Skip to main content
Top
Published in: BMC Pregnancy and Childbirth 1/2017

Open Access 01-12-2017 | Research article

A survey-based study of Zika virus communication preferences among pregnant women in Georgia, United States

Authors: Mallory K. Ellingson, Catherine M. Bonk, Allison T. Chamberlain

Published in: BMC Pregnancy and Childbirth | Issue 1/2017

Login to get access

Abstract

Background

Because of the particularly severe perinatal outcomes associated with antenatal Zika virus infection, it is important for prenatal care providers to communicate Zika virus risks and strategies for prevention to their patients. Although face-to-face communication is ideal, clinic visits may not allow for in-depth discussion of all concerns. While previous studies have shown prenatal providers to be pregnant women’s most trusted sources of health information, there is little knowledge on what secondary communication modalities pregnant women prefer for receiving information from their providers about an evolving public health emergency.

Methods

A cross-sectional, descriptive anonymous 27-item survey was distributed to pregnant women at four clinics around Atlanta, Georgia from May 5th to June 20th, 2016. The survey assessed women’s interest in and communication preferences about prenatal topics, including Zika virus. Descriptive statistics were calculated and chi-square tests were used to evaluate associations between the primary outcomes and patient characteristics.

Results

Four-hundred and eight women completed the survey. The most popular resource for obtaining Zika virus information was the Centers for Disease Control and Prevention (CDC) website (73.0%). While their prenatal provider’s own website for Zika information ranked 5th among sources currently accessed for Zika information, it ranked third behind educational brochures and emails for ways in which women wanted to receive information. The characteristics of Zika virus information deemed most important were: evidence-based (87.5%), endorsed by the CDC (74.1%), and endorsed by their own provider (67.9%).

Conclusion

In any public health emergency affecting pregnant women, women are going to seek advice from their obstetric providers. Because providers may lack sufficient time to discuss concerns with every patient, they may consider providing patient education in other ways. For the women included in this study, educational brochures, emails and providers’ own practice websites were preferred. Providers should consider taking greater advantage of these modalities to supplement in-person exchanges, particularly during a public health emergency.
Appendix
Available only for authorised users
Literature
2.
go back to reference Monaghan AJ, Morin CW, Steinhoff DF, Wilhelmi O, Hayden M, Quattrochi DA, Reiskind M, Lloyd AL, Smith K, Schmidt CA, et al. On the Seasonal Occurrence and Abundance of the Zika Virus Vector Mosquito Aedes Aegypti in the Contiguous United States. PLoS Curr. 2016;8 Monaghan AJ, Morin CW, Steinhoff DF, Wilhelmi O, Hayden M, Quattrochi DA, Reiskind M, Lloyd AL, Smith K, Schmidt CA, et al. On the Seasonal Occurrence and Abundance of the Zika Virus Vector Mosquito Aedes Aegypti in the Contiguous United States. PLoS Curr. 2016;8
4.
go back to reference de Araujo TV, Rodrigues LC, de Alencar Ximenes RA, de Barros M-FD, Montarroyos UR, de Melo AP, Valongueiro S, de Albuquerque MF, Souza WV, Braga C, et al. Association between Zika virus infection and microcephaly in Brazil, January to May, 2016: preliminary report of a case-control study. Lancet Infect Dis. 2016;16:1356.CrossRefPubMed de Araujo TV, Rodrigues LC, de Alencar Ximenes RA, de Barros M-FD, Montarroyos UR, de Melo AP, Valongueiro S, de Albuquerque MF, Souza WV, Braga C, et al. Association between Zika virus infection and microcephaly in Brazil, January to May, 2016: preliminary report of a case-control study. Lancet Infect Dis. 2016;16:1356.CrossRefPubMed
5.
go back to reference Cauchemez S, Besnard M, Bompard P, Dub T, Guillemette-Artur P, Eyrolle-Guignot D, Salje H, Van Kerkhove MD, Abadie V, Garel C, et al. Association between Zika virus and microcephaly in French Polynesia, 2013-15: a retrospective study. Lancet. 2016;387(10033):2125–32.CrossRefPubMedPubMedCentral Cauchemez S, Besnard M, Bompard P, Dub T, Guillemette-Artur P, Eyrolle-Guignot D, Salje H, Van Kerkhove MD, Abadie V, Garel C, et al. Association between Zika virus and microcephaly in French Polynesia, 2013-15: a retrospective study. Lancet. 2016;387(10033):2125–32.CrossRefPubMedPubMedCentral
6.
go back to reference Kleber de Oliveira W, Cortez-Escalante J, De Oliveira WT, do Carmo GM, Henriques CM, Coelho GE, Araújo de França GV. Increase in Reported Prevalence of Microcephaly in Infants Born to Women Living in Areas with Confirmed Zika Virus Transmission During the First Trimester of Pregnancy - Brazil, 2015. Morb Mortal Wkly Rep. 2016;65(9):242–7.CrossRef Kleber de Oliveira W, Cortez-Escalante J, De Oliveira WT, do Carmo GM, Henriques CM, Coelho GE, Araújo de França GV. Increase in Reported Prevalence of Microcephaly in Infants Born to Women Living in Areas with Confirmed Zika Virus Transmission During the First Trimester of Pregnancy - Brazil, 2015. Morb Mortal Wkly Rep. 2016;65(9):242–7.CrossRef
7.
go back to reference Rasmussen SA, Jamieson DJ, Honein MA, Petersen LR. Zika Virus and Birth Defects - Reviewing the Evidence for Causality. N Engl J Med. 2016;374(20):1981–7.CrossRefPubMed Rasmussen SA, Jamieson DJ, Honein MA, Petersen LR. Zika Virus and Birth Defects - Reviewing the Evidence for Causality. N Engl J Med. 2016;374(20):1981–7.CrossRefPubMed
9.
go back to reference Petersen EE, Staples JE, Meaney-Delman D, Fischer M, Ellington SR, Callaghan WM, Jamieson DJ. Guidelines for Pregnant Women During a Zika Virus Outbreak - United States, 2016. MMWR Morb Mortal Wkly Rep. 2016;65(2):30–3.CrossRefPubMed Petersen EE, Staples JE, Meaney-Delman D, Fischer M, Ellington SR, Callaghan WM, Jamieson DJ. Guidelines for Pregnant Women During a Zika Virus Outbreak - United States, 2016. MMWR Morb Mortal Wkly Rep. 2016;65(2):30–3.CrossRefPubMed
10.
go back to reference Petersen EE, Polen KN, Meaney-Delman D, Ellington SR, Oduyebo T, Cohn A, Oster AM, Russell K, Kawwass JF, Karwowski MP, Powers AM, Bertolli J, Brooks JT, Kissin D, Villanueva J, Muñoz-Jordan J, Kuehnert M, Olson CK, Honein MA, Rivera M, Jamieson DJ, Rasmussen SA. Update: Interim Guidance for Health Care Providers Caring for Women of Reproductive Age with Possible Zika Virus Exposure - United States, 2016. Morb Mortal Wkly Rep. 2016;65(12):315–22.CrossRef Petersen EE, Polen KN, Meaney-Delman D, Ellington SR, Oduyebo T, Cohn A, Oster AM, Russell K, Kawwass JF, Karwowski MP, Powers AM, Bertolli J, Brooks JT, Kissin D, Villanueva J, Muñoz-Jordan J, Kuehnert M, Olson CK, Honein MA, Rivera M, Jamieson DJ, Rasmussen SA. Update: Interim Guidance for Health Care Providers Caring for Women of Reproductive Age with Possible Zika Virus Exposure - United States, 2016. Morb Mortal Wkly Rep. 2016;65(12):315–22.CrossRef
11.
go back to reference Oduyebo T, Petersen EE, Rasmussen SA, Mead PS, Meaney-Delman D, Renquist CM, Ellington SR, Fischer M, Staples JE, Powers AM, Villanueva J, Galang RR, Dieke A, Muñoz JL, Honein MA, Jamieson DJ. Update: Interim Guidelines for Healthcare Providers Caring for Pregnant Women and Women of Reproductive Age with Possible Zika Virus Exposure. Morb Mortal Wkly Rep. 2016;65(5):122–7.CrossRef Oduyebo T, Petersen EE, Rasmussen SA, Mead PS, Meaney-Delman D, Renquist CM, Ellington SR, Fischer M, Staples JE, Powers AM, Villanueva J, Galang RR, Dieke A, Muñoz JL, Honein MA, Jamieson DJ. Update: Interim Guidelines for Healthcare Providers Caring for Pregnant Women and Women of Reproductive Age with Possible Zika Virus Exposure. Morb Mortal Wkly Rep. 2016;65(5):122–7.CrossRef
12.
go back to reference Oduyebo T II, Petersen E, KND P, Pillai S, Ailes E, Vallanueva J, Newsome K, Fischer M, Gupta P, Powers A, Lampe M, Hills S, Arnold KE, Rose LE, Shapiro-Mendoza CK, Beard CB, Munos JL, Rao CY, Meaney- Delman D, Jamieson DJ, Honein MA. Update: Interim guidelines for health care providers caring for pregnant women with possible Zika Virus expose - United States, July 2016. MMWR Morb Mortal Wkly Rep. 2016;65(29):739–44. Oduyebo T II, Petersen E, KND P, Pillai S, Ailes E, Vallanueva J, Newsome K, Fischer M, Gupta P, Powers A, Lampe M, Hills S, Arnold KE, Rose LE, Shapiro-Mendoza CK, Beard CB, Munos JL, Rao CY, Meaney- Delman D, Jamieson DJ, Honein MA. Update: Interim guidelines for health care providers caring for pregnant women with possible Zika Virus expose - United States, July 2016. MMWR Morb Mortal Wkly Rep. 2016;65(29):739–44.
13.
go back to reference SMFM; A: Practice advisory: Interim guidance for care of obstetric patients during a Zika virus outbreak. 2016. SMFM; A: Practice advisory: Interim guidance for care of obstetric patients during a Zika virus outbreak. 2016.
14.
go back to reference Whittemore K, Tate A, Illescas A, Saffa A, Collins A, Varma JK, Vora NM. Zika virus knowledge among pregnant women who were in areas with active transmission. Emerg Infect Dis. 2017;23:164.CrossRefPubMedPubMedCentral Whittemore K, Tate A, Illescas A, Saffa A, Collins A, Varma JK, Vora NM. Zika virus knowledge among pregnant women who were in areas with active transmission. Emerg Infect Dis. 2017;23:164.CrossRefPubMedPubMedCentral
15.
go back to reference Grimes HA, Forster DA, Newton MS. Sources of information used by women during pregnancy to meet their information needs. Midwifery. 2014;30(1):e26–33.CrossRefPubMed Grimes HA, Forster DA, Newton MS. Sources of information used by women during pregnancy to meet their information needs. Midwifery. 2014;30(1):e26–33.CrossRefPubMed
16.
go back to reference Lagan BM, Sinclair M, Kernohan WG. Internet use in pregnancy informs women's decision making: A web-based survey. Birth. 2010;37(2):106–15.CrossRefPubMed Lagan BM, Sinclair M, Kernohan WG. Internet use in pregnancy informs women's decision making: A web-based survey. Birth. 2010;37(2):106–15.CrossRefPubMed
17.
go back to reference McArdle A, Flenady V, Toohill J, Gamble J, Creedy D. How pregnant women learn about foetal movements: sources and preferences for information. Women Birth. 2015;28(1):54–9.CrossRefPubMed McArdle A, Flenady V, Toohill J, Gamble J, Creedy D. How pregnant women learn about foetal movements: sources and preferences for information. Women Birth. 2015;28(1):54–9.CrossRefPubMed
18.
go back to reference Kraschnewski JL, Chuang CH, Poole ES, Peyton T, Blubaugh I, Pauli J, Feher A, Reddy M. Paging “Dr. Google”: does technology fill the gap created by the prenatal care visit structure? Qualitative focus group study with pregnant women. J Med Internet Res. 2014;16(6):e147.CrossRefPubMedPubMedCentral Kraschnewski JL, Chuang CH, Poole ES, Peyton T, Blubaugh I, Pauli J, Feher A, Reddy M. Paging “Dr. Google”: does technology fill the gap created by the prenatal care visit structure? Qualitative focus group study with pregnant women. J Med Internet Res. 2014;16(6):e147.CrossRefPubMedPubMedCentral
19.
go back to reference Rodger D, Skuse A, Wilmore M, Humphreys S, Dalton J, Flabouris M, Clifton VL. Pregnant women’s use of information and communications technologies to access pregnancy-related health information in South Australia. Aust J Prim Health. 2013;19(4):308–12.CrossRefPubMed Rodger D, Skuse A, Wilmore M, Humphreys S, Dalton J, Flabouris M, Clifton VL. Pregnant women’s use of information and communications technologies to access pregnancy-related health information in South Australia. Aust J Prim Health. 2013;19(4):308–12.CrossRefPubMed
20.
go back to reference Lagan BM, Sinclair M, Kernohan WG. What is the impact of the Internet on decision-making in pregnancy? A global study. Birth. 2011;38(4):336–45.CrossRefPubMed Lagan BM, Sinclair M, Kernohan WG. What is the impact of the Internet on decision-making in pregnancy? A global study. Birth. 2011;38(4):336–45.CrossRefPubMed
21.
go back to reference Huberty J, Dinkel D, Beets MW, Coleman J. Describing the use of the internet for health, physical activity, and nutrition information in pregnant women. Matern Child Health J. 2013;17(8):1363–72.CrossRefPubMed Huberty J, Dinkel D, Beets MW, Coleman J. Describing the use of the internet for health, physical activity, and nutrition information in pregnant women. Matern Child Health J. 2013;17(8):1363–72.CrossRefPubMed
22.
go back to reference Asiodu IV, Waters CM, Dailey DE, Lee KA, Lyndon A. Breastfeeding and use of social media among first-time African American mothers. J Obstet Gynecol Neonatal Nurs. 2015;44(2):268–78.CrossRefPubMedPubMedCentral Asiodu IV, Waters CM, Dailey DE, Lee KA, Lyndon A. Breastfeeding and use of social media among first-time African American mothers. J Obstet Gynecol Neonatal Nurs. 2015;44(2):268–78.CrossRefPubMedPubMedCentral
23.
go back to reference Blanchard-Rohner G, Meier S, Ryser J, Schaller D, Combescure C, Yudin MH, Burton-Jeangros C, de Tejada BM, Siegrist CA. Acceptability of maternal immunization against influenza: the critical role of obstetricians. J Matern Fetal Neonatal Med. 2012;25(9):1800–9.CrossRefPubMed Blanchard-Rohner G, Meier S, Ryser J, Schaller D, Combescure C, Yudin MH, Burton-Jeangros C, de Tejada BM, Siegrist CA. Acceptability of maternal immunization against influenza: the critical role of obstetricians. J Matern Fetal Neonatal Med. 2012;25(9):1800–9.CrossRefPubMed
24.
go back to reference Bodeker B, Walter D, Reiter S, Wichmann O. Cross-sectional study on factors associated with influenza vaccine uptake and pertussis vaccination status among pregnant women in Germany. Vaccine. 2014;32(33):4131–9.CrossRefPubMed Bodeker B, Walter D, Reiter S, Wichmann O. Cross-sectional study on factors associated with influenza vaccine uptake and pertussis vaccination status among pregnant women in Germany. Vaccine. 2014;32(33):4131–9.CrossRefPubMed
25.
go back to reference Healy CM, Rench MA, Montesinos DP, Ng N, Swaim LS. Knowledge and attitiudes of pregnant women and their providers towards recommendations for immunization during pregnancy. Vaccine. 2015;33(41):5445–51.CrossRefPubMed Healy CM, Rench MA, Montesinos DP, Ng N, Swaim LS. Knowledge and attitiudes of pregnant women and their providers towards recommendations for immunization during pregnancy. Vaccine. 2015;33(41):5445–51.CrossRefPubMed
26.
go back to reference Guo F, Norton AR, Fuchs EL, Hirth JM, Garcia-Blanco MA, Berenson AB. Provider-patient communication about Zika during prenatal visits. Prev Med Rep. 2017;7:26–9.CrossRefPubMedPubMedCentral Guo F, Norton AR, Fuchs EL, Hirth JM, Garcia-Blanco MA, Berenson AB. Provider-patient communication about Zika during prenatal visits. Prev Med Rep. 2017;7:26–9.CrossRefPubMedPubMedCentral
27.
go back to reference Kirzinger A, Sugarman E, Brodie M. Kaiser Health Tracking Poll: June 2016. In: The Henry J. Kaiser Family Foundation; 2016. Kirzinger A, Sugarman E, Brodie M. Kaiser Health Tracking Poll: June 2016. In: The Henry J. Kaiser Family Foundation; 2016.
28.
go back to reference Berenson AB, Trinh HN, Hirth JM, Guo F, Fuchs EL, Weaver SC. Knowledge and Prevention Practices among U.S. Pregnant Immigrants from Zika Virus Outbreak Areas. Am J Trop Med Hyg. 2017;97(1):155–62.CrossRefPubMed Berenson AB, Trinh HN, Hirth JM, Guo F, Fuchs EL, Weaver SC. Knowledge and Prevention Practices among U.S. Pregnant Immigrants from Zika Virus Outbreak Areas. Am J Trop Med Hyg. 2017;97(1):155–62.CrossRefPubMed
30.
go back to reference Larsson M. A descriptive study of the use of the Internet by women seeking pregnancy-related information. Midwifery. 2009;25(1):14–20.CrossRefPubMed Larsson M. A descriptive study of the use of the Internet by women seeking pregnancy-related information. Midwifery. 2009;25(1):14–20.CrossRefPubMed
31.
go back to reference Sayakhot P, Carolan-Olah M. Internet use by pregnant women seeking pregnancy-related information: a systematic review. BMC Pregnancy Childbirth. 2016;16:65.CrossRefPubMedPubMedCentral Sayakhot P, Carolan-Olah M. Internet use by pregnant women seeking pregnancy-related information: a systematic review. BMC Pregnancy Childbirth. 2016;16:65.CrossRefPubMedPubMedCentral
32.
go back to reference O'Higgins A, Murphy OC, Egan A, Mullaney L, Sheehan S, Turner MJ. The use of digital media by women using the maternity services in a developed country. Ir Med J. 2015;107(10):313–5. O'Higgins A, Murphy OC, Egan A, Mullaney L, Sheehan S, Turner MJ. The use of digital media by women using the maternity services in a developed country. Ir Med J. 2015;107(10):313–5.
33.
go back to reference Mak DB, Regan AK, Joyce S, Gibbs R, Effler PV. Antenatal care provider's advice is the key determinant of influenza vaccination uptake in pregnant women. Aust N Z J Obstet Gynaecol. 2015;55(2):131–7.CrossRefPubMed Mak DB, Regan AK, Joyce S, Gibbs R, Effler PV. Antenatal care provider's advice is the key determinant of influenza vaccination uptake in pregnant women. Aust N Z J Obstet Gynaecol. 2015;55(2):131–7.CrossRefPubMed
34.
go back to reference Wiley KE, Massey PD, Cooper SC, Wood NJ, Ho J, Quinn HE, Leask J. Uptake of influenza vaccine by pregnant women: a cross-sectional survey. Med J Aust. 2013;198(7):373–5.CrossRefPubMed Wiley KE, Massey PD, Cooper SC, Wood NJ, Ho J, Quinn HE, Leask J. Uptake of influenza vaccine by pregnant women: a cross-sectional survey. Med J Aust. 2013;198(7):373–5.CrossRefPubMed
35.
go back to reference Lehnert JD, Ellingson MK, Goryoka GW, Kasturi R, Maier E, Chamberlain AT. Use of Obstetric Practice Websites to Distribute Zika Virus Information to Pregnant Women During a Zika Virus Outbreak. J Public Health Manag Pract. 2017. Epub ahead of print. Lehnert JD, Ellingson MK, Goryoka GW, Kasturi R, Maier E, Chamberlain AT. Use of Obstetric Practice Websites to Distribute Zika Virus Information to Pregnant Women During a Zika Virus Outbreak. J Public Health Manag Pract. 2017. Epub ahead of print.
36.
go back to reference Chamberlain AT, Koram AL, Whitney EA, Berkelman RL, Omer SB. Lack of Availability of Antenatal Vaccination Information on Obstetric Care Practice Web Sites. Obstet Gynecol. 2016;127(1):119–26.CrossRefPubMed Chamberlain AT, Koram AL, Whitney EA, Berkelman RL, Omer SB. Lack of Availability of Antenatal Vaccination Information on Obstetric Care Practice Web Sites. Obstet Gynecol. 2016;127(1):119–26.CrossRefPubMed
37.
go back to reference Krizinger A, Wu B, Brodie M. Kaiser Health Tracking Poll: September 2016. In: The Henry J. Kaiser Family Foundation; 2016. Krizinger A, Wu B, Brodie M. Kaiser Health Tracking Poll: September 2016. In: The Henry J. Kaiser Family Foundation; 2016.
38.
go back to reference Manore CA, Ostfeld RS, Agusto FB, Gaff H, LaDeau SL. Defining the Risk of Zika and Chikungunya Virus Transmission in Human Population Centers of the Eastern United States. PLoS Negl Trop Dis. 2017;11(1):e0005255.CrossRefPubMedPubMedCentral Manore CA, Ostfeld RS, Agusto FB, Gaff H, LaDeau SL. Defining the Risk of Zika and Chikungunya Virus Transmission in Human Population Centers of the Eastern United States. PLoS Negl Trop Dis. 2017;11(1):e0005255.CrossRefPubMedPubMedCentral
Metadata
Title
A survey-based study of Zika virus communication preferences among pregnant women in Georgia, United States
Authors
Mallory K. Ellingson
Catherine M. Bonk
Allison T. Chamberlain
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2017
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-017-1516-0

Other articles of this Issue 1/2017

BMC Pregnancy and Childbirth 1/2017 Go to the issue