{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T05:01:04Z","timestamp":1773291664440,"version":"3.50.1"},"reference-count":23,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,7,12]]},"abstract":"<jats:p>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 (<jats:italic>N<\/jats:italic> = 390) versus those born in the United States (<jats:italic>N<\/jats:italic> = 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.<\/jats:p>","DOI":"10.4269\/ajtmh.17-0062","type":"journal-article","created":{"date-parts":[[2017,5,2]],"date-time":"2017-05-02T07:00:14Z","timestamp":1493708414000},"page":"155-162","source":"Crossref","is-referenced-by-count":22,"title":["Knowledge and Prevention Practices among U.S. Pregnant Immigrants from Zika Virus Outbreak Areas"],"prefix":"10.4269","volume":"97","author":[{"given":"Abbey B.","family":"Berenson","sequence":"first","affiliation":[{"name":"Center for Interdisciplinary Research in Women\u2019s Health, University of Texas Medical Branch, Galveston, Texas;"},{"name":"Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ha N.","family":"Trinh","sequence":"additional","affiliation":[{"name":"Center for Interdisciplinary Research in Women\u2019s Health, University of Texas Medical Branch, Galveston, Texas;"},{"name":"Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline M.","family":"Hirth","sequence":"additional","affiliation":[{"name":"Center for Interdisciplinary Research in Women\u2019s Health, University of Texas Medical Branch, Galveston, Texas;"},{"name":"Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fangjian","family":"Guo","sequence":"additional","affiliation":[{"name":"Center for Interdisciplinary Research in Women\u2019s Health, University of Texas Medical Branch, Galveston, Texas;"},{"name":"Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika L.","family":"Fuchs","sequence":"additional","affiliation":[{"name":"Center for Interdisciplinary Research in Women\u2019s Health, University of Texas Medical Branch, Galveston, Texas;"},{"name":"Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott C.","family":"Weaver","sequence":"additional","affiliation":[{"name":"Department of Pathology, Institute of Human Infections and Immunology, University of Texas Medical Branch, Galveston, Texas;"},{"name":"Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"All Countries and Territories with Active Zika Virus Transmission","author":"Centers for Disease Control and Prevention","year":"2016"},{"key":"ref2","series-title":"WHO Statement on the First Meeting of the International Health Regulations (2005) Emergency Committee on Zika Virus and Observed Increase in Neurological Disorders and Neonatal Malformations","author":"World Health Organization","year":"2016"},{"key":"ref3","series-title":"CDC Concludes Zika Causes Microcephaly and Other Birth Defects","author":"Centers for Disease Control and Prevention","year":"2016"},{"key":"ref4","series-title":"MMWR Morb Mortal Wkly Rep","first-page":"983","article-title":"Zika virus disease cases: 50 states and the District of Columbia, January 1\u2013July 31, 2016","volume":"65","author":"Walker","year":"2016"},{"key":"ref5","series-title":"MMWR Morb Mortal Wkly Rep","first-page":"745","article-title":"Update: interim guidance for prevention of sexual transmission of Zika virus\u2014United States","volume":"65","author":"Brooks","year":"2016"},{"key":"ref6","series-title":"Zika Virus Case Counts in the US","author":"Centers for Disease Control and Prevention","year":"2016"},{"key":"ref7","series-title":"New Survey on American Attitudes toward Zika Virus Finds Limited Awareness or Concern: Wide Awareness of the Virus But Lack of Knowledge about the Availability or Unavailability of Treatments and Vaccines and Options to Test for the Virus","author":"NORC at the University of Chicago","year":"2016"},{"key":"ref8","series-title":"Zika Doesn\u2019t Deter Americans from Traveling Abroad, Study Shows","author":"University of Florida","year":"2016"},{"key":"ref9","series-title":"Am J Infect Control","first-page":"1709","article-title":"Identifying the public\u2019s concerns and the Centers for Disease Control and Prevention\u2019s reactions during a health crisis: an analysis of a Zika live Twitter chat","volume":"44","author":"Glowacki","year":"2016"},{"key":"ref10","series-title":"Many Families with Pregnant Women Don't Know Key Facts about Zika: Four in 10 among General Public Mistakenly Believe Zika Virus Infection in Women Likely to Harm Future Pregnancies","author":"Harvard","year":"2016"},{"key":"ref11","series-title":"Emerg Infect Dis","first-page":"164","article-title":"Zika virus knowledge among pregnant women who were in areas with active transmission","volume":"23","author":"Whittemore","year":"2017"},{"key":"ref12","series-title":"Knowledge, Attitudes and Practice Surveys Zika virus disease and potential complications Resource Pack","author":"World Health Organization","year":"2016"},{"key":"ref13","series-title":"Survey Description","first-page":"2014","author":"National Center for Health Statistics","year":"2013"},{"key":"ref14","series-title":"The First Nations\u2019 Knowledge of and Protection from the West Nile Virus","author":"First Nations Centre National Aboriginal Health Organization","year":"2016"},{"key":"ref15","series-title":"Zika Virus Topline","article-title":"Ipsos\/Reuters Poll Data. Ipsos Poll Conducted for Reuters","author":"Ipsos Public Affairs","year":"2016"},{"key":"ref16","series-title":"MMWR Suppl","first-page":"68","article-title":"Lessons of risk communication and health promotion: west Africa and United States","volume":"65","author":"Bedrosian","year":"2016"},{"key":"ref17","series-title":"Genet Med","first-page":"211","article-title":"A look at a Hispanic and African American population in an urban prenatal diagnostic center: referral reasons, amniocentesis acceptance, and abnormalities detected","volume":"6","author":"Baker","year":"2004"},{"key":"ref18","series-title":"N Engl J Med","first-page":"396","article-title":"Requests for abortion in Latin America related to concern about Zika virus exposure","volume":"375","author":"Aiken","year":"2016"},{"key":"ref19","series-title":"Texas Medicaid Brings Back Mosquito Repellent Benefit","year":"2016"},{"key":"ref20","series-title":"DEET","author":"US Environmental Protection Agency","year":"2016"},{"key":"ref21","series-title":"Zika Virus: Pregnancy","author":"Centers for Disease Control and Prevention","year":"2016"},{"key":"ref22","series-title":"Practice Advisory on Zika Virus","author":"American College of Obstetricians and Gynecologists","year":"2016"},{"key":"ref23","series-title":"Reregistration Eligibility Decision (RED) for Permethrin","author":"US Environmental Protection Agency","year":"2007"}],"container-title":["The American Society of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/97\/1\/article-p155.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/97\/1\/article-p155.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/97\/1\/article-p155.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T22:24:39Z","timestamp":1723069479000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/97\/1\/article-p155.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,12]]},"references-count":23,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.17-0062","relation":{},"ISSN":["0002-9637"],"issn-type":[{"value":"0002-9637","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,12]]}}}