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Volume 26, Number 5—May 2020
Dispatch

Women’s Awareness and Healthcare Provider Discussions about Zika Virus during Pregnancy, United States, 2016–2017

Letitia WilliamsComments to Author , Denise V. D’Angelo, Brenda Bauman, Ada C. Dieke, Sascha R. Ellington, Carrie K. Shapiro-Mendoza, Shanna Cox, Philip Hastings, Holly Shulman, Leslie Harrison, Martha Kapaya, Wanda D. Barfield, Lee Warner, and PRAMS Zika State Working Group
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Main Article

Table 2

Factors associated with never having heard of Zika virus, talking with a healthcare provider, and knowledge of CDC travel advisories among women who delivered a live infant, 17 US PRAMS sites, March 2016–February 2017*

Maternal characteristic Adjusted prevalence ratio (95% CI)†
Women who had never heard of Zika virus, n = 791 Women who had heard of Zika virus during pregnancy
Talked with a healthcare provider about Zika virus, n = 4,505 Had knowledge of CDC travel advisory, n = 7,204
Age
<24 1.77 (1.28–2.44) 1.07 (0.98–1.17) 1.00 (0.97–1.02)
25–34 1.22 (0.92–1.62) 0.99 (0.93–1.06) 0.99 (0.96–1.01)
>35
Referent
Referent
Referent
Race/ethnicity
White, non-Hispanic Referent Referent Referent
Black, non-Hispanic 1.86 (1.46–2.37) 1.12 (1.04–1.20) 0.97 (0.94–1.00)
Hispanic 0.69 (0.49–0.99) 1.08 (1.00–1.17) 0.99 (0.97–1.02)
Other, non-Hispanic
2.41 (1.85 –3.13)
0.96 (0.87–1.05)
0.92 (0.89–0.96)
Education
High school or below 2.22 (1.68–2.92) 0.91 (0.84–0.97) 0.94 (0.92–0.97)
More than high school
Referent
Referent
Referent
Marital status
Married Referent Referent Referent
Other
1.5 (1.19–1.89)
0.92 (0.85–0.98)
0.98 (0.95–1.00)
Source of payment for delivery
Private Referent Referent Referent
Medicaid 1.45 (1.3–1.88) 0.88 (0.82–0.94) 0.98 (0.95–1.00)
None
2.46 (1.62–3.74)
0.77 (0.2–0.96)
0.95 (0.88–1.02)
Infant birth month
2016 Mar–Aug Referent Referent Referent
2016 Sep–2017 Feb 0.81 (0.67–0.98) 1.19 (1.13–1.26) 1.02 (1.00–1.04)

*Data aggregated for 17 sites: Alabama, Connecticut, Florida, Illinois, Maryland, Massachusetts, Missouri, New Jersey, New York, New York City, Pennsylvania, South Carolina, Tennessee, Vermont, Virginia, West Virginia, and Wisconsin. Final sample sizes varied for each model because of missing responses. Boldface type indicates statistical significance. CDC, Centers for Disease Control and Prevention; PRAMS, Pregnancy Risk Assessment Monitoring System.
†All prevalence ratio estimates adjusted for maternal age, race/ethnicity, education, marital status, delivery payment source, infant month of birth, and state of residence.

Main Article

1Members of the PRAMS Zika State Working Group are listed at the end of this article.

Page created: April 16, 2020
Page updated: April 16, 2020
Page reviewed: April 16, 2020
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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