Zika Prevention Behaviors Among Women of Reproductive Age in Puerto Rico, 2016

Ellington, Sascha; Simeone, Regina M.; Serrano-Rodríguez, Ruby A.; Bertolli, Jeanne; Swartzendruber, Andrea; Goldberg, Howard I.; Mercado, Amilcar Soto; Jamieson, Denise J.; Honein, Margaret A.; Cordero, José F.; Shapiro-Mendoza, Carrie K.

doi:10.1016/j.amepre.2021.03.004

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…Countries affected by the ZIKV epidemic also highlighted this finding. Authors of a research conducted in Puerto Rico during the epidemic period found that pregnant women were 1.44 times more likely to use insect repellent than nonpregnant women 32 . In the Virgin Islands, there was a high rate of adherence to insect repellent by pregnant women (74%), who received educational materials and home and personal protection resources, including insect repellent 33 .…”

Section: Discussionmentioning

confidence: 99%

Use of insect repellent as personal protection among women of childbearing age in an arbovirus endemic area in Northeastern Brazil

Dias,

Sanhueza-Sanzana,

Pinheiro Júnior

et al. 2024

Rev. bras. epidemiol.

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Objective: To analyze the factors associated with the individual use of insect repellent by women of childbearing age living in area endemic for arboviruses in Fortaleza, Brazil. Methods: This is a cohort study carried out between 2018 and 2019 with women aged between 15 and 39 years in Fortaleza, state of Ceará, Brazil. A total of 1,173 women users of one of the four selected primary health care units participated in the study. The outcome was divided into: continued use, discontinued use, and nonuse of insect repellent. Crude and adjusted multinominal logistic regression analysis was carried out guided by a hierarchical model, with presentation of the respective odds ratio (OR) and 95% confidence intervals (95%CI). The independent variables include: socioeconomic and demographic data, environmental and sanitary characteristics, knowledge of the insect repellent, and behavioral and pregnancy-related aspects. Results: Only 28% of the participants reported using insect repellent during the two waves of the cohort. Women with higher education (OR=2.55; 95%CI 1.44–4.51); who are employed (OR=1.51; 95%CI 1.12–2.03); who received guidance from healthcare professionals (OR=1.74; 95%CI 1.28–2.36) and the media (OR=1.43; 95%CI 1.01–2.02); who intensified precautions against mosquitoes during the epidemic (OR=3.64; 95%CI 2.29–5.78); and who were pregnant between 2016 and 2019 (OR=2.80; 95%CI 1.83–4.30) had increased odds for continued use of insect repellent. Conclusion: The use of insect repellent among women of childbearing age was associated with a higher level of education, employment, guidance on insect repellent provided by healthcare professionals and the media, behavioral changes to protect against mosquitoes during the Zika virus epidemic, and pregnancy when occurring as of the beginning of the epidemic period.

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Section: Discussionmentioning

confidence: 99%

Use of insect repellent as personal protection among women of childbearing age in an arbovirus endemic area in Northeastern Brazil

Dias,

Sanhueza-Sanzana,

Pinheiro Júnior

et al. 2024

Rev. bras. epidemiol.

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“…2018-2019. 32 . Nas Ilhas Virgens houve uma elevada taxa de adesão ao repelente por gestantes (74%), as quais receberam materiais educativos e recursos de proteção domiciliar e pessoal, dentre eles o repelente 33 .…”

Section: Discussionunclassified

Uso de repelente como medida de proteção pessoal por mulheres em idade fértil residentes em áreas endêmicas para arboviroses no Nordeste do Brasil

Dias,

Sanhueza-Sanzana,

Pinheiro Júnior

et al. 2024

Rev. bras. epidemiol.

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RESUMO Objetivo: Analisar os fatores associados ao uso de repelente individual por mulheres em idade fértil residentes em área endêmicas para arboviroses em Fortaleza, Brasil. Métodos: Coorte realizada entre 2018 e 2019, com mulheres entre 15 e 39 anos, moradoras em Fortaleza, Ceará, Brasil. Participaram 1.173 mulheres, usuárias de quatro unidades primárias de saúde do município. O desfecho foi categorizado em: uso continuado, uso descontinuado e não uso de repelente. Realizada análise de regressão logística multinominal norteada por modelo hierárquico, com apresentação dos respectivos odds ratio (OR) e intervalos de confiança de 95% (IC95%). As variáveis independentes incluem: dados socioeconômicos e demográficos, características ambientais e sanitárias, conhecimento sobre o repelente e aspectos comportamentais e relacionados à gravidez. Resultados: Somente 28% das participantes referiram o uso de repelente durante as duas ondas da coorte. Mulheres com escolaridade superior (OR=2,55; IC95% 1,44–4,51); com emprego (OR=1,51; IC95% 1,12–2,03); que receberam orientações por profissionais da saúde (OR=1,74; IC95% 1,28–2,36) e pela mídia (OR=1,43; IC95% 1,01–2,02); que intensificaram os cuidados contra o mosquito na epidemia (OR=3,64; IC95% 2,29–5,78); estavam grávidas entre 2016 e 2019 (OR=2,80; IC95% 1,83–4,30) tiveram as chances aumentadas para uso continuado de repelente. Conclusões: O uso de repelente entre mulheres em idade fértil mostrou-se associado a um maior nível de escolaridade, ao emprego, às orientações sobre repelente fornecidas por profissionais de saúde e pela mídia, às mudanças comportamentais de cuidado contra o mosquito durante a epidemia da Zika e à gravidez quando ocorrida a partir do início do período epidêmico.

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Zika virus knowledge, attitudes and prevention behaviors among pregnant women in the ZEN cohort study, Colombia, 2017–2018

Burkel

Newton

Acosta³

et al. 2023

Transactions of the Royal Society of Tropical Medicine and Hygiene

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Background Zika virus (ZIKV) infection during pregnancy can cause severe birth defects in the fetus and is associated with neurodevelopmental abnormalities in childhood. Our objective was to describe ZIKV knowledge and attitudes among pregnant women in Colombia while ZIKV was circulating and whether they predicted the adoption of behaviors to prevent ZIKV mosquito-borne and sexual transmission. Methods We used self-reported data from Zika en Embarazadas y Niños (ZEN), a cohort study of women in early pregnancy across three regions of Colombia during 2017–2018. We used Poisson regression to estimate associations between knowledge, attitudes and previous experience with mosquito-borne infection and preventative behaviors. Results Among 1519 women, knowledge of mosquito-borne transmission was high (1480; 97.8%) and 1275 (85.5%) participants were worried about ZIKV infection during pregnancy. The most common preventive behavior was wearing long pants (1355; 89.4%). Regular mosquito repellent use was uncommon (257; 17.0%). While ZIKV knowledge and attitudes were not associated with the adoption of ZIKV prevention behaviors, previous mosquito-borne infection was associated with increased condom use (prevalence ratio 1.4, 95% CI 1.1 to 1.7). Conclusions Participants were well informed about ZIKV transmission and its health consequences. However, whether this knowledge resulted in behavior change is less certain.

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Zika Prevention Behaviors Among Women of Reproductive Age in Puerto Rico, 2016

Cited by 3 publications

References 21 publications

Use of insect repellent as personal protection among women of childbearing age in an arbovirus endemic area in Northeastern Brazil

Use of insect repellent as personal protection among women of childbearing age in an arbovirus endemic area in Northeastern Brazil

Uso de repelente como medida de proteção pessoal por mulheres em idade fértil residentes em áreas endêmicas para arboviroses no Nordeste do Brasil

Zika virus knowledge, attitudes and prevention behaviors among pregnant women in the ZEN cohort study, Colombia, 2017–2018

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