ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2022
Unequal burden of Zika-associated microcephaly among populations with public and private healthcare in Salvador, Brazil.
Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 3 citations in OpenAlex.
- A systematic review and meta-analysis of Zika virus epidemiology.Nature health · 2026Article
- Exploring the urban arbovirus landscape in Rio de Janeiro, Brazil: transmission dynamics and patterns of disease spread.Lancet regional health. Americas · 2024Article
- Oral conditions of children with microcephaly associated with congenital Zika syndrome: a cross-sectional study.Brazilian oral research · 2024Article
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Authors and funding
28 authors at 5 institutions in 2 countries.
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Abstract
objectivesTo describe the differences in clinical presentation and relative disease burden of congenital Zika syndrome (CZS)-associated microcephaly at 2 large hospitals in Salvador, Brazil that serve patients of different socioeconomic status (SES).
methodsClinical and serologic data were collected prospectively from pregnant women and their infants, who delivered at 2 study centers during the 2015-2016 Zika virus (ZIKV) epidemic in Salvador, Brazil.
resultsPregnant women from Salvador, Brazil delivering in a low SES hospital had 3 times higher ZIKV exposure rate than women at a high SES hospital. However, different SES hospitals had similar prevalence of infants with CZS-associated microcephaly (10% vs 6%, p = 0.16) after controlling for ZIKV exposure in their mothers.
conclusionsOur study supports the positive association between low SES, high maternal ZIKV exposure, and high rates of CZS-associated microcephaly.
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