Spatial analysis of congenital syphilis in the State of Rio Grande do Norte, between 2008 and 2018

Análisis espacial de la sífilis congénita en el Estado de Rio Grande do Norte, entre 2008 y 2018

ABSTRACT

Objective:

To analyze the spatial distribution of congenital syphilis cases in a state in northeastern Brazil.

Method:

This is an ecological study, with secondary data for the period from 2008 to 2018, taking as a sample the notified cases of congenital syphilis in Rio Grande do Norte. In the data analysis, the eight health regions of the state were used as units of analysis, and the local and global Moran’s I was performed, with subsequent smoothing through the local empirical Bayesian method, which resulted in thematic maps.

Results:

The results showed an increase in cases of congenital syphilis in the 3^rd and 7^thhealth regions. In terms of spatial analysis, this investigation showed clusters in the 3^rd, 5^th, and 7^thhealth regions, with an increased risk for congenital syphilis of up to 2.65 times and with an incidence rate of 7.91 cases per 1,000 live births.

Conclusion:

The spatial analysis of congenital syphilis cases allowed observing a high incidence in some health regions, with averages above those calculated for the entire state, indicating the need to implement effective strategies to achieve its control.

DESCRIPTORS
Syphilis; Syphilis, Congenital; Spatial Analysis; Geographic Information Systems; Public Health Surveillance