Seroprevalence of syphilis in reproductive-age female blood donors: a cross-sectional study in Surabaya, Indonesia
Abstract
Purpose: Syphilis remains a global public health concern, particularly in developing countries. This study aims to determine the seroprevalence of syphilis and assess its association with sociodemographic factors among female blood donors of reproductive age in Surabaya, Indonesia.
Methods: This cross-sectional study analysed secondary data from 186 female blood donors aged 15–49 years at the Indonesian Red Cross (PMI) in Surabaya. Syphilis status was categorized as reactive or non-reactive based on screening results. Sociodemographic variables included age, marital status, education, and occupation. Descriptive and chi-square bivariate analyses were conducted using JASP 0.95.4, with significance set at p < 0.05.
Results: The seroprevalence of syphilis among female donors was 25.3%. Significant associations were found between syphilis status and marital status (p = 0.000), age category (p = 0.001), and education level (p = 0.013). Unmarried women, adolescents aged 15–24, and those with lower levels of education had the highest proportions of reactive results. While occupation was not statistically significant (p = 0.228), students and housewives showed the highest infection rates.
Conclusion: The high seroprevalence of syphilis among female reproductive-age donors in Surabaya is significantly associated with specific sociodemographic factors. Strengthening STI prevention programs and routine donor screenings is essential to ensure blood safety and improve reproductive health outcomes.
References
World Health Organization. Syphilis. Geneva: WHO; 2025. Available from: [Website]
Waugh S, Ranasinghe A, Gomez A, Houston S, Lithgow KV, Eshghi A, et al.Syphilis and the host: multi-omic analysis of host cellular responses to Treponema pallidum provides novel insight into syphilis pathogenesis. Frontiers in Microbiology. 2023;14:1254342.
Stafford IA, Workowski KA, Bachmann LH. Syphilis complicating pregnancy and congenital syphilis. The New England Journal of Medicine. 2024;390(3): 242–53.
Tarmizi SN. Kasus HIV dan sifilis meningkat, penularan didominasi ibu rumah tangga. Jakarta: Kementerian Kesehatan Republik Indonesia; 2026. Available from: [Website]
Rattanatham R, Mala W, Kotepui KU, Masangkay FR, Rattanawan C, Lasom S, et al. A systematic review and meta-analysis of the prevalence and risk of syphilis among blood donors in Thailand. Scientific Reports. 2025;15(1):9316.
Le TT, Nguyen TTD, Nguyen NDT, Nguyen HH, Hoang HTM, Bui LTK, et al. Sexually transmitted diseases and their associated factors in a cohort in Da Nang City: an alarming trend in syphilis rates and infection at young ages. Acta Microbiologica Hellenica. 2025;70(2):23.
Kader MA, Azwa RI, Velayuthan RD. An epidemio- logical study of syphilis and predictors of treatment failure in University Malaya Medical Centre. Medical Journal of Malaysia. 2020;75(3).
Kementerian Kesehatan Republik Indonesia (RI). Laporan kinerja Kementerian Kesehatan Republik Indonesia. Jakarta: Kementerian Kesehatan Republik Indonesia; 2024. Available from: [Website]
Irawan Y, Chelsea E, Surya R. Syphilis elimination in Indonesia by 2030: keeping on the right track. Cermin Dunia Kedokteran. 2023;50(4):234–7.
Balaskas S, Rigou M, Xenos M, Mallas A. Behavioral intentions to donate blood: the interplay of personality, emotional arousals, and the moderating effect of altruistic versus egoistic messages on young adults. Behavioral Sciences (Basel). 2024;14 (8):731.
You C, Wang K, Liao M, Zhang L, He M, Ye X, et al. Solitary interdigital condyloma latum in a female adolescent: a case report of an unusual form of secondary syphilis. International Journal of Women's Health. 2023;15:793–7.
Slavich GM, Giletta M, Helms SW, Hastings PD, Rudolph KD, Nock MK, et al. Interpersonal life stress, inflammation, and depression in adole- scence: testing Social Signal Transduction Theory of Depression. Depression and Anxiety. 2020;37(2): 179–93.
Vives N, Garcia de Olalla P, González V, Barrabeig I, Clotet L, Danés M, et al. Recent trends in sexually transmitted infections among adolescents, Catalonia, Spain, 2012–2017. International Journal of STD & AIDS. 2020;31(11):1047–54.
Aaron KJ, Brill I, Causey-Pruitt Z, Murphy K, Augenbraun M, Kassaye S, et al. Factors associated with syphilis seroprevalence in women with and at-risk for HIV infection in the women’s interagency HIV study (1994–2015). Sexually Transmitted Infections. 2022;98(1):4–10.
Geremew H, Geremew D. Sero-prevalence of syphilis and associated factors among pregnant women in Ethiopia: a systematic review and meta- analysis. Systematic Reviews. 2021;10(1):223.
Sirait LI. Perilaku seksual berisiko infeksi menular seksual. Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist). 2021;16(1):150–154.
Cortez AL, Avelino-Silva VI, Labella Henriques B, Vernal S, de Almeida-Neto C, Rolim Belisário A, et al. Syphilis seroprevalence and risk factors among first-time blood donors in Brazil: a comprehensive repeated cross-sectional analysis spanning a decade. PLoS ONE. 2025;20(2):e0315933.
de Melo LD, Sodré CP, Spindola T, Martins ERC, André NLNDO, da Motta CVV. Prevention of sexually transmitted infections among young people and the importance of health education. Enfermería Global. 2022;21(1):74–87.
Barbara AM, Horton J. CADTH health technology review: syphilis screening for adolescents and adults 2. Ottawa: CADTH; 2022.
Mitakidis M. The impact of the STI epidemic on adolescent thriving. San Antonio (TX): Medical Institute for Sexual Health; 2021. Available from: [Website]
Gravett RM, Marrazzo J. Screening for syphilis in nonpregnant adults and adolescents. JAMA Network Open. 2022;5(9):e2232168.
dos Santos SB, de A Machado AP, Sampaio LA, de Abreu LC, Bezerra IMP. Acquired syphilis: construction and validation of educational technology for adolescents. Journal of Human Growth and Development. 2019;29(1):65–74.
Copyright (c) 2026 Arkha Rosyaria Badrus, Miftahul Khairoh, Cityta Putri Kwarta, Novi Anggraeni, Rakhmalia Imeldawati, Yustisia Amalia, Cipriano do Rosario Pacheco

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