Abstract: P-580

Knowledge, Attitudes and Practices of Patients of a Fertility Clinic in a Zika-Endemic Caribbean Country

Presenter: Devon Dickson


Abstract


OBJECTIVE: To examine patients' knowledge and attitude to Zika virus (ZIKV) and its prevention; and to survey patients' opinions on the issue of terminating an affected pregnancy.
DESIGN: Anonymous self-administered questionnaire of a cross-sectional sample of 229 subjects. Descriptive and inferential statistics were used to analyze the data. Setting: Trinidad and Tobago, a Zika-endemic Country, May - October, 2016. view more

OBJECTIVE: To examine patients' knowledge and attitude to Zika virus (ZIKV) and its prevention; and to survey patients' opinions on the issue of terminating an affected pregnancy.
DESIGN: Anonymous self-administered questionnaire of a cross-sectional sample of 229 subjects. Descriptive and inferential statistics were used to analyze the data. Setting: Trinidad and Tobago, a Zika-endemic Country, May - October, 2016.
MATERIALS AND METHODS: Patients, 18 - 50, participating in any infertility discussion at Trinidad IVF and Fertility Centre were recruited for this study. Informed consent was obtained for all participants. Each participant, one or both partners, completed a questionnaire. No personally identifiable information was collected.
RESULTS: A total of 280 patients were invited to participate, with 229 responses obtained. Participants demonstrated good knowledge of (i) ZIKV and its causative link to fetal brain abnormalities (98%); later classified as Congenital Zika Syndrome (CZS); and (ii) that ZIKV was both mosquito-borne and sexually-transmitted (87%). A knowledge gap existed where 78% (179/229) of subjects had not considered the option of delaying a pregnancy prior to completing the survey. Respondents demonstrated a positive attitude towards ZIKV preventative measures during pregnancy, except for condom use (40%, n=92). In terms of information provision; 57% felt national government information on ZIKV was inadequate and 81% of persons determined our Centre’s information provision was adequate. On termination of a pregnancy (TOP) 50% of subjects would like to be given the option of a TOP, if their child was diagnosed with CZS in utero.
CONCLUSIONS: This study highlighted gaps in attitudes of participants towards (i) actively considering delaying a pregnancy and (ii) utilizing all preventative measures especially condoms during the ZIKV epidemic in Trinidad and Tobago. Based on these findings, targeted interventions are recommended to bridge knowledge gaps and public attitudes.

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