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      Knowledge and Prevention Practices among U.S. Pregnant Immigrants from Zika Virus Outbreak Areas

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          Abstract.

          We administered an anonymous survey to assess knowledge, attitudes, and prevention practices related to the Zika virus among pregnant women residing in Texas. Multivariate logistic regression models controlling for age, race/ethnicity, education, and number of years in the United States assessed differences between women born in outbreak areas ( N = 390) versus those born in the United States ( N = 249). Results demonstrated that most women wanted more information on the Zika virus and desired to obtain it from their physician. The majority did not know that the Zika virus could be spread through sex with an asymptomatic partner or how often those infected were symptomatic. Few women took precautions to avoid mosquito bites. Only 40% reported frequently using repellent; 21% stated that cost was problematic and almost half were concerned about use during pregnancy. Three-fourths stated they would agree to vaccination, if available. Compared with U.S.-born women, those born in outbreak areas were more likely to have already discussed the Zika virus with their doctor (adjusted odds ratio [aOR] = 1.86, 95% confidence interval [CI] = 1.27, 2.71) and identify microcephaly as the most common birth defect (aOR = 2.59, 95% CI = 1.78, 3.76). Moreover, women born in outbreak areas were less likely to desire to keep it a secret if they became infected (aOR = 0.47, 95% CI = 0.31, 0.71). This study found that, regardless of birthplace, pregnant women need more education on the Zika virus disease and assurance regarding the safety of using repellent during pregnancy. They also need financial assistance for repellent, especially if living in states where transmission by mosquitos has been reported.

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          Author and article information

          Journal
          Am J Trop Med Hyg
          tpmd
          The American Journal of Tropical Medicine and Hygiene
          The American Society of Tropical Medicine and Hygiene
          0002-9637
          1476-1645
          12 July 2017
          01 May 2017
          : 97
          : 1
          : 155-162
          Affiliations
          [1 ]Center for Interdisciplinary Research in Women’s Health, University of Texas Medical Branch, Galveston, Texas;
          [2 ]Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas;
          [3 ]Department of Pathology, Institute of Human Infections and Immunology, University of Texas Medical Branch, Galveston, Texas;
          [4 ]Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas
          Author notes
          [* ]Address correspondence to Abbey B. Berenson, Center for Interdisciplinary Research in Women's Health, Department of Obstetrics & Gynecology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0587. E-mail: abberens@ 123456utmb.edu

          Financial support: Fuchs and Guo are supported by an institutional research career development award (K12HD052023: Building Interdisciplinary Research Careers in Women’s Health Program-BIRCWH; Berenson, PI) from the Office of Research on Women’s Health (ORWH) and the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) at the National Institutes of Health (NIH). Dr. Fuchs also worked on the project as a postdoctoral fellow supported by an institutional training grant (National Research Service Award T32HD055163, Berenson, PI) from NIH/NICHD. Trinh is a current postdoctoral fellow supported by T32HD055163.The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

          Authors’ addresses: Abbey B. Berenson, Ha N. Trinh, Jacqueline M. Hirth, Erika L. Fuchs, and Fangjian Guo, Center for Interdisciplinary Research in Women’s Health, University of Texas Medical Branch, Galveston, TX, and Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX, E-mails: abberens@ 123456utmb.edu , hntrinh@ 123456utmb.edu , jmhirth@ 123456utmb.edu , elfuchs@ 123456utmb.edu , and faguo@ 123456utmb.edu . Scott C. Weaver, Department of Pathology, Institute of Human Infections and Immunology, University of Texas Medical Branch, Galveston, TX, and Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, TX, E-mail: sweaver@ 123456utmb.edu .

          Article
          PMC5508920 PMC5508920 5508920 tpmd170062
          10.4269/ajtmh.17-0062
          5508920
          28719291
          a0a1602b-90dc-4595-81f6-418eb3252bb9
          © The American Society of Tropical Medicine and Hygiene
          History
          : 25 January 2017
          : 13 March 2017
          Page count
          Pages: 8
          Categories
          Articles

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