{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,12,22]],"date-time":"2022-12-22T19:27:01Z","timestamp":1671737221619},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T00:00:00Z","timestamp":1636416000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T00:00:00Z","timestamp":1636416000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Global pandemics like Zika (ZIKV) factor into pregnancy planning and avoidance, yet little is known about how primary care providers (PCPs) incorporate public health guidance into contraceptive counseling. Study objectives include: 1) determining the impact of the ZIKV pandemic on contraceptive counseling changes; and 2) assessing PCP knowledge and practice regarding contraception, ZIKV, and CDC ZIKV guidelines.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Study components included: (1) a retrospective review of electronic health records of non-pregnant, reproductive age women presenting for preventive health visits between 2014 and 2017 assessed using interrupted time series analyses (ITSA) to identify changes in documentation of ZIKV risk assessment and contraceptive counseling; and (2) a sequential, cross-sectional study with quantitative surveys and qualitative, semi-structured interviews of PCPs providing preventive care to non-pregnant patients at eight federally qualified health centers in Utah. We performed descriptive analyses on survey data and analyzed qualitative data for dominant themes using a modified Health Belief Model.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>We conducted 6634 chart reviews yielding 9840 visits. The ITSA did not reveal changes in ZIKV risk assessment or contraceptive counseling. Twenty-two out of 40 (55%) eligible providers participated in the provider component. Participants averaged 69 and 81% correct on contraceptive and ZIKV knowledge questions, respectively. Sixty-five percent reported counseling consistent with CDC ZIKV guidelines. Qualitative analysis found providers unlikely to prioritize ZIKV risk assessment in contraceptive counseling for non-pregnant patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>PCPs who care for non-pregnant women are knowledgeable about contraception and ZIKV; however, there was no change in ZIKV risk assessment or contraceptive counseling. This stresses the importance of developing strategies to improve guideline uptake.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12913-021-07170-0","type":"journal-article","created":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T15:06:35Z","timestamp":1636470395000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Determining the impact of the Zika pandemic on primary care providers\u2019 contraceptive counseling of non-pregnant patients in the US: a mixed methods study"],"prefix":"10.1186","volume":"21","author":[{"given":"Jennifer E.","family":"Kaiser","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Galindo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica N.","family":"Sanders","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca G.","family":"Simmons","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori M.","family":"Gawron","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer S.","family":"Herrick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Brintz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David K.","family":"Turok","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,11,9]]},"reference":[{"key":"7170_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jaut.2016.02.006","volume":"68","author":"C Chang","year":"2016","unstructured":"Chang C, Ortiz K, Ansari A, Gershwin ME. The Zika outbreak of the 21st century. J Autoimmun. 2016;68:1\u201313.","journal-title":"J Autoimmun"},{"issue":"6","key":"7170_CR2","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1097\/GCO.0000000000000323","volume":"28","author":"LM Goldthwaite","year":"2016","unstructured":"Goldthwaite LM, Velasquez G. Family planning and the Zika era. Curr Opin Obstet Gynecol. 2016;28(6):499\u2013503.","journal-title":"Curr Opin Obstet Gynecol"},{"key":"7170_CR3","doi-asserted-by":"publisher","unstructured":"Aiken A, Aiken CE, Trussell J. In the midst of Zika pregnancy advisories, termination of pregnancy is the elephant in the room. BJOG. 2017;124(4):546\u20138. https:\/\/doi.org\/10.1111\/1471-0528.14296. Epub 2016 Sep 5.","DOI":"10.1111\/1471-0528.14296"},{"issue":"5","key":"7170_CR4","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1055\/s-0036-1592068","volume":"34","author":"A Burke","year":"2016","unstructured":"Burke A, Moreau C. Family planning and Zika virus: the power of prevention. Semin Reprod Med. 2016;34(5):305\u201312.","journal-title":"Semin Reprod Med"},{"key":"7170_CR5","volume-title":"Congenital Zika Syndrome & Other Birth Defects","author":"Centers for Disease Control and Presvention Prevention","year":"2017","unstructured":"Centers for Disease Control and Presvention Prevention. Congenital Zika Syndrome & Other Birth Defects 2017 [updated 8\/9\/2017. Available from: https:\/\/www.cdc.gov\/zika\/hc-providers\/infants-children\/zika-syndrome-birth-defects.html."},{"issue":"39","key":"7170_CR6","doi-asserted-by":"publisher","first-page":"1077","DOI":"10.15585\/mmwr.mm6539e1","volume":"65","author":"EE Petersen","year":"2016","unstructured":"Petersen EE, Meaney-Delman D, Neblett-Fanfair R, Havers F, Oduyebo T, Hills SL, et al. Update: interim guidance for preconception counseling and prevention of sexual transmission of Zika virus for persons with possible Zika virus exposure - United States, September 2016. MMWR Morb Mortal Wkly Rep. 2016;65(39):1077\u201381.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"29","key":"7170_CR7","doi-asserted-by":"publisher","first-page":"781","DOI":"10.15585\/mmwr.mm6629e1","volume":"66","author":"T Oduyebo","year":"2017","unstructured":"Oduyebo T, Polen KD, Walke HT, Reagan-Steiner S, Lathrop E, Rabe IB, et al. Update: interim guidance for health care providers caring for pregnant women with possible Zika virus exposure - United States (including U.S. territories), July 2017. MMWR Morb Mortal Wkly Rep. 2017;66(29):781\u201393.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"12","key":"7170_CR8","doi-asserted-by":"publisher","first-page":"315","DOI":"10.15585\/mmwr.mm6512e2","volume":"65","author":"EE Petersen","year":"2016","unstructured":"Petersen EE, Polen KN, Meaney-Delman D, Ellington SR, Oduyebo T, Cohn A, et al. Update: interim guidance for health care providers caring for women of reproductive age with possible Zika virus exposure--United States, 2016. MMWR Morb Mortal Wkly Rep. 2016;65(12):315\u201322.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"7170_CR9","doi-asserted-by":"publisher","unstructured":"Escutia G, McDonald E, Rodr\u00edguez-Lainz A, Healy J. Demographic and Travel Characteristics of Travel-Associated Zika Virus Infection Case-Patients in San Diego County, California (January 1, 2016-March 31, 2017). J Community Health. 2018;43(3):566\u20139. https:\/\/doi.org\/10.1007\/s10900-017-0453-1.","DOI":"10.1007\/s10900-017-0453-1"},{"issue":"9","key":"7170_CR10","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1056\/NEJMsa1506575","volume":"374","author":"LB Finer","year":"2016","unstructured":"Finer LB, Zolna MR. Declines in unintended pregnancy in the United States, 2008-2011. N Engl J Med. 2016;374(9):843\u201352.","journal-title":"N Engl J Med"},{"key":"7170_CR11","unstructured":"Kem C Gardner Policy Institute. First Insights - 2020 Census Race and Hispanic or Latino Origin in Utah: University of Utah; 2021 [Available from: https:\/\/gardner.utah.edu\/wp-content\/uploads\/C2020-RceEth-FS-Aug2021.pdf?x71849."},{"key":"7170_CR12","unstructured":"Guttmacher Institute. Contraceptive Needs and Service, 2014 Update 2014 [Available from: https:\/\/www.guttmacher.org\/sites\/default\/files\/report_downloads\/contraceptive-needs-and_services-tables-2014.pdf."},{"key":"7170_CR13","volume-title":"R: a language and environment for statistical computing. 3.6.2 ed","author":"RC Team","year":"2019","unstructured":"Team RC. R: a language and environment for statistical computing. 3.6.2 ed. Vienna: R Foundation for Statistical Computing; 2019."},{"issue":"8","key":"7170_CR14","doi-asserted-by":"publisher","first-page":"950","DOI":"10.1016\/j.jclinepi.2014.12.018","volume":"68","author":"R Jandoc","year":"2015","unstructured":"Jandoc R, Burden AM, Mamdani M, L\u00e9vesque LE, Cadarette SM. Interrupted time series analysis in drug utilization research is increasing: systematic review and recommendations. J Clin Epidemiol. 2015;68(8):950\u20136.","journal-title":"J Clin Epidemiol"},{"issue":"11","key":"7170_CR15","doi-asserted-by":"publisher","first-page":"1252","DOI":"10.1016\/j.jclinepi.2011.02.007","volume":"64","author":"F Zhang","year":"2011","unstructured":"Zhang F, Wagner AK, Ross-Degnan D. Simulation-based power calculation for designing interrupted time series analyses of health policy interventions. J Clin Epidemiol. 2011;64(11):1252\u201361.","journal-title":"J Clin Epidemiol"},{"issue":"4","key":"7170_CR16","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1016\/j.contraception.2009.11.006","volume":"81","author":"C Dehlendorf","year":"2010","unstructured":"Dehlendorf C, Levy K, Ruskin R, Steinauer J. Health care providers' knowledge about contraceptive evidence: a barrier to quality family planning care? Contraception. 2010;81(4):292\u20138.","journal-title":"Contraception."},{"key":"7170_CR17","volume-title":"Knowledge, attitudes and practice surveys: Zika virus disease and potential complications: resource pack","author":"World Health Organization","year":"2016","unstructured":"World Health Organization. Knowledge, attitudes and practice surveys: Zika virus disease and potential complications: resource pack. Geneva: World Health Organization; 2016."},{"issue":"1","key":"7170_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/109019818401100101","volume":"11","author":"NK Janz","year":"1984","unstructured":"Janz NK, Becker MH. The health belief model: a decade later. Health Educ Q. 1984;11(1):1\u201347.","journal-title":"Health Educ Q"},{"issue":"3","key":"7170_CR19","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1363\/48e10316","volume":"48","author":"AR Aiken","year":"2016","unstructured":"Aiken AR, Borrero S, Callegari LS, Dehlendorf C. Rethinking the pregnancy planning paradigm: unintended conceptions or unrepresentative concepts? Perspect Sex Reprod Health. 2016;48(3):147\u201351.","journal-title":"Perspect Sex Reprod Health"},{"key":"7170_CR20","doi-asserted-by":"publisher","unstructured":"Katler Q, Godiwala P, Macri C, Pineles B, Simon G, Chang A, Ahmadzia H. Evolution of Knowledge, Awareness, and Practices regarding Zika Virus from 2016 to 2017. Infect Dis Obstet Gynecol. 2017;2017:6350602. https:\/\/doi.org\/10.1155\/2017\/6350602. Epub 2017 Nov 20.","DOI":"10.1155\/2017\/6350602"},{"issue":"1","key":"7170_CR21","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1016\/j.pec.2013.09.013","volume":"94","author":"LM Gawron","year":"2014","unstructured":"Gawron LM, Hammond C, Keefer L. Documentation of reproductive health counseling and contraception in women with inflammatory bowel diseases. Patient Educ Couns. 2014;94(1):134\u20137.","journal-title":"Patient Educ Couns"},{"key":"7170_CR22","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.yebeh.2016.08.021","volume":"65","author":"AR Espinera","year":"2016","unstructured":"Espinera AR, Gavvala J, Bellinski I, Kennedy J, Macken MP, Narechania A, et al. Counseling by epileptologists affects contraceptive choices of women with epilepsy. Epilepsy Behav. 2016;65:1\u20136.","journal-title":"Epilepsy Behav"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-021-07170-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-021-07170-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-021-07170-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T15:08:01Z","timestamp":1636470481000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmchealthservres.biomedcentral.com\/articles\/10.1186\/s12913-021-07170-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,9]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["7170"],"URL":"https:\/\/doi.org\/10.1186\/s12913-021-07170-0","relation":{},"ISSN":["1472-6963"],"issn-type":[{"value":"1472-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,9]]},"assertion":[{"value":"19 April 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 October 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 November 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The University of Utah IRB approved all components of this study (IRB_ 00111270) and the CHC Board of Directors gave permission to recruit practitioners and to access charts for review. The University of Utah IRB approved this study under Exemption category 2 and category 7. The retrospective chart review was approved under a waiver of consent and authorization. All survey\/interview participants received an IRB approved consent cover letter describing the study procedures, risks, and benefits. All participants provided implied consent by completing the survey\/interview after receiving the consent cover letter. All methods were performed in accordance with the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"NA","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1215"}}