1. Assessing Needs for Comprehensive Zika Avoidance Messaging for At-Risk Women in the U.S.-Mexico Border Region
- Author
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Lopez, Elise C., Ernst, Kacey C., Garcia, David O., Anderson, Elizabeth J., Lopez, Elise C., Ernst, Kacey C., Garcia, David O., and Anderson, Elizabeth J.
- Abstract
BACKGROUND: Zika virus poses a severe health threat to pregnant women, yet few public health responses thus far have addressed barriers to behavior change to reduce mosquito-borne and/or sexual spread. Zika’s effects are most severe for pregnant women, who are unlikely to be using a barrier method during pregnancy. Pregnant women are commonly aware that Zika is transmitted by mosquitos, but not that sexual transmission is a secondary route. The potential role of intimate partner violence in preventing the sexual spread of Zika (i.e., via condom use negotiation) is not well understood and has not been addressed in prevention education. Women in the U.S.-Mexico border region of Arizona represent one key population that may be at risk of a future Zika epidemic. Mobile health (mHealth) outreach is ideal to engage this population as it provides participants with flexibility and privacy commensurate with sensitivity to discussing topics such as sexual activity or birth defects. OBJECTIVES: This dissertation is composed from three studies that address the following aims: 1) to assess existing mHealth interventions to reduce or mitigate IPV in any form, including sexual assault and coercion, physical violence, and emotional control or abuse, any of which may influence successful engagement in Zika prevention behaviors; 2) to estimate the population-level dissemination of public health information throughout Arizona on the sexual transmissibility of Zika to women who were pregnant or intending to become pregnant during the 2016-2017 epidemic; 3) to identify factors that influence mosquito bite risk and subjective condom use norms among Spanish-speaking Mexican-origin women in a Zika risk area, as well as preferences for mobile message delivery. METHODS: A systematic literature search was conducted for Aim 1 to synthesize existing efforts to address intimate partner violence victimization using mobile or other web-based programs. Aim 2 included a quantitative analysis of data
- Published
- 2020