Faculty of Medical Sciences, The University of the West Indies, St Augustine, Trinidad and Tobago.
Office of the Chief Medical Officer, The Ministry of Health Trinidad and Tobago.
Public Health. 2018 Dec;165:146-151. doi: 10.1016/j.puhe.2018.09.025. Epub 2018 Nov 16.
Mosquito-borne diseases continue to pose a threat to Latin America and the Caribbean. Zika virus disease entered the Caribbean in 2013 with increased reporting of cases across the region in 2016, affecting more than 50 countries. This study aimed to ascertain the knowledge of, attitudes and practices towards Zika virus disease among antenatal clinic attenders in Trinidad and Tobago during the 2016 outbreak.
A cross-sectional questionnaire survey was undertaken.
A knowledge attitudes and practices survey was conducted among antenatal clinic attenders at publicly funded primary care health centres. All counties of Trinidad (except St Patrick, Caroni and Victoria) and Tobago were included in the study. Within each county, three health centres were selected at random. At the antenatal clinic of each selected health centre, antenatal clients were selected by randomly selecting their patient file from that day's antenatal clinic patient files. Data collection occurred from September to November 2016. The knowledge, attitudes and practice survey was administered by an interviewer-administered questionnaire. The World Health Organization Knowledge, Attitudes and Practice surveys Zika virus disease and potential complications Resource pack was adapted for use as the data collection tool. All data collected were analysed using SPSS software, version 23. Tests with P-values less than 0.05 were deemed significant.
Seventy-four percent (74%) of responders did not think there was a link between sexual transmission and Zika. About 19% stated that abstaining could prevent Zika but only 6.6% actually practiced this. Seventy-six percent knew the risk of microcephaly, and this knowledge of the risk of microcephaly was found to be significantly associated with the number of weeks' gestation. Less than 40% knew the risk of Guillain-Barre syndrome. Doctors at health centres followed by private doctors were the top two trusted information sources for responders. Responders thought that the government could spray insecticide, clean drains, educate community members and clean overgrown vacant lots of land.
The government and healthcare workers need to reach specific target groups with accurate messages to minimize the associated morbidity and thereby safeguarding national and global health security.
蚊媒疾病继续对拉丁美洲和加勒比地区构成威胁。寨卡病毒病于 2013 年进入加勒比地区，2016 年该地区报告的病例增多，影响了 50 多个国家。本研究旨在确定特立尼达和多巴哥 2016 年寨卡病毒病爆发期间，产前诊所就诊者对寨卡病毒病的知识、态度和实践情况。
横断面问卷调查。
在公共资助的初级保健中心对产前诊所就诊者进行了知识、态度和实践调查。特立尼达的所有县（除了圣帕特里克、卡罗尼和维多利亚）和多巴哥都包括在研究中。在每个县内，随机选择三个保健中心。在每个选定保健中心的产前诊所，从当天的产前诊所患者档案中随机选择患者档案，选择产前患者。数据收集于 2016 年 9 月至 11 月进行。知识、态度和实践调查由访谈员管理的问卷进行。世界卫生组织知识、态度和实践调查寨卡病毒病和潜在并发症资源包被改编为数据收集工具。所有收集的数据均使用 SPSS 软件（版本 23）进行分析。具有 P 值小于 0.05 的测试被认为具有显著性。
74%的应答者认为性传播与寨卡病毒之间没有联系。约 19%的人表示禁欲可以预防寨卡病毒，但实际上只有 6.6%的人这样做。76%的人知道小头畸形的风险，而这种对小头畸形风险的认识与怀孕周数显著相关。不到 40%的人知道吉兰-巴雷综合征的风险。中心的医生和私人医生是应答者最信任的两种信息来源。应答者认为政府可以喷洒杀虫剂、清理排水沟、教育社区成员和清理杂草丛生的空地。
政府和医疗保健工作者需要向特定目标群体传递准确的信息，以最大限度地减少相关发病率，从而保障国家和全球卫生安全。
