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Solidarity, vulnerability and mistrust: how context, information and government affect the lives of women in times of Zika

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Show simple item record Linde-Arias, Ana Rosa Roura, Maria Siqueira, Eduardo 2020-04-17T10:33:23Z 2020-04-17T10:33:23Z 2020
dc.description peer-reviewed en_US
dc.description.abstract Background: The public health response to Zika outbreak has mostly focused on epidemiological surveillance, vector control, and individual level preventative measures. This qualitative study employs a social-ecological framework to examine how macro (historical, legislative, political, socio-economic factors), meso (sources of information, social support, social mobilization) and micro level factors (individual actions, behavioral changes) interacted to influence the response and behavior of women with respect to Zika in different contexts. Methods: A qualitative study was carried out. Women were recruited through the snowball sampling technique from various locations in Brazil, Puerto Rico, and the United States. They were of different nationalities and ethnicities. Data were collected through semi-structured interviews. The data transcripts were analyzed using thematic analysis. Results: Women in this study deemed the information provided as insufficient, which led them to actively reach out and access a variety of media sources. Social networks played a vital role in sharing information but also resulted in the spread of hoaxes or rumors. Participants in our research perceived socio-economic inequities but focused on how to remedy their microenvironments. They did not engage in major social activities. Lack of trust in governments placed women in vulnerable situations by preventing them to follow the guidance of health authorities. These impacts were also a result of the response tactics of health and government administrations in their failed attempts to ensure the well-being of their countries’ populations. Conclusions: Our findings call for public health interventions that go beyond individual level behavioral change campaigns, to more comprehensively address the broader meso and macro level factors that influence women’ willingness and possibility to protect themselves. en_US
dc.language.iso eng en_US
dc.publisher BMC en_US
dc.relation.ispartofseries BMC Infectious Diseases;20,263
dc.subject Zika en_US
dc.subject Women en_US
dc.subject Social determinants en_US
dc.subject Information en_US
dc.title Solidarity, vulnerability and mistrust: how context, information and government affect the lives of women in times of Zika en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1186/s12879-020-04987-8
dc.contributor.sponsor University of Massachusetts Boston en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US

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