Knowledge, Attitudes, and Practices about the Prevention of Mosquito Bites and Zika Virus Disease in Pregnant Women in Greece
Knowledge, Attitudes, and Practices about the Prevention of Mosquito Bites and Zika Virus Disease in Pregnant Women in Greece
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DOI：
10.3390/ijerph14040367
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发表时间：
2017-04-01
影响因子：
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通讯作者：
Hadjichristodoulou, Christos
中科院分区：
文献类型：
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作者：
Mouchtouri, Varvara A.;Papagiannis, Dimitrios;Hadjichristodoulou, Christos
2016年7月，通过自填问卷对希腊573名孕妇进行了调查。10.5%和13.0%的孕妇及其男性性伴侣在过去6个月内分别表示曾出国旅行，77.4%（441/570）的孕妇曾听说过寨卡病毒病。63.3%的孕妇对性传播ZVD缺乏了解，24.1%的应答者不知道对胎儿和婴儿的风险。约73%的应答者认为蚊虫叮咬会影响其胎儿和婴儿，18%的应答者未采取常规蚊虫叮咬预防措施。多变量logistic回归模型显示，孕妇最近6个月出国旅行与被感染蚊虫叮咬传播ZVD的正确率相关（优势比OR = 10.47, 95% CI = 1.11 ~ 98.41）。在过去6个月内与男性性伴侣一起出国旅行与正确回答以下4个关键问题相关（OR = 2.05, 95% CI = 0.99-4.23）：通过蚊虫叮咬传播ZVD的风险、小头畸形的风险以及前往疫区国家旅行的风险。在知识和态度问题的9个回答中，得分接近5分与以下因素相关：获得理学学士学位（OR = 1.54, 95% CI = 1.09-2.18）、在公立医院接受产前护理（OR = 2.26, 95% CI = 1.28-3.98）、从事公务员职业（OR = 1.96, 95% CI = 1.10-3.48）、从公共卫生部门获得ZVD信息（OR = 2.04, 95% CI = 1.05-3.98）。总之，我们在希腊孕妇中发现了与ZVD相关的相当大的知识差距。这些研究结果有助于针对孕妇预防潜在的寨卡病毒感染。
A survey among 573 pregnant women in Greece was conducted through self-completion of a questionnaire in July 2016. Traveling abroad the last six months was declared by 10.5% and 13.0% of pregnant women and their male sex partners, respectively, while 77.4% (441/570) had heard about Zika virus disease (ZVD). A lack of knowledge about sexual transmission of ZVD was identified in 63.3% of pregnant women, and 24.1% of responders did not know the risks to the fetus and baby. Approximately 73% of responders believed that the mosquito bites can affect their fetus and baby and 18% did not take measures to prevent mosquito bites routinely. Multivariable logistic regression models showed that traveling abroad the last six months by pregnant women correlated with correctly answering the question about the transmission of ZVD through bites of infected mosquitoes (Odds Ratio, OR = 10.47, 95% CI = 1.11-98.41). Traveling abroad with a male sex partner over the last six months correlated (OR = 2.05, 95% CI = 0.99-4.23) with responding correctly to the four key questions about the transmission of ZVD through mosquito bites, the risk of microcephaly, and the risks of traveling to the affected countries. A score of similar to 5 for the nine responses given to questions of knowledge and attitudes was associated with a Bachelor of Science degree (OR = 1.54, 95% CI = 1.09-2.18), antenatal care at a public hospital (OR = 2.26, 95% CI = 1.28-3.98), being a civil servant as occupation (OR = 1.96, 95% CI = 1.10-3.48), and having gotten information about ZVD from the public health sector (OR = 2.04, 95% CI = 1.05-3.98). In conclusion, we found considerable knowledge gaps related to ZVD among Greek pregnant women. These study results are useful in targeting pregnant women for the prevention of potential Zika virus infections.