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Volume 24, Number 12—December 2018
Research

Influences of Community Interventions on Zika Prevention Behaviors of Pregnant Women, Puerto Rico, July 2016–June 20171

Giulia Earle-RichardsonComments to Author , Christine Prue, Khadija Turay, and Dana Thomas
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Main Article

Table 2

Respondents exposure to 4 Zika prevention interventions, by demographic characteristics and calendar month, Puerto Rico, July 2016–June 2017*

Characteristic Sample Received WIC Zika orientation
Received ZPK
Exposed to Detén el Zika campaign
Offered free home spraying
No Yes No Yes No Yes No Yes
Pregnancy trimester at interview
1st 26.8 8.4 91.6 32.9 67.1 52.2 47.8 68.1 31.9
2nd 48.6 8.2 91.8 24.6 75.4 45.9 54.1 71.7 28.3
3rd 24.6 3.7 96.3 16.9 83.1 53.4 46.6 52.8 47.2
Total no. 1,329 95 1,230 324 976 600 616 873 448
p value

0.019

0.000

0.052

0.000
Calendar month of interview
Jul 2016 11.2 4.8 95.2 4.8 95.2 62.9 37.1 29.7 70.3
Aug 2016 11.1 8.2 91.8 23.8 76.2 59.2 40.8 29.3 70.7
Sep 2016 10.1 6.0 94.0 31.3 68.7 44.4 55.6 34.6 65.4
Oct 2016 11.3 10.7 89.3 41.3 58.7 31.6 68.4 65.8 34.2
Nov 2016 11.3 8.0 92.0 31.3 68.7 35.0 65.0 70.1 29.9
Dec 2016 11.3 4.0 96.0 30.0 70.0 36.1 63.9 72.7 27.3
Feb 2017 11.3 6.7 93.3 20.7 79.3 55.2 44.8 97.3 2.7
Apr 2017 11.3 5.3 94.7 16.0 84.0 68.1 31.9 94.7 5.3
Jun 2017 11.2 10.7 89.3 22.1 77.9 52.9 47.1 96.6 3.5
Total no. 1,329 203 1,230 324 976 600 616 873 418
p value

0.225

0.000

0.000

0.000
Age group, y
18–22 26.6 6.8 93.2 22.3 77.7 51.0 49.0 66.2 33.8
23–25 24.4 7.4 92.6 23.5 76.5 52.1 47.9 68.5 68.5
26–29 24.0 6.9 93.1 27.0 73.0 44.1 55.9 64.9 35.1
>30 25.1 7.5 92.5 27.2 72.8 49.8 50.2 64.8 35.2
Total no. 1,329 95 1,230 324 976 600 616 873 448
p value

0.981

0.356

0.217

0.723
Educational attainment
Some high school or less 2.6 0.0 100.0 21.7 78.3 54.5 45.5 66.7 33.3
Attended or completed 12th grade 31.4 7.4 92.6 22.3 77.7 49.4 50.6 66.1 33.9
Attended or completed university 60.0 6.1 93.9 23.6 76.4 49.9 50.1 62.2 37.8
Attended or completed graduate program 6.1 7.3 92.7 25.6 74.1 36.2 63.8 58.2 41.8
Total no. 909 58 848 207 681 404 419 572 332
p value

0.512

0.934

0.315

0.579
Population in poverty in Zip code, % quartiles†
>55 below poverty 25.0 5.1 94.9 22.8 77.2 49.5 50.5 65.2 34.8
49–54 below poverty 25.3 7.9 92.1 25.6 74.4 43.7 56.3 67.5 32.5
43–48 below poverty 25.1 6.7 93.3 23.1 76.9 51.6 48.4 64.2 35.8
<43 below poverty 24.5 8.8 91.2 29.2 70.8 53.1 46.9 68.1 31.9
Total no. 1,255 89 1,163 309 918 566 579 826 421
p value

0.305

0.234

0.125

0.700
Municipality population
>200,000 63.5 6.1 93.9 23.1 76.9 48.6 51.4 66.0 34.0
>100,00–200,000 9.9 10.6 89.4 31.3 68.7 50.4 49.6 61.8 38.2
>50,000–100,000 12.6 7.7 92.3 27.9 72.1 46.8 53.2 63.3 36.7
<50,000 14.0 8.8 91.2 26.3 73.7 56.1 43.9 72.5 27.5
Total no. 1,326 91 1,184 313 937 578 589 839 431
p value 0.213 0.163 0.328 0.187

*All data are percentages unless otherwise indicated. Statistically significant differences (p<0.05 by χ2 test) are shown in boldface. WIC, Women, Infants, and Children Program (US Department of Agriculture Food and Nutrition Service); ZPK, Zika prevention kit.
†Source: US Census Bureau American Community Survey, 2016. American Community Survey 5-year estimates, Table S1701 (generated by G.B.E. using American Fact Finder, 2018 Feb 24).

Main Article

1Preliminary results from this study were presented as a poster presentation at the International Conference on Emerging Infectious Diseases, August 29, 2018, Atlanta, Georgia, USA.

Page created: November 20, 2018
Page updated: November 20, 2018
Page reviewed: November 20, 2018
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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