Effect of Sexual Partnerships on Zika Virus Transmission in Virus-Endemic Region, Northeast Brazil

Autor: Tereza Magalhaes, Flávio Codeço Coelho, Wayner V. Souza, Isabelle F.T. Viana, Thomas Jaenisch, Ernesto T.A. Marques, Brian D. Foy, Cynthia Braga
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Emerging Infectious Diseases, Vol 30, Iss 12, Pp 2559-2566 (2024)
Druh dokumentu: article
ISSN: 1080-6040
1080-6059
DOI: 10.3201/eid3012.231733
Popis: The epidemiologic effects of Zika virus (ZIKV) sexual transmission in virus-endemic countries remain unclear. We conducted a 2-level, linear mixed-effects logistic regression analysis by using a recently acquired population-based ZIKV and chikungunya virus (CHIKV) serologic dataset obtained from persons residing in Northeast Brazil (n = 2,070 participants). We adjusted mathematical models for housing type and age of participants; the models indicated a significantly higher likelihood of ZIKV seropositivity among persons engaged in a sexual relationship within the same household (odds ratio 1.25 [95% CI 1.00–1.55]; p = 0.047), regardless of their partner’s ZIKV serostatus, and among participants with a ZIKV-seropositive sex partner within the same household (odds ratio 1.54 [95% CI 1.18–2.01]; p = 0.002). CHIKV was also modeled as a control; no sex-associated effects were observed for CHIKV serology. Inclusion of ZIKV sexual transmission in prevention and control strategies is urgently needed, particularly in ZIKV-endemic regions.
Databáze: Directory of Open Access Journals