Mouchtouri Varvara A, Papagiannis Dimitrios, Katsioulis Antonios, Rachiotis Georgios, Dafopoulos Konstantinos, Hadjichristodoulou Christos
Department of Hygiene and Epidemiology, University of Thessaly, Larissa 41222, Greece.
Department of Obstetrics and Gynecology, University of Thessaly, Larissa 41222, Greece.
Int J Environ Res Public Health. 2017 Mar 31;14(4):367. doi: 10.3390/ijerph14040367.
A survey among 573 pregnant women in Greece was conducted through self-completion of a questionnaire in July 2016. Traveling abroad the last six months was declared by 10.5% and 13.0% of pregnant women and their male sex partners, respectively, while 77.4% (441/570) had heard about Zika virus disease (ZVD). A lack of knowledge about sexual transmission of ZVD was identified in 63.3% of pregnant women, and 24.1% of responders did not know the risks to the fetus and baby. Approximately 73% of responders believed that the mosquito bites can affect their fetus and baby and 18% did not take measures to prevent mosquito bites routinely. Multivariable logistic regression models showed that traveling abroad the last six months by pregnant women correlated with correctly answering the question about the transmission of ZVD through bites of infected mosquitoes (Odds Ratio, OR = 10.47, 95% CI = 1.11-98.41). Traveling abroad with a male sex partner over the last six months correlated (OR = 2.05, 95% CI = 0.99-4.23) with responding correctly to the four key questions about the transmission of ZVD through mosquito bites, the risk of microcephaly, and the risks of traveling to the affected countries. A score of ≥5 for the nine responses given to questions of knowledge and attitudes was associated with a Bachelor of Science degree (OR = 1.54, 95% CI = 1.09-2.18), antenatal care at a public hospital (OR = 2.26, 95% CI = 1.28-3.98), being a civil servant as occupation (OR = 1.96, 95% CI = 1.10-3.48), and having gotten information about ZVD from the public health sector (OR = 2.04, 95% CI = 1.05-3.98). In conclusion, we found considerable knowledge gaps related to ZVD among Greek pregnant women. These study results are useful in targeting pregnant women for the prevention of potential Zika virus infections.
2016年7月，通过让573名希腊孕妇自行填写问卷的方式开展了一项调查。分别有10.5%的孕妇及其男性伴侣宣称在过去六个月内有过出国旅行，77.4%（441/570）的孕妇听说过寨卡病毒病（ZVD）。63.3%的孕妇对ZVD的性传播缺乏了解，24.1%的受访者不知道对胎儿和婴儿的风险。约73%的受访者认为蚊虫叮咬会影响其胎儿和婴儿，18%的人没有采取常规防蚊措施。多变量逻辑回归模型显示，孕妇在过去六个月内出国旅行与正确回答关于ZVD通过受感染蚊虫叮咬传播的问题相关（比值比，OR = 10.47，95%置信区间 = 1.11 - 98.41）。过去六个月内与男性伴侣一起出国旅行与正确回答关于ZVD通过蚊虫叮咬传播、小头畸形风险以及前往受影响国家旅行风险的四个关键问题相关（OR = 2.05，95%置信区间 = 0.99 - 4.23）。对知识和态度问题给出的九个回答中得分≥5分与拥有理学学士学位相关（OR = 1.54，95%置信区间 = 1.09 - 2.18）、在公立医院接受产前护理相关（OR = 2.26，95%置信区间 = 1.28 - 3.98）、职业为公务员相关（OR = 1.96，95%置信区间 = 1.10 - 3.48）以及从公共卫生部门获取ZVD相关信息相关（OR = 2.04，95%置信区间 = 1.05 - 3.98）。总之，我们发现希腊孕妇中存在与ZVD相关的相当大的知识空白。这些研究结果有助于针对孕妇预防潜在的寨卡病毒感染。
