Social determinants associated with Zika virus infection in pregnant women.
This study aims to describe the sociodemographic determinants associated with exposure to Zika Virus (ZIKV) in pregnant women during the 2015-2016 epidemic in Salvador, Brazil.<h4>Methods</h4>We recruited women who gave birth between October 2015 and January 2016 to a cross-sectional stu...
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Public Library of Science (PLoS)
2021
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oai:doaj.org-article:0842db8eefc84eefb4ea51be35e9ee6d2021-11-25T06:33:25ZSocial determinants associated with Zika virus infection in pregnant women.1935-27271935-273510.1371/journal.pntd.0009612https://doaj.org/article/0842db8eefc84eefb4ea51be35e9ee6d2021-07-01T00:00:00Zhttps://doi.org/10.1371/journal.pntd.0009612https://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735This study aims to describe the sociodemographic determinants associated with exposure to Zika Virus (ZIKV) in pregnant women during the 2015-2016 epidemic in Salvador, Brazil.<h4>Methods</h4>We recruited women who gave birth between October 2015 and January 2016 to a cross-sectional study at a referral maternity hospital in Salvador, Brazil. We collected information on their demographic, socioeconomic, and clinical characteristics, and evaluated their ZIKV exposure using a plaque reduction neutralization test. Logistic regression was then used to assess the relationship between these social determinants and ZIKV exposure status.<h4>Results</h4>We included 469 pregnant women, of whom 61% had a positive ZIKV result. Multivariate analysis found that lower education (adjusted Prevalence Rate [aPR] 1.21; 95%CI 1.04-1.35) and food insecurity (aPR 1.17; 95%CI 1.01-1.30) were positively associated with ZIKV exposure. Additionally, age was negatively associated with the infection risk (aPR 0.99; 95%CI 0.97-0.998).<h4>Conclusion</h4>Eve after controlling for age, differences in key social determinants, as education and food security, were associated with the risk of ZIKV infection among pregnant women in Brazil. Our findings elucidate risk factors that can be targeted by future interventions to reduce the impact of ZIKV infection in this vulnerable population.Nivison NeryJuan P Aguilar TiconaClaudia GambrahSimon Doss-GollinAdeolu AromolaranValmir Rastely-JúniorMillani LessaGielson A SacramentoJaqueline S CruzDaiana de OliveiraLaiara Lopes Dos SantosCrislaine G da SilvaViviane F BotossoCamila P SoaresDanielle Bastos AraujoDanielle B OliveiraRubens Prince Dos Santos AlvesRobert Andreata-SantosEdison L DurigonLuís Carlos de Souza FerreiraElsio A WunderRicardo KhouriJamary Oliveira-FilhoIsadora C de SiqueiraAntônio R P AlmeidaMitermayer G ReisAlbert I KoFederico CostaPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 15, Iss 7, p e0009612 (2021) |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Nivison Nery Juan P Aguilar Ticona Claudia Gambrah Simon Doss-Gollin Adeolu Aromolaran Valmir Rastely-Júnior Millani Lessa Gielson A Sacramento Jaqueline S Cruz Daiana de Oliveira Laiara Lopes Dos Santos Crislaine G da Silva Viviane F Botosso Camila P Soares Danielle Bastos Araujo Danielle B Oliveira Rubens Prince Dos Santos Alves Robert Andreata-Santos Edison L Durigon Luís Carlos de Souza Ferreira Elsio A Wunder Ricardo Khouri Jamary Oliveira-Filho Isadora C de Siqueira Antônio R P Almeida Mitermayer G Reis Albert I Ko Federico Costa Social determinants associated with Zika virus infection in pregnant women. |
| description |
This study aims to describe the sociodemographic determinants associated with exposure to Zika Virus (ZIKV) in pregnant women during the 2015-2016 epidemic in Salvador, Brazil.<h4>Methods</h4>We recruited women who gave birth between October 2015 and January 2016 to a cross-sectional study at a referral maternity hospital in Salvador, Brazil. We collected information on their demographic, socioeconomic, and clinical characteristics, and evaluated their ZIKV exposure using a plaque reduction neutralization test. Logistic regression was then used to assess the relationship between these social determinants and ZIKV exposure status.<h4>Results</h4>We included 469 pregnant women, of whom 61% had a positive ZIKV result. Multivariate analysis found that lower education (adjusted Prevalence Rate [aPR] 1.21; 95%CI 1.04-1.35) and food insecurity (aPR 1.17; 95%CI 1.01-1.30) were positively associated with ZIKV exposure. Additionally, age was negatively associated with the infection risk (aPR 0.99; 95%CI 0.97-0.998).<h4>Conclusion</h4>Eve after controlling for age, differences in key social determinants, as education and food security, were associated with the risk of ZIKV infection among pregnant women in Brazil. Our findings elucidate risk factors that can be targeted by future interventions to reduce the impact of ZIKV infection in this vulnerable population. |
| format |
article |
| author |
Nivison Nery Juan P Aguilar Ticona Claudia Gambrah Simon Doss-Gollin Adeolu Aromolaran Valmir Rastely-Júnior Millani Lessa Gielson A Sacramento Jaqueline S Cruz Daiana de Oliveira Laiara Lopes Dos Santos Crislaine G da Silva Viviane F Botosso Camila P Soares Danielle Bastos Araujo Danielle B Oliveira Rubens Prince Dos Santos Alves Robert Andreata-Santos Edison L Durigon Luís Carlos de Souza Ferreira Elsio A Wunder Ricardo Khouri Jamary Oliveira-Filho Isadora C de Siqueira Antônio R P Almeida Mitermayer G Reis Albert I Ko Federico Costa |
| author_facet |
Nivison Nery Juan P Aguilar Ticona Claudia Gambrah Simon Doss-Gollin Adeolu Aromolaran Valmir Rastely-Júnior Millani Lessa Gielson A Sacramento Jaqueline S Cruz Daiana de Oliveira Laiara Lopes Dos Santos Crislaine G da Silva Viviane F Botosso Camila P Soares Danielle Bastos Araujo Danielle B Oliveira Rubens Prince Dos Santos Alves Robert Andreata-Santos Edison L Durigon Luís Carlos de Souza Ferreira Elsio A Wunder Ricardo Khouri Jamary Oliveira-Filho Isadora C de Siqueira Antônio R P Almeida Mitermayer G Reis Albert I Ko Federico Costa |
| author_sort |
Nivison Nery |
| title |
Social determinants associated with Zika virus infection in pregnant women. |
| title_short |
Social determinants associated with Zika virus infection in pregnant women. |
| title_full |
Social determinants associated with Zika virus infection in pregnant women. |
| title_fullStr |
Social determinants associated with Zika virus infection in pregnant women. |
| title_full_unstemmed |
Social determinants associated with Zika virus infection in pregnant women. |
| title_sort |
social determinants associated with zika virus infection in pregnant women. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2021 |
| url |
https://doaj.org/article/0842db8eefc84eefb4ea51be35e9ee6d |
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