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Vector control stra...
Vector control strategies in Brazil : a qualitative investigation into community knowledge, attitudes and perceptions following the 2015-2016 Zika virus epidemic
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- Bancroft, Dani (author)
- Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, United Kingdom
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- Power, Grace M. (author)
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, United Kingdom
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- Jones, Robert T. (author)
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, United Kingdom
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- Massad, Eduardo (author)
- School of Medicine, University of São Paulo, São Paulo, Brazil; School of Applied Mathematics, Fundação Getulio Vargas, RJ, Rio de Janeiro, Brazil
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- Iriat, Jorge Bernstein (author)
- Institute of Collective Health, Federal University of Bahia, Salvador, BA, Brazil
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- Preet, Raman (author)
- Umeå universitet,Institutionen för epidemiologi och global hälsa
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- Kinsman, John (author)
- Umeå universitet,Institutionen för epidemiologi och global hälsa
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- Logan, James G. (author)
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, United Kingdom
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(creator_code:org_t)
- 2022-01-31
- 2022
- English.
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In: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 12:1
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Abstract
Subject headings
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- OBJECTIVE: The World Health Organization declared a Public Health Emergency of International Concern following the rapid emergence of neonatal microcephaly in Brazil during the 2015-2016 Zika virus (ZIKV) epidemic. In response, a national campaign sought to control Aedes mosquito populations and reduce ZIKV transmission. Achieving adherence to vector control or mosquito-bite reduction behaviours, including the use of topical mosquito repellents, is challenging. Coproduction of research at the community level is needed to understand and mitigate social determinants of lower engagement with Aedes preventive measures, particularly within disempowered groups.DESIGN: In 2017, the Zika Preparedness Latin America Network (ZikaPLAN) conducted a qualitative study to understand individual and community level experiences of ZIKV and other mosquito-borne disease outbreaks. Presented here is a thematic analysis of 33 transcripts from community focus groups and semistructured interviews, applying the Health Belief Model (HBM) to elaborate knowledge, attitudes and perceptions of ZIKV and vector control strategies.PARTICIPANTS: 120 purposively sampled adults of approximate reproductive age (18-45); 103 women participated in focus groups and 17 men in semistructured interviews.SETTING: Two sociopolitically and epidemiologically distinct cities in Brazil: Jundiaí (57 km north of São Paolo) and Salvador (Bahia state capital).RESULTS: Four key and 12 major themes emerged from the analysis: (1) knowledge and cues to action; (2) attitudes and normative beliefs (perceived threat, barriers, benefits and self-efficacy); (3) behaviour change (household prevention and community participation); and (4) community preferences for novel repellent tools, vector control strategies and ZIKV messaging.CONCLUSIONS: Common barriers to repellent adherence were accessibility, appearance and effectiveness. A strong case is made for the transferability of the HBM to inform epidemic preparedness for mosquito-borne disease outbreaks at the community level. Nationally, a health campaign targeting men is recommended, in addition to local mobilisation of funding to strengthen surveillance, risk communication and community engagement.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Infectious Medicine (hsv//eng)
Keyword
- entomology
- epidemiology
- infection control
- public health
Publication and Content Type
- ref (subject category)
- art (subject category)
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