The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.
Social vulnerability in congenital syphilis case mothers: qualitative assessment of cases in Indiana, 2014 to 2016.
Open accessAbstract
BACKGROUND: Congenital syphilis occurs when a pregnant woman with syphilis is not diagnosed or treated and the infection is passed in utero, causing severe infant morbidity and mortality. Congenital syphilis is easily prevented if women receive timely and adequate prenatal care. Cases of congenital syphilis are considered indicators of problems in the safety net. However, maternal social and behavioral factors can impede women's care, even when providers follow guidelines. METHODS: We reviewed case interviews and maternal records for 23 congenital syphilis cases reported to the Centers for Disease Control and Prevention from Indiana between 2014 and 2016. We used qualitative methods to analyze narrative notes from maternal interviews to learn more about factors that potentially contributed to congenital syphilis cases. RESULTS: All providers followed Centers for Disease Control and Prevention and state recommendations for screening and treatment for pregnant women with syphilis. Twenty-one of 23 women had health insurance. The number of prenatal care visits women had was suboptimal; more than one third of women had no prenatal care. Nearly one third of women's only risk factor was sex with a primary male sex partner. The majority of women suffered social vulnerabilities, including homelessness, substance abuse, and incarceration. CONCLUSIONS: Despite provider adherence to guidelines and health insurance availability, some pregnant women with syphilis are unlikely to receive timely diagnosis and treatment. Pregnant women at high risk for syphilis may need additional social and material support to prevent a congenital syphilis case. Additional efforts are needed to reach the male partners of vulnerable females with syphilis.
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“Maternal risk factors for syphilis during pregnancy include sex with multiple partners, sex in conjunction with drug use or transactional sex, late entry to prenatal care (i.e., first visit during the second trimester or later) or no prenatal care, methamphetamine or heroin use, incarceration of the woman or her partner, and unstable housing or homelessness (174,633–636).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [635]
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Cites
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“The syphilis rapid test is particularly useful during pregnancy because of the severity of CS.28 Although there are drawbacks to this test (low sensitivity and specificity, difficulty reading results, necessary training to correctly interpret results), some pregnant women may be more motivated to follow through with a…”
InfluentialIncrease in Incidence of Congenital Syphilis — United States, 2012–2014
Bowen, V. B., Su, J. R., Torrone, E., Kidd, S., & Weinstock, H. (2015) · MMWR Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6444a3 · Cited by 221
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Research works printed but not linked: 1
- Sexually Transmitted Disease Surveillance 2015
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Sexually Transmitted Infections Treatment Guidelines, 2021
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Metadata
- Authors
- DiOrio, D., Kroeger, K., & Ross, A.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Indiana State Department of Health (US)
- Corresponding author
- DiOrio, Dawne
- ORCID
- DiOrio, Dawne
- Venue
- Sexually Transmitted Diseases
- Published
- 2018-07
- Volume
- 45
- Issue
- 7
- Pages
- 447-451
- ISSN
- 0148-5717 (ISSN-L)
- 1537-4521
- PMC
- PMC5995623
- OpenAlex
- W2782522072
- Cited by
- 73
- References
- 26
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 9 · 2023: 8 · 2022: 11 · 2021: 18 · 2020: 8 · 2019: 3 · 2018: 3
- FWCI
- 5.50
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Sexually Transmitted Diseases (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (CC999999)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Syphilis Diagnosis and Treatment
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Keywords
- congenital syphilis, prenatal care, syphilis screening in pregnancy, homelessness, substance abuse, incarceration, health insurance, safety net health care, Indiana
- MeSH terms
- Adolescent, Adult, Female, Ill-Housed Persons, Humans, Indiana, Mothers, Pregnancy, Pregnancy Complications, Infectious, Prenatal Care, Risk Factors, Social Conditions, Syphilis, Syphilis, Congenital, Vulnerable Populations, Young Adult, Health Records, Personal
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