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Solidarity, vulnerability and mistrust: how context, information and government affect the lives of women in times of Zika
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-economi...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118940/ https://www.ncbi.nlm.nih.gov/pubmed/32245370 http://dx.doi.org/10.1186/s12879-020-04987-8 |
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author | Linde-Arias, Ana Rosa Roura, Maria Siqueira, Eduardo |
author_facet | Linde-Arias, Ana Rosa Roura, Maria Siqueira, Eduardo |
author_sort | Linde-Arias, Ana Rosa |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7118940 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-71189402020-04-07 Solidarity, vulnerability and mistrust: how context, information and government affect the lives of women in times of Zika Linde-Arias, Ana Rosa Roura, Maria Siqueira, Eduardo BMC Infect Dis Research Article 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. BioMed Central 2020-04-03 /pmc/articles/PMC7118940/ /pubmed/32245370 http://dx.doi.org/10.1186/s12879-020-04987-8 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Linde-Arias, Ana Rosa Roura, Maria Siqueira, Eduardo Solidarity, vulnerability and mistrust: how context, information and government affect the lives of women in times of Zika |
title | Solidarity, vulnerability and mistrust: how context, information and government affect the lives of women in times of Zika |
title_full | Solidarity, vulnerability and mistrust: how context, information and government affect the lives of women in times of Zika |
title_fullStr | Solidarity, vulnerability and mistrust: how context, information and government affect the lives of women in times of Zika |
title_full_unstemmed | Solidarity, vulnerability and mistrust: how context, information and government affect the lives of women in times of Zika |
title_short | Solidarity, vulnerability and mistrust: how context, information and government affect the lives of women in times of Zika |
title_sort | solidarity, vulnerability and mistrust: how context, information and government affect the lives of women in times of zika |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118940/ https://www.ncbi.nlm.nih.gov/pubmed/32245370 http://dx.doi.org/10.1186/s12879-020-04987-8 |
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