Journal article
Zika Prevention Behaviors Among Women of Reproductive Age in Puerto Rico, 2016
American journal of preventive medicine, Vol.61(3), pp.E149-E155
09/01/2021
DOI: 10.1016/j.amepre.2021.03.004
PMCID: PMC9843536
PMID: 33952412
Abstract
Introduction: Zika virus is primarily transmitted through mosquito bites. Because Zika virus infec-tion during pregnancy can cause serious birth defects, reproductive-aged women need protection from Zika virus infection. This report describes Zika virus prevention behaviors among women aged 18-49 years and assesses whether pregnancy status and healthcare provider counseling increases Zika virus prevention behaviors.
Methods: A population-based cell phone survey of women aged 18-49 years living in Puerto Rico was conducted in July-November 2016. Data were analyzed in 2018-2019. Prevalence estimates and 95% CIs were calculated for Zika virus prevention behaviors. Adjusted prevalence ratios were estimated to examine the association of pregnancy status with healthcare provider counseling on Zika virus prevention behaviors, controlling for age, education, and health insurance status.
Results: Most women reported using screens on open doors/windows (87.7%) and eliminating stand-ing water in/around their homes (92.3%). Other Zika virus prevention behaviors were less common (<33%). In adjusted analysis, pregnant women were more likely than women not at risk for unintended pregnancy to report using mosquito repellent every/most days (adjusted prevalence ratio=1.44, 95% CI=1.13, 1.85). Healthcare provider counseling was associated with receiving professional spraying/larvi-cide treatment (adjusted prevalence ratio=1.42, 95% CI=1.17, 1.74), sleeping under a bed net (adjusted prevalence ratio=2.37, 95% CI=1.33, 4.24), using mosquito repellent (adjusted prevalence ratio=1.57, 95% CI=1.40, 1.77), and wearing long sleeves/pants (adjusted prevalence ratio=1.32, 95% CI=1.12, 1.55).
Conclusions: Receipt of healthcare provider counseling was more consistently associated with Zika virus prevention behaviors than pregnancy status. Healthcare provider counseling is an important strat-egy for increasing the uptake of Zika virus prevention behaviors among women aged 18-49 years. Published by Elsevier Inc. on behalf of American Journal of Preventive Medi-cine.
Details
- Title: Subtitle
- Zika Prevention Behaviors Among Women of Reproductive Age in Puerto Rico, 2016
- Creators
- Sascha R. Ellington - Ctr Dis Control & Prevent, Div Reprod Hlth, Mailstop S107-2,4770 Buford Highway, Atlanta, GA 30341 USARegina M. Simeone - Centers for Disease Control and PreventionRuby A. Serrano-Rodriguez - Puerto Rico Dept Hlth, San Juan, PR USAJeanne Bertolli - Ctr Dis Control & Prevent, Div Human Dev & Disabil, Atlanta, GA USAAndrea Swartzendruber - Univ Georgia, Coll Publ Hlth, Dept Epidemiol & Biostat, Athens, GA 30602 USAHoward I. Goldberg - Ctr Dis Control & Prevent, Div Reprod Hlth, Mailstop S107-2,4770 Buford Highway, Atlanta, GA 30341 USAAmilcar Soto Mercado - Puerto Rico Dept Hlth, San Juan, PR USADenise J. Jamieson - Emory UniversityMargaret A. Honein - InfantJose F. Cordero - Univ Georgia, Coll Publ Hlth, Dept Epidemiol & Biostat, Athens, GA 30602 USACarrie K. Shapiro-Mendoza - Ctr Dis Control & Prevent, Div Reprod Hlth, Mailstop S107-2,4770 Buford Highway, Atlanta, GA 30341 USA
- Resource Type
- Journal article
- Publication Details
- American journal of preventive medicine, Vol.61(3), pp.E149-E155
- DOI
- 10.1016/j.amepre.2021.03.004
- PMID
- 33952412
- PMCID
- PMC9843536
- NLM abbreviation
- Am J Prev Med
- ISSN
- 0749-3797
- eISSN
- 1873-2607
- Publisher
- Elsevier
- Number of pages
- 7
- Language
- English
- Date published
- 09/01/2021
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446449202771
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