{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T18:28:16Z","timestamp":1765736896136,"version":"3.48.0"},"reference-count":75,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2022,1,27]],"date-time":"2022-01-27T00:00:00Z","timestamp":1643241600000},"content-version":"unspecified","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["734584"],"award-info":[{"award-number":["734584"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2021,11,19]]},"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      The World Health Organization declared a Public Health Emergency of International Concern following the rapid emergence of neonatal microcephaly in Brazil during the 2015\u20132016 Zika virus (ZIKV) epidemic. In response, a national campaign sought to control\n                      <jats:italic>Aedes<\/jats:italic>\n                      mosquito populations and reduce ZIKV transmission. Achieving adherence to vector control or mosquito-bite reduction behaviours, including the use of topical mosquito repellents, is challenging. Coproduction of research at the community level is needed to understand and mitigate social determinants of lower engagement with\n                      <jats:italic>Aedes<\/jats:italic>\n                      preventive measures, particularly within disempowered groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>In 2017, the Zika Preparedness Latin America Network (ZikaPLAN) conducted a qualitative study to understand individual and community level experiences of ZIKV and other mosquito-borne disease outbreaks. Presented here is a thematic analysis of 33 transcripts from community focus groups and semistructured interviews, applying the Health Belief Model (HBM) to elaborate knowledge, attitudes and perceptions of ZIKV and vector control strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>120 purposively sampled adults of approximate reproductive age (18\u201345); 103\u2009women participated in focus groups and 17 men in semistructured interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Two sociopolitically and epidemiologically distinct cities in Brazil: Jundia\u00ed (57\u2009km north of S\u00e3o Paolo) and Salvador (Bahia state capital).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four key and 12 major themes emerged from the analysis: (1) knowledge and cues to action; (2) attitudes and normative beliefs (perceived threat, barriers, benefits and self-efficacy); (3) behaviour change (household prevention and community participation); and (4) community preferences for novel repellent tools, vector control strategies and ZIKV messaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Common barriers to repellent adherence were accessibility, appearance and effectiveness. A strong case is made for the transferability of the HBM to inform epidemic preparedness for mosquito-borne disease outbreaks at the community level. Nationally, a health campaign targeting men is recommended, in addition to local mobilisation of funding to strengthen surveillance, risk communication and community engagement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-050991","type":"journal-article","created":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T02:56:56Z","timestamp":1643684216000},"page":"e050991","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Vector control strategies in Brazil: a qualitative investigation into community knowledge, attitudes and perceptions following the 2015\u20132016 Zika virus epidemic"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5846-5818","authenticated-orcid":false,"given":"Dani","family":"Bancroft","sequence":"first","affiliation":[{"name":"Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5702-7728","authenticated-orcid":false,"given":"Grace M","family":"Power","sequence":"additional","affiliation":[{"name":"Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6421-0881","authenticated-orcid":false,"given":"Robert T","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Massad","sequence":"additional","affiliation":[{"name":"School of Medicine, University of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"},{"name":"School of Applied Mathematics, Funda\u00e7\u00e3o Getulio Vargas, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Bernstein","family":"Iriart","sequence":"additional","affiliation":[{"name":"Institute of Collective Health, Federal University of Bahia, Salvador, BA, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raman","family":"Preet","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Global Health, Ume\u00e5 University, Ume\u00e5, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Kinsman","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Global Health, Ume\u00e5 University, Ume\u00e5, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James G","family":"Logan","sequence":"additional","affiliation":[{"name":"Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,1,31]]},"reference":[{"key":"2025121410260962000_12.1.e050991.1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jix405"},{"key":"2025121410260962000_12.1.e050991.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30775-9"},{"key":"2025121410260962000_12.1.e050991.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30428-7"},{"key":"2025121410260962000_12.1.e050991.4","doi-asserted-by":"crossref","first-page":"2377","DOI":"10.1056\/NEJMc1800098","article-title":"Neurodevelopment in infants exposed to Zika virus in utero","volume":"379","author":"Lopes Moreira","year":"2018","journal-title":"N Engl J Med"},{"key":"2025121410260962000_12.1.e050991.5","doi-asserted-by":"crossref","first-page":"2321","DOI":"10.1056\/NEJMoa1602412","article-title":"Zika virus infection in pregnant women in Rio de Janeiro","volume":"375","author":"Brasil","year":"2016","journal-title":"N Engl J Med"},{"key":"2025121410260962000_12.1.e050991.6","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(17)30727-2"},{"key":"2025121410260962000_12.1.e050991.7","unstructured":"Ministry of Health (BR) . 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