 17 (47.2) | 1 | |
| Second trimester | 141 (35.3) | 126 (34.7) | 15 (41.7) | 1.48 (0.76- 2.89) | 0.239 |
| Third trimester | 20 (5.0) | 16 (4.4) | 4 (11.1) | 2.80 (1.04-7.53) | 0.042 |
| Syphilis test | |||||
| None | 9 (2.3) | 8 (2.2) | 1 (2.8) | 1 | |
| One | 108 (27.0) | 101 (93.5) | 7 (19.4) | 0.58 (0.80-4.24) | 0.594 |
| Two or more | 282 (70.7) | 254 (70.0) | 28 (77.8) | 0.89 (0.13-6.87) | 0.907 |
| Gestational age at first syphilis test | |||||
| First trimester | 181 (45.4) | 168 (46.3) | 13 (36.1) | 1 | |
| Second trimester | 168 (42.1) | 149 (41.0) | 19 (52.8) | 1.57 (0.80-3.09) | 0.681 |
| Third trimester | 39 (9.8) | 36 (10.0) | 3 (8.3) | 1.07 (0.31-3.58) | 0.187 |
| During childbirth | 11 (2.7) | 10 (2.7) | 1 (2.8) | 1.26 (0.18-8.83) | 0.812 |
| HIV tests | |||||
| None | 11 (2.5) | 9 (2.5) | 2 (5.6) | 1 | |
| One | 149 (37.6) | 137 (37.7) | 12 (33.3) | 0.44 (0.11-1.73) | 0.245 |
| Two or more | 239 (59.9) | 217 (59.8) | 22 (61.1) | 0.50 (0.35-1.88) | 0.311 |
| Gestational age at first HIV test * | |||||
| First trimester | 183 (46.2) | 170 (47.2) | 13 (36.0) | 1 | |
| Second trimester | 165 (41.8) | 146 (40.6) | 19 (52.8) | 1.62 (0.82-3.18) | 0.160 |
| Third trimester | 40 (10.0) | 38 (10.5) | 2 (5.6) | 0.70 (0.16-3.00) | 0.635 |
| During childbirth | 8 (2.0) | 6 (1.7) | 2 (5.6) | 3.51 (0.94-13.05) | 0.060 |
n=399 postpartum women. † Syphilis: determined by treponemal and/or non-treponemal tests; * differences are justified by the options “don’t know,” “don’t remember,” and “no record.”
PR: prevalence ratio; 95%CI: 95% confidence interval; PHC: primary healthcare; FHS: Family Health Strategy.