Florida Department of Health in Miami-Dade County, Epidemiology, Disease Control, and Immunization Services, 8600 NW 17th Street, Miami, FL, 33126, USA.
Healthy Start Coalition of Miami-Dade, 701 SW 27th Ave, Miami, FL, 33135, USA.
Matern Child Health J. 2019 Aug;23(8):1140-1145. doi: 10.1007/s10995-019-02756-x.
This study sought to describe the knowledge and perceptions of pregnant women in Miami-Dade County concerning Zika virus (ZIKV) in their community, to characterize their testing behaviors, and to identify any barriers that would keep them from seeking testing.
The Florida Department of Health in Miami-Dade County partnered with the Healthy Start Coalition of Miami-Dade to administer an assessment survey in eight OBGYN clinics from June to August 2017. The survey captured past ZIKV testing practices, attitudes towards testing, barriers to testing, risk perception of ZIKV in the participants' community, and ZIKV-related knowledge. Descriptive analyses were performed on variables of interest. Chi squared tests examined associations between categorical variables.
A total of 363 participants were included in the analysis. Of these, 203 (55.9%) thought they should be tested for ZIKV, and less than half of the participants reported having been previously tested (152, 41.9%). Participants with some high school education were significantly more likely than those with higher education levels to see ZIKV as a "big problem" in the community (p = 0.0026). There was a significant association (p ≤ 0.0001) between women who thought that they should be tested, and those who perceived ZIKV to be a medium or big problem in their community.
Health interventions that focus on increasing ZIKV knowledge should also place greater emphasis on risk communication when targeting the pregnant population. Having a higher risk perception may be more predictive of testing behaviors than having a lack of barriers or a high level of ZIKV-related knowledge.
本研究旨在描述迈阿密戴德县孕妇对社区中寨卡病毒（ZIKV）的认知和看法，描述她们的检测行为，并确定阻止她们进行检测的任何障碍。
佛罗里达州迈阿密戴德县卫生署与迈阿密戴德县健康起点联盟合作，于 2017 年 6 月至 8 月在 8 家妇产科诊所进行评估调查。该调查记录了过去的 ZIKV 检测实践、对检测的态度、检测障碍、参与者社区中 ZIKV 的风险感知以及与 ZIKV 相关的知识。对感兴趣的变量进行描述性分析。卡方检验用于检验分类变量之间的关联。
共有 363 名参与者纳入分析。其中，203 名（55.9%）认为自己应该接受 ZIKV 检测，不到一半的参与者报告之前接受过检测（152 名，41.9%）。具有一些高中学历的参与者比具有更高学历的参与者更有可能认为 ZIKV 是社区中的“大问题”（p=0.0026）。认为自己应该接受检测的女性与认为 ZIKV 是社区中中等或大问题的女性之间存在显著关联（p≤0.0001）。
侧重于提高 ZIKV 知识的健康干预措施在针对孕妇群体时，也应更加重视风险沟通。较高的风险感知可能比缺乏障碍或较高的 ZIKV 相关知识更能预测检测行为。
