{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T08:15:03Z","timestamp":1772180103860,"version":"3.50.1"},"reference-count":38,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5,6]]},"abstract":"<jats:p>Zika virus, which is transmitted by <jats:italic>Aedes aegypti<\/jats:italic> mosquitoes and through sexual transmission, disproportionally affects the human fetus. Guatemala experienced a surge of Zika cases beginning in 2016. We conducted a qualitative study of community perceptions of the seriousness of Zika, as well as the effectiveness, feasibility, and collective efficacy of Zika prevention actions. Free listing elicited the preventive actions salient for 68 participants comprising pregnant women, men with a pregnant partner, and women likely to become pregnant; 12 focus group discussions in a highland and a lowland town explored other concepts through rank orderings of prevention practices depicted on cards. Participants\u2019 initial concern about Zika, based on recent experience with chikungunya and high media coverage, diminished because of its mild symptoms and reduced media coverage. Participants identified more than 32 salient preventive actions, many of which are considered effective by programs. Participants ranked water storage container cleaning and regular unspecified cleaning of the house and its surroundings as highly effective, feasible, and of high collective efficacy; however, the actions lacked the specificity needed to effectively destroy mosquito eggs. Community-level removal of tires and discarded containers had lower collective efficacy than household-level implementation because of the municipal and community cooperation needed. Condom use, although salient for Zika prevention, was hindered by gender roles. The findings indicate space for increasing self-efficacy for condom use among fathers-to-be, abandoning nonspecific terms such as \u201ccleaning\u201d and \u201cstanding water,\u201d increasing people\u2019s skills in using bleach as an ovicide, and promoting antenatal care and family planning counseling.<\/jats:p>","DOI":"10.4269\/ajtmh.19-0578","type":"journal-article","created":{"date-parts":[[2020,2,25]],"date-time":"2020-02-25T07:01:05Z","timestamp":1582614065000},"page":"971-981","source":"Crossref","is-referenced-by-count":7,"title":["Community Perspectives on Zika Virus Disease Prevention in Guatemala: A Qualitative Study"],"prefix":"10.4269","volume":"102","author":[{"given":"Elli","family":"Leontsini","sequence":"first","affiliation":[{"name":"Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, 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