Temporal analysis and spatial distribution of acquired syphilis in the state of Mato Grosso, Brazil, 2010-2021: an ecological study.

IF 2 Q1 Multidisciplinary Epidemiologia e Servicos de Saude Pub Date : 2024-01-22 eCollection Date: 2024-01-01 DOI:10.1590/S2237-96222024V33E2023398.EN

Susi Astolfo, Amanda Cristina de Souza Andrade, Ruth Terezinha Kehrig

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Abstract

Objective: To analyze the temporal trend and the spatial distribution of acquired syphilis in Mato Grosso, Brazil, between 2010 and 2021.

Methods: This was an ecological study using notifications of acquired syphilis held on the Notifiable Health Conditions Information System. Detection rates were calculated by health macro-region and three-year periods (2010-2012, 2013-2015, 2016-2018, 2019-2021). The jointpoint method was used to calculate annual percentage change (APC). Thematic maps of Bayesian rates were built and distribution was analyzed using Local Moran.

Results: The detection rate increased from 16.2 per 100,000 inhabitants in the first three-year period (2010-2012) to 70.0 in the last three-year period (2019-2021). The Central-North macro-region had the highest rate in the last three years (94.3/100,000 inhab.), while the highest upward trend occurred in the Central-Northwest macro-region, from 2013 to 2018 (APC = 50.2; 95%CI 26.3;78.6). There was an increase in Bayesian rates in most municipalities.

Conclusion: There was a trend towards an increase in acquired syphilis, especially in the last two three-year periods.

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2010-2021年巴西马托格罗索州获得性梅毒的时间分析和空间分布：一项生态研究。

目的：分析2010年至2021年巴西马托格罗索州梅毒的时间趋势和空间分布：分析2010年至2021年间巴西马托格罗索州获得性梅毒的时间趋势和空间分布：这是一项生态学研究，使用的是 "应通报健康状况信息系统"（Notifiable Health Conditions Information System）中的获得性梅毒通报。检测率按卫生大区和三年期（2010-2012年、2013-2015年、2016-2018年、2019-2021年）计算。采用联合点法计算年度百分比变化（APC）。绘制了贝叶斯检出率专题地图，并使用局部莫兰法对其分布进行了分析：检出率从第一个三年期（2010-2012 年）的每 10 万居民 16.2 例上升到最后一个三年期（2019-2021 年）的 70.0 例。在过去三年中，中北部宏观区域的检出率最高（94.3/100,000 人），而中西北部宏观区域从 2013 年到 2018 年的上升趋势最高（APC = 50.2; 95%CI 26.3;78.6）。大多数城市的贝叶斯比率都有所上升：后天梅毒呈上升趋势，尤其是在最近两个三年期。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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