Please use this identifier to cite or link to this item:
https://www.arca.fiocruz.br/handle/icict/48711
SOCIAL DETERMINANTS ASSOCIATED WITH ZIKA VIRUS INFECTION IN PREGNANT WOMEN
Infecção por Zika virus
Gestantes
Fatores de Risco
Insegurança Alimentar
Author
Nery Junior, Nivison Ruy Rocha
Aguilar Ticona, Juan Pablo
Gambrah, Claudia
Gollin, Simon Doss
Aromolaran, Adeolu
Rastely Júnior, Valmir
Lessa, Millani
Sacramento, Gielson A.
Cruz, Jaqueline S.
Oliveira, Daiana de
Santos, Laiara Lopes dos
Silva, Crislaine G. da
Botosso, Viviane F.
Soares, Camila P.
Araujo, Danielle Bastos
Oliveira, Danielle B.
Alves, Rubens Prince dos Santos
Santos, Robert Andreata
Durigon, Edison L.
Ferreira, Luís Carlos de Souza
Wunder Junior, Elsio Augusto
Cunha, Antonio Ricardo Khouri
Oliveira Filho, Jamary
Siqueira, Isadora Cristina de
Almeida, Antônio R. P.
Reis, Mitermayer Galvão dos
Ko, Albert Icksang
Costa, Federico
Aguilar Ticona, Juan Pablo
Gambrah, Claudia
Gollin, Simon Doss
Aromolaran, Adeolu
Rastely Júnior, Valmir
Lessa, Millani
Sacramento, Gielson A.
Cruz, Jaqueline S.
Oliveira, Daiana de
Santos, Laiara Lopes dos
Silva, Crislaine G. da
Botosso, Viviane F.
Soares, Camila P.
Araujo, Danielle Bastos
Oliveira, Danielle B.
Alves, Rubens Prince dos Santos
Santos, Robert Andreata
Durigon, Edison L.
Ferreira, Luís Carlos de Souza
Wunder Junior, Elsio Augusto
Cunha, Antonio Ricardo Khouri
Oliveira Filho, Jamary
Siqueira, Isadora Cristina de
Almeida, Antônio R. P.
Reis, Mitermayer Galvão dos
Ko, Albert Icksang
Costa, Federico
Affilliation
“Múltipla – ver em notas”
Abstract
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.
Methods
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.
Results
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). Conclusion
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.
Keywords in Portuguese
Zika virusInfecção por Zika virus
Gestantes
Fatores de Risco
Insegurança Alimentar
Share