运用健康素养分析框架探索寨卡病毒与生殖健康。
Using a Health Literacy Analytic Framework to Explore Zika Virus and Reproductive Health.
作者信息
Thompson Erika L, Vamos Cheryl A, Liggett Langdon G, Griner Stacey B, Daley Ellen M
出版信息
Health Lit Res Pract. 2018 Apr 12;2(2):e78-e87. doi: 10.3928/24748307-20180226-01. eCollection 2018 Apr.
BACKGROUND
The emergence of Zika virus as sexually transmissible and associated with birth defects may affect reproductive planning and contraception use for people in Florida.
OBJECTIVE
This exploratory study employed a health literacy analytic framework to explore knowledge, attitudes, beliefs, and behaviors related to reproductive health in the context of Zika among reproductive-age women and men in Florida.
METHODS
Reproductive-age people in Florida ( = 40) were interviewed between September and December 2016 about their knowledge, attitudes, beliefs, and behaviors regarding Zika and reproductive health. Thematic analysis using a health literacy framework was employed.
KEY RESULTS
Participants reported they would use reputable online sources to access Zika information. Whereas participants generally understood Zika outcomes, transmission, and symptoms, they reported hearing more prevention messages on mosquito transmission compared to sexual transmission. Overall, participants reported Zika was not concerning given their appraisal of personal circumstances. Participants were confident they could prevent Zika via sexual transmission despite not following the recommended guidelines. Participants discussed how their understanding of Zika changed their behaviors related to mosquito control but not through sexual transmission.
CONCLUSIONS
This study illustrated a disconnect between reproductive-age people's understanding of Zika-related prevention information and their reproductive decision-making behavior. Strategies to promote appraisal of risk for sexual transmission of Zika, infection, and unintended pregnancy are needed. .
PLAIN LANGUAGE SUMMARY
Men and women of reproductive age in Florida may be at risk for Zika virus and related negative health outcomes. This study assessed how Florida men and women find, understand, and evaluate Zika-related health information, and how that applies to their prevention behaviors. This study used health literacy as an analytic framework for an emerging health issue.
背景
寨卡病毒可通过性传播并与出生缺陷相关，这可能会影响佛罗里达州居民的生殖规划和避孕措施的使用。
目的
这项探索性研究采用健康素养分析框架，以探讨佛罗里达州育龄男女在寨卡病毒背景下与生殖健康相关的知识、态度、信念和行为。
方法
2016年9月至12月期间，对佛罗里达州40名育龄人群进行了访谈，询问他们关于寨卡病毒和生殖健康的知识、态度、信念和行为。采用了基于健康素养框架的主题分析方法。
主要结果
参与者表示他们会使用可靠的在线资源获取寨卡病毒信息。虽然参与者总体上了解寨卡病毒的后果、传播途径和症状，但他们表示，与性传播相比，听到的关于蚊虫传播的预防信息更多。总体而言，参与者表示，鉴于他们对个人情况的评估，寨卡病毒并不令人担忧。尽管没有遵循推荐的指导方针，但参与者相信他们可以通过性传播预防寨卡病毒。参与者讨论了他们对寨卡病毒的理解如何改变了他们与蚊虫控制相关的行为，但不是通过性传播方面的行为。
结论
本研究表明，育龄人群对寨卡病毒相关预防信息的理解与他们的生殖决策行为之间存在脱节。需要采取策略来促进对寨卡病毒性传播、感染和意外怀孕风险的评估。
通俗易懂的总结
佛罗里达州的育龄男女可能面临寨卡病毒感染及相关负面健康后果的风险。本研究评估了佛罗里达州的男女如何查找、理解和评估与寨卡病毒相关的健康信息，以及这些信息如何应用于他们的预防行为。本研究将健康素养作为一个新兴健康问题的分析框架。
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