Zika Virus: Knowledge Assessment of Residents and Health-Care Providers in Roatán, Honduras, following an Outbreak

Daniela I. Brissett School of Medicine, University of California, San Francisco, San Francisco, California;

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Cascade Tuholske Department of Geography, University of California, Santa Barbara, Santa Barbara, California;

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Isabel E. Allen Department of Epidemiology, University of California, San Francisco, San Francisco, California;

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Noely S. Larios Facultad de Ciencias Sociales, School of Medicine, Universidad Nacional Autonoma de Honduras, Tegucigalpa, Honduras;

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Diego J. Mendoza School of Medicine, Universidad Catolica de Honduras, Tegucigalpa, Honduras;

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Ana G. Murillo School of Medicine, Universidad Catolica de Honduras, Tegucigalpa, Honduras;

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Evan M. Bloch Department of Pathology, Johns Hopkins Medicine, Baltimore, Maryland

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DOI:
https://doi.org/10.4269/ajtmh.18-0014
Volume/Issue:
Volume 99: Issue 1
Page(s):
211–215
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Few studies have evaluated the effectiveness of Zika virus (ZIKV) public health educational campaigns. Following a ZIKV educational campaign in Roatán, Honduras (October 2016), a survey was administered (March–May 2017) to residents (N = 348) and health-care professionals ([HCPs]; N = 44) to evaluate ZIKV knowledge, attitudes, and preventive practices, with attention to sexual health. Knowledge scores were calculated and mapped using participants’ home locations. The knowledge scores between HCPs and residents were significantly different (mean 17 versus 11; P < 0.001). Only 6% of residents and 14% of HCPs knew that ZIKV was sexually transmissible. Few reported abstinence (2.6% residents; 9.4% HCPs) or condom use (1.6% residents; 12.5% HCPs) to prevent ZIKV infection. Of all subjects, 15.6% were pregnant or had a pregnant partner in the past year; 57.6% expressed concern over ZIKV. Mapping demonstrated spatial heterogeneity in knowledge. The findings suggest a need for improved public health messaging in ZIKV-affected areas.

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Author Notes

Address correspondence to Daniela I. Brissett, School of Medicine, University of California, San Francisco, 513 Parnassus Ave., S-245, San Francisco, CA 94143-0454. E-mail: daniela.brissett@ucsf.edu

Authors’ addresses: Daniela I. Brissett, School of Medicine, University of California, San Francisco Medical Center, San Francisco, CA, E-mail: daniela.brissett@ucsf.edu. Cascade Tuholske, Department of Geography, University of California, Santa Barbara, Santa Barbara, CA, E-mail: cascade@umail.ucsb.edu. Isabel E. Allen, Department of Epidemiology, University of California San Francisco Medical Center, San Francisco, CA, E-mail: isabel.allen@ucsf.edu. Noely S. Larios, Facultad de Ciencias Sociales, School of Medicine, Universidad Nacional Autonoma de Honduras, Tegucigalpa, Honduras, E-mail: noelylariosa@gmail.com. Diego J. Mendoza and Ana G. Murillo, School of Medicine, Universidad Catolica de Honduras, Tegucigalpa, Honduras, E-mails: diegomv_1691@hotmail.com and anagaby_1119@hotmail.com. Evan M. Bloch, Department of Pathology, Johns Hopkins Medicine, Baltimore, MD, E-mail: ebloch2@jhmi.edu.

Copyright:
© The American Society of Tropical Medicine and Hygiene 2018
Received:
09 Jan 2018
|
Accepted:
31 Mar 2018
|
Published Online:
14 May 2018
Cover The American Journal of Tropical Medicine and Hygiene
The American Journal of Tropical Medicine and Hygiene
Print ISSN:
0002-9637
Online ISSN:
1476-1645
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