{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T07:12:25Z","timestamp":1790838745130,"version":"4.1.0"},"reference-count":46,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T00:00:00Z","timestamp":1593129600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012005","name":"University of Massachusetts Boston","doi-asserted-by":"publisher","award":["Healey research grant"],"award-info":[{"award-number":["Healey research grant"]}],"id":[{"id":"10.13039\/100012005","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Zika virus infection during pregnancy is a cause of congenital brain abnormalities. Its consequences for pregnancies have made governments and both national and international agencies issue advice and recommendations to women. This study was designed to understand the impacts of Zika on women who were less directly affected and less vulnerable to Zika. Women were recruited from various locations in Brazil, Puerto Rico, and the United States. Data were collected through semi-structured interviews and analyzed using thematic analysis. Women perceived that public health systems placed an unfair responsibility for preventing health complications from Zika onto women who had limited ability to do so. They also stated that the measures recommended to them were invasive, while creating the perception that women were the sole determinant of whether they contracted Zika. The results indicate that women with higher levels of education understood the limitations of the information, government actions, and medical care they received, which ended up producing higher levels of anguish and worry. Gender inequality and discrimination must be recognized and rendered visible in the public health emergency response. The social effects of the epidemic affected women more than had been thought before and at deeper emotional levels.<\/jats:p>","DOI":"10.3390\/ijerph17124613","type":"journal-article","created":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T05:28:56Z","timestamp":1593408536000},"page":"4613","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["\u201cToo Much to Ask, Too Much to Handle\u201d: Women\u2019s Coping in Times of Zika"],"prefix":"10.3390","volume":"17","author":[{"given":"Ana Rosa","family":"Linde Arias","sequence":"first","affiliation":[{"name":"Mauricio Gast\u00f3n Institute for Latino Community Development and Public Policy, University of Massachusetts Boston, Boston, MA 02125-3393, USA"},{"name":"Escola de Matem\u00e1tica Aplicada FGV EMAp, Funda\u00e7\u00e3o Getulio Vargas FGV, Rio de Janeiro, RJ 22250-900, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Tristan-Cheever","sequence":"additional","affiliation":[{"name":"Cambridge Health Alliance, Cambridge, MA 02139, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Furtado","sequence":"additional","affiliation":[{"name":"Mauricio Gast\u00f3n Institute for Latino Community Development and Public Policy, University of Massachusetts Boston, Boston, MA 02125-3393, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8993-3031","authenticated-orcid":false,"given":"Eduardo","family":"Siqueira","sequence":"additional","affiliation":[{"name":"School for the Environment, University of Massachusetts Boston, Boston, MA 02125-3393, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,6,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"i657","DOI":"10.1136\/bmj.i657","article-title":"Zika virus is a global public health emergency, declares WHO","volume":"352","author":"Gulland","year":"2016","journal-title":"BMJ"},{"key":"ref_2","unstructured":"Centers for Disease Control and Prevention (2020, April 23). 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