Table 2 Factors associated with being syphilis positive among pregnant women enrolled in the 2019 ANC survey and had documented syphilis screening results, South Africa, N = 24,064*.
Variable | % syphilis positive (95% CI) | Univariable logistic regression OR (95% CI) | p-value | Multivariable logistic regression aOR (95% CI) | p-value |
---|---|---|---|---|---|
Age category (years), n (%) | |||||
15–19 | 1.5 (1.2–1.8) | 1.00 |  | 1.00 |  |
20–24 | 2.7 (2.4–3.0) | 1.84 (1.44–2.36) | < 0.001 | 1.64 (1.25–2.14) | < 0.001 |
25–29 | 2.8 (2.5–3.1) | 1.93 (1.50–2.49) | < 0.001 | 1.43 (1.06–1.91) | 0.018 |
30–34 | 3.0 (1.6–3.4) | 2.06 (1.59–2.67) | < 0.001 | 1.46 (1.07–2.00) | 0.018 |
35–49 | 2.6 (2.1–3.3) | 1.82 (1.35–2.48) | < 0.001 | 1.27 (0.89–1.81) | 0.188 |
Population group | |||||
Black | 2.6 (2.4–2.9) | 1.00 |  | 1.00 |  |
Mixed race | 2.8 (2.4–3.2) | 1.06 (0.88–1.27) | 0.558 | 1.31 (1.02–1.69) | 0.032 |
Other# | 1.1 (0.5–2.3) | 0.42 (0.21–0.88) | 0.022 | 0.27 (0.08–0.90) | 0.033 |
Education | |||||
None/primary | 3.1 (2.6–3.7) | 1.58 (1.21–2.08) | 0.001 | 1.59 (1.18–2.16) | 0.003 |
Secondary | 2.6 (2.4–2.9) | 1.33 (1.07–1.65) | 0.009 | 1.29 (1.02–1.62) | 0.032 |
Tertiary | 2.0 (1.6–2.5) | 1.00 |  | 1.00 |  |
Relationship with partner who fathered current pregnancy | |||||
Married | 1.8 (1.5–2.3) | 1.00 |  | 1.00 |  |
Living together as married | 2.7 (2.4–3.0) | 1.46 (1.16–1.85) | 0.001 | 1.30 (1.04–1.62) | 0.020 |
Not living together but in a relationship | 2.8 (2.5–3.0) | 1.51 (1.24–1.84) | < 0.001 | 1.45 (1.17–1.79) | 0.001 |
No relationship | 3.4 (2.7–4.3) | 1.87 (1.35- 2.59) | < 0.001 | 1.78 (1.26- 2.51) | 0.001 |
Age difference with partner who fathered current pregnancy | |||||
< 5 years | 2.7 (2.4–2.9) | 1.00 |  | – | – |
≥ 5 years | 2.6 (2.3–3.0) | 0.98 (0.87–1.11) | 0.750 | – | – |
Does not know | 2.0 (1.5–2.6) | 0.74 (0.55–0.98) | 0.038 | – | – |
Geo-___location | |||||
Rural | 2.2 (1.8–2.6) | 1.00 |  | 1.00 |  |
Peri-urban | 2.8 (2.5–3.1) | 1.31 (1.06–1.60) | 0.013 | 1.27 (1.04–1.69) | 0.021 |
Urban | 3.1 (2.5–3.7) | 1.43 (1.09–1.88) | 0.010 | 1.33 (0.95–1.69) | 0.104 |
ANC visit | |||||
Follow up | 2.4 (2.2–2.6) | 1.00 |  | 1.00 |  |
First ANC visit | 3.7 (2.9–4.7) | 1.59 (1.23–2.06) | < 0.001 | 1.47 (1.12–1.93) | 0.006 |
Parity | |||||
0 | 2.1 (1.9–2.3) | 1.00 |  | 1.00 |  |
1 | 3.0 (2.7–3.4) | 1.48 (1.29–1.49) | 0.001 | 0.89 (0.67–1.17) | 0.397 |
≥ 2 | 2.8 (2.5–3.2) | 1.36 (1.18–1.58) | 0.001 | 0.85 (0.62–1.15) | 0.295 |
Gravidity | |||||
 < 2 | 1.9 (1.7–2.2) | 1.00 |  | 1.00 |  |
 ≥ 2 | 2.9 (2.7–3.2) | 1.55 (1.36–1.78) | < 0.001 | 1.46 (1.09–1.96) | 0.011 |
Trimester at booking | |||||
First | 2.7 (2.4–3.0) | 1.00 |  |  |  |
Second | 2.4 (2.2–2.7) | 0.90 (0.79–1.02) | 0.099 |  |  |
Third | 3.1 (2.5–3.9) | 1.18 (0.93–1.50) | 0.173 |  |  |
HIV/ART status | |||||
HIV negative | 1.9 (1.7–2.1) | 1.00 |  | 1.00 |  |
HIV positive, on ART | 4.2 (3.8–4.7) | 2.32 (2.04–2.63) | < 0.001 | 2.25 (1.91–2.64) | < 0.001 |
HIV positive, not on ART | 4.7 (3.7–5.9) | 2.57 (2.03–3.24) | < 0.001 | 2.24 (1.71–2.93) | < 0.001 |
Province | |||||
Eastern Cape | 1.62 (1.08–2.43) | 0.021 |  | 1.58 (0.96–2.61) | 0.070 |
Free State | 1.42 (1.11–1.83) | 0.006 |  | 1.37 (1.03–1.81) | 0.030 |
Gauteng | 1.00 | Â | Â | 1.00 | Â |
KwaZulu- Natal | 1.37 (1.09–1.71) | 0.006 |  | 1.46 (1.12–1.89) | 0.005 |
Limpopo | 0.57 (0.40–0.82) | 0.002 |  | 0.88 (0.57–1.35) | 0.566 |
Mpumalanga | 0.85 (0.50–1.44) | 0.545 |  | 0.96 (0.56–1.67) | 0.891 |
North West | 0.72 (0.48–1.09) | 0.123 |  | 0.91 (0.57–1.46) | 0.700 |
Northern Cape | 1.50 (1.11–2.02) | 0.008 |  | 1.45 (1.01–2.07) | 0.044 |
Western Cape | 0.94 (0.75–1.19) | 0.633 |  | 0.94 (0.71–1.25) | 0.681 |