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在寨卡病毒疫情期间利用产科实践网站向孕妇传播寨卡病毒信息

Use of Obstetric Practice Web Sites to Distribute Zika Virus Information to Pregnant Women During a Zika Virus Outbreak.

作者信息

Lehnert Jonathan D, Ellingson Mallory K, Goryoka Grace W, Kasturi Raghuraj, Maier Emily, Chamberlain Allison T

机构信息

Department of Epidemiology (Mr Lehnert, Mss Ellingson and Maier, and Dr Chamberlain) and Hubert Department of Global Health (Ms Goryoka and Mr Kasturi), Rollins School of Public Health, Emory University, Atlanta, Georgia.

出版信息

J Public Health Manag Pract. 2017 Nov/Dec;23(6):608-613. doi: 10.1097/PHH.0000000000000537.

Abstract

OBJECTIVE

To describe the current use of obstetric practice Web sites to disseminate Zika virus information to patients.

DESIGN

Review of 913 randomly selected practice Web sites and associated social media accounts in January and August 2016.

SETTING

Obstetric practice Web sites and associated social media accounts, United States of America.

PARTICIPANTS

N/A.

MAIN OUTCOME MEASURES

Proportion of obstetric practice Web sites and linked social media accounts providing Zika virus information.

RESULTS

Twenty-five percent and 35% of obstetric practice Web sites had information posted about Zika virus in January 2016 and August 2016, respectively. Between the 2 time points, the proportion of practices posting Zika virus content on Facebook and Twitter declined (Facebook: 15% in January, 9% in August; Twitter: 12% in January, 8% in August). In August, the most frequently observed Zika virus-related content themes were the use of insect repellent (14%) and travel advisories (14%). At both time points, practices affiliated with large university hospitals were more likely to have posted information on Zika virus than independent OB/GYN-only practices: January: odds ratio (OR) (95% confidence interval [CI]) = 5.68 (3.50-9.20); August: OR (95% CI) = 8.37 (5.31-13.17). Similarly, practices associated with nonuniversity hospitals were more likely to have posted information than independent OB/GYN-only practices: January: OR (95% CI) = 2.71 (1.88-3.92); August: OR (95% CI) = 6.75 (4.75-9.60).

CONCLUSION

Obstetric care practices are not fully utilizing their practice Web sites to relay Zika virus information to their patients. Since practitioner-sponsored Web sites have the capacity to directly reach the populations at greatest risk for Zika virus complications, public health professionals should consider adapting their materials and provider outreach campaigns to more easily accommodate Web site-based information dissemination during this type of public health emergency. There must be greater recognition of the value information gains in the eyes of the patient when it is validated by their own provider, especially when that patient is part of the highest-risk population for a given emergency. Public health organizations should strive to minimize the burden it takes for providers to relay useful resources to patients in order to maximize the impact that those resources can have.

摘要

目的

描述当前产科医疗机构网站向患者传播寨卡病毒信息的情况。

设计

2016年1月和8月对913个随机选取的医疗机构网站及相关社交媒体账号进行审查。

地点

美国产科医疗机构网站及相关社交媒体账号。

参与者

无。

主要观察指标

提供寨卡病毒信息的产科医疗机构网站及相关社交媒体账号的比例。

结果

2016年1月和8月,分别有25%和35%的产科医疗机构网站发布了有关寨卡病毒的信息。在这两个时间点之间,在脸书和推特上发布寨卡病毒内容的医疗机构比例有所下降(脸书:1月为15%,8月为9%;推特:1月为12%,8月为8%)。8月,最常出现的与寨卡病毒相关的内容主题是使用驱虫剂(14%)和旅行建议(14%)。在两个时间点,与大型大学医院相关的医疗机构比仅提供妇产科服务的独立医疗机构更有可能发布寨卡病毒信息:1月:比值比(OR)(95%置信区间[CI])=5.68(3.50 - 9.20);8月:OR(95% CI)=8.37(5.31 - 13.17)。同样,与非大学医院相关的医疗机构比仅提供妇产科服务的独立医疗机构更有可能发布信息:1月:OR(95% CI)=2.71(1.88 - 3.92);8月:OR(95% CI)=6.75(4.75 - 9.60)。

结论

产科护理机构未充分利用其网站向患者传递寨卡病毒信息。由于从业者主办的网站有能力直接覆盖最易出现寨卡病毒并发症的人群,公共卫生专业人员应考虑调整其资料和针对医疗服务提供者的宣传活动,以便在这类公共卫生紧急情况期间更便于通过网站传播信息。当信息由患者自己的医疗服务提供者进行证实时,必须更加认识到信息在患者眼中的价值,特别是当该患者属于特定紧急情况的最高风险人群时。公共卫生组织应努力减轻医疗服务提供者向患者传递有用资源的负担,以最大限度地发挥这些资源的影响。

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