Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.

Disparities in state-mandated third-trimester testing for syphilis

Clement, A. C., Fay, K. E., Yee, L. M.

Release Date:

Peer Review Study

Healthcare Access and Quality
Tools Included
Outside U.S.

Data Collection and Reporting

The authors sought to evaluate compliance with state-mandated third-trimester syphilis testing at a single tertiary hospital in Illinois and to identify disparities in testing. This is a retrospective cohort study of all pregnant individuals who delivered between January 1, 2015, and February 28, 2018, at a large-volume academic center. The study found that despite a decades-old state mandate for third-trimester syphilis screening in this high-prevalence region, third-trimester screening performance was suboptimal. Several demographic characteristics were associated with adherence to screening, suggesting inequity and bias exist in testing practices. It is important to acknowledge that legal statutes do not fully eliminate bias and health disparities.

Resource Details

Outcomes of Interest

Reduction of Health Disparities

Priority Population(s)

Pregnant Women/Pregnant Persons

Setting(s) of Implementation

Geographic Area of Implementation

Implementation Period