TABLE 3.
Congenital syphilis (CS) prevention continuums: Prenatal syphilis prevention among total population versus prenatal care recipients, by methamphetamine use and housing status
| Prenatal visita (%) | Tested for syphilisa (%) | Initiateda treatment(%) | Treated correctly (%) | CS cases prevented (%) | p value (CSPR) | |
|---|---|---|---|---|---|---|
| Metham-phetamine use | ||||||
| Total study population (n = 720) | ||||||
| No meth. use (n = 480) | 91 | 84 | 77 | 76 | 72 | <.001 |
| Meth. use (n = 240) | 74 | 67 | 60 | 57 | 53 | |
| Prenatal care recipients (n = 614) | ||||||
| No meth. use (n = 437) | - | 93 | 84 | 83 | 79 | .06 |
| Meth. use (n = 177) | - | 90 | 81 | 77 | 72 | |
| Housing status | ||||||
| Total study population (n = 720) | ||||||
| Not homeless (n = 619) | 89 | 81 | 74 | 73 | 69 | <.001 |
| Homeless (n = 101) | 65 | 60 | 52 | 50 | 46 | |
| Prenatal care recipients (n = 614) | ||||||
| Not homeless (n = 548) | - | 92 | 84 | 82 | 78 | .12 |
| Homeless (n = 66) | - | 92 | 80 | 77 | 70 |
Note: Among all people with syphilis in pregnancy, both methamphetamine use, and unstable housing status were significantly associated with failure to prevent CS compared to those who did not have these characteristics. However, when including only people with documented prenatal care, there were no statistical differences with regard to methamphetamine groups or housing status. Bold values are statistically significant.
Abbreviation: CSPR, CS prevention ratio.
a
Occurred at least 30 days before delivery.