{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T12:56:14Z","timestamp":1781873774716,"version":"3.54.5"},"reference-count":29,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"unspecified","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of Heidelberg Library"},{"DOI":"10.13039\/100018704","name":"HORIZON EUROPE European Innovation Ecosystems","doi-asserted-by":"publisher","award":["101137283"],"award-info":[{"award-number":["101137283"]}],"id":[{"id":"10.13039\/100018704","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000030","name":"Institute of Genetics","doi-asserted-by":"publisher","award":["01886-000"],"award-info":[{"award-number":["01886-000"]}],"id":[{"id":"10.13039\/501100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000057","name":"National Institute of General Medical Sciences","doi-asserted-by":"publisher","award":["U54GM133807"],"award-info":[{"award-number":["U54GM133807"]}],"id":[{"id":"10.13039\/100000057","id-type":"DOI","asserted-by":"publisher"}]},{"name":"INFOVIDA"},{"name":"Centro de Atenci\u00f3n y Diagn\u00f3stico de Enfermedades Infecciosas"},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["825746"],"award-info":[{"award-number":["825746"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Instituto Nacional de Salud, Bogota, Colombia"},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["216002\/Z\/19\/Z"],"award-info":[{"award-number":["216002\/Z\/19\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Glob Health"],"accepted":{"date-parts":[[2026,5,19]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Community values and preferences should inform risk communication during pregnancy in the context of an epidemic of an emerging pathogen, given the high levels of uncertainty in the diagnosis and the probability of an adverse outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a multicountry qualitative study with 98\u2009women from 7 sites in Brazil, Colombia and Puerto Rico to understand their preferences for learning about Zika virus test results amid high levels of uncertainty in diagnostic testing and related outcomes. We used thematic analysis with a combined deductive and inductive approach to analyse findings from the in-depth interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Across sites and time periods, women wanted to learn about their test results, the risk to their pregnancy or infant and the related uncertainty as early as possible. They wanted to separate risk communication from decision-making around the following steps to give them time to consider the test results, related risks and available services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Communication of the risk associated with an emerging pathogen suspected to affect pregnancy and developmental outcomes is a fraught issue. Public health authorities and healthcare providers should work closely together to understand families\u2019 preferences for risk communication in the presence of uncertainty and develop a community-informed plan for risk communication as early as possible during an epidemic of an emerging infectious disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjgh-2025-020477","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T12:35:11Z","timestamp":1781872511000},"page":"e020477","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cIt is not something you like to hear, but it is something you have to know\u201d. Community preferences for risk communication during pregnancy in the context of an emerging pathogen: a multicountry qualitative study with women in three ZIKV endemic countries who were pregnant during and following ZIKV"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5730-0723","authenticated-orcid":false,"given":"Mar\u00eda Consuelo","family":"Miranda Montoya","sequence":"first","affiliation":[{"name":"El Centro Internacional de Entrenamiento e Investigaciones M\u00e9dicas (CIDEIM), Bucaramanga, Colombia"},{"name":"Facultad de Salud, Departamento de Salud P\u00fablica, Universidad Industrial de Santander, Bucaramanga, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia Milena","family":"Hormiga S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud, Universidad Aut\u00f3noma de Bucaramanga, Bucaramanga, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8168-8585","authenticated-orcid":false,"given":"Ester Paiva","family":"Souto","sequence":"additional","affiliation":[{"name":"Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edna","family":"Acosta P\u00e9rez","sequence":"additional","affiliation":[{"name":"University of Puerto Rico Medical Sciences Campus, Graduate School of Public Health, San Juan, Puerto Rico"},{"name":"Hispanic Alliance for Clinical and Translational Research, San Juan, Puerto Rico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5422-2798","authenticated-orcid":false,"given":"Gustavo","family":"Matta","sequence":"additional","affiliation":[{"name":"Fundacao Oswaldo Cruz (FIOCRUZ), Policy and Administration in Health, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana Silva","family":"Corr\u00eaa","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Getulio Vargas, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4592-2685","authenticated-orcid":false,"given":"Marcela","family":"Daza","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Salud, Research Division, Bogota, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7352-6711","authenticated-orcid":false,"given":"Gabriela","family":"Gama","sequence":"additional","affiliation":[{"name":"Professor Joaquim Amorim Neto Research Institute (IPESQ), UNIFACISA University Center, Para\u00edba, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila","family":"Pimentel","sequence":"additional","affiliation":[{"name":"Laboratory for studies on drugs, vulnerabilities and social markers (LED), Department of Public Health (NESC), Aggeu Magalh\u00e3es Institute - Fiocruz Pernambuco, Recife, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcela","family":"Mercado-Reyes","sequence":"additional","affiliation":[{"name":"Direcci\u00f3n de Investigaci\u00f3n en Salud P\u00fablica, Instituto Nacional de Salud, Bogota, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8313-5469","authenticated-orcid":false,"given":"Angelica Mar\u00eda","family":"Amado Ni\u00f1o","sequence":"additional","affiliation":[{"name":"Facultad de Salud, Departamento de Salud P\u00fablica, Universidad Industrial de Santander, Bucaramanga, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Marb\u00e1n-Castro","sequence":"additional","affiliation":[{"name":"ISGlobal, Hospital Cl\u00ednic-Universitat de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1524-9568","authenticated-orcid":false,"given":"Luz Marina","family":"Leegstra","sequence":"additional","affiliation":[{"name":"Heidelberger Institut f\u00fcr Global Health, Universit\u00e4tsklinikum Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Manders","sequence":"additional","affiliation":[{"name":"Rollins School of Public Health, Hubert Department of Global Health, Emory University, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priscila","family":"Cardia Petra","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Bioethics, Applied Ethics and Collective Health (ENSP-FIOCRUZ); 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Zika v\u00edrus: conhecimentos, percep\u00e7\u00f5es, e pr\u00e1ticas de cuidados de gestantes infectadas. Rev Ga\u00facha Enferm 2018;39. doi:10.1590\/1983-1447.2018.20180025","DOI":"10.1590\/1983-1447.2018.20180025"},{"key":"2026061905350539000_11.6.e020477.23","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1111\/ppe.12312","article-title":"The Difficult Design of Epidemiologic Studies on Zika Virus and Pregnancy","volume":"30","author":"Harville","year":"2016","journal-title":"Paediatr Perinat Epidemiol"},{"key":"2026061905350539000_11.6.e020477.24","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1177\/1755088217702671","article-title":"Pregnant woman versus mosquito: A feminist epidemiology of Zika virus","volume":"13","author":"Johnson","year":"2017","journal-title":"J Int Polit Theory"},{"key":"2026061905350539000_11.6.e020477.25","unstructured":"WHO recommendations on antenatal care for a positive pregnancy experience. 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