Department of Community Health Sciences, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.
Department of Epidemiology and Biostatistics, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.
J Community Health. 2024 Feb;49(1):78-85. doi: 10.1007/s10900-023-01258-w. Epub 2023 Jul 28.
Zika virus (ZIKV) is spread by mosquitos, sexual intercourse and vertically during pregnancy. The 2015-2016 ZIKV epidemic infected millions in the Americas and resulted in thousands of infants born with malformations. Though the clusters of severe birth defects have subsided since 2017, ZIKV transmission remains a concern throughout Latin America and the Caribbean. Travel-associated and sexually-transmitted Zika, therefore, remain potential routes of transmission for women of reproductive age and their partners. This is particularly true for communities with high immigrant and foreign-born populations in Central Brooklyn, New York. Limited information has been collected on the perception by this population of ZIKV and how high-risk women engage in preventive practices. Using a survey adapted from the WHO, we assessed engagement in mosquito-related preventive practices while traveling. Data from 483 respondents on knowledge and perceived ZIKV concern, along with demographics as correlates of engagement in preventive practices were collected using a convenience sample between September 2020 and January 2021. Data were collected via a multipronged approach using social media in REDCap. Our findings show that being white/not Hispanic, pregnant, knowledgeable and concerned about ZIKV, and having enough information about ZIKV were all significantly associated with an increased likelihood of engaging in preventive practices while traveling. Multivariable logistic modeling revealed that knowledge was significantly associated with an increased likelihood of engaging in preventive practices while traveling (AOR = 1.90, 95% CI [1.28-2.83]). These findings underscore the importance of directing tailored health education efforts to vulnerable populations.
Zika 病毒(ZIKV)通过蚊子、性接触和怀孕期间垂直传播。2015-2016 年 ZIKV 疫情感染了数百万美洲人,并导致数千名婴儿出生时出现畸形。尽管自 2017 年以来严重出生缺陷的病例已经减少,但 Zika 病毒的传播仍然是拉丁美洲和加勒比地区的一个关注点。因此,对于布鲁克林中心的具有高移民和外国出生人口的社区来说,与旅行相关和性传播的 Zika 仍然是育龄妇女及其伴侣的潜在传播途径。在纽约州布鲁克林中心,情况尤其如此。对于该人群对 Zika 病毒的看法以及高风险妇女如何参与预防措施,收集的信息有限。我们使用世界卫生组织(WHO)改编的调查评估了在旅行中与蚊子相关的预防措施的参与情况。在 2020 年 9 月至 2021 年 1 月期间,使用便利样本收集了 483 名受访者关于知识和感知 Zika 病毒关注度的信息,以及与预防措施参与相关的人口统计学数据。数据是通过社交媒体在 REDCap 中收集的。我们的研究结果表明,是白人/非西班牙裔、怀孕、有知识且对 Zika 病毒感到担忧、对 Zika 病毒有足够的了解,这些都与旅行时采取预防措施的可能性增加显著相关。多变量逻辑模型显示,知识与旅行时采取预防措施的可能性增加显著相关(AOR=1.90,95%CI [1.28-2.83])。这些发现强调了针对脆弱人群进行有针对性的健康教育的重要性。