Guerra-Reyes, LuciaFu, Tsung-chieh JaneWilliams, DeanaHerbenick, DebbyDodge, BrianReece, MichaelFortenberry, J. Dennis2019-01-042019-01-042018-06-07Guerra-Reyes, L., Fu, T. J., Williams, D., Herbenick, D., Dodge, B., Reece, M., & Fortenberry, J. D. (2018). Knowledge of Zika and perception of risk among sexually-active adults in the United States of America: results from a nationally representative sample. Revista Panamericana de Salud Pública, 42, e43. https://doi.org/10.26633/rpsp.2018.431020-4989, 1020-4989, 1680-5348https://hdl.handle.net/1805/18078Objective To examine knowledge of Zika transmission and risk perception and to assess variability by condom use in a probability sample of sexually-active adults in the United States. Methods Data for this study came from the 2016 wave of the National Survey of Sexual Health and Behavior, a nationally representative probability sample of adults in the United States. Data were collected in November 2016 via a cross-sectional Internet-based survey administered to members of a Knowledge Panel, an address-based random sample service managed by GfK. A weighted subsample (n = 1 713) of sexually active adults, 18 – 50 years of age, was included in analyses. Results More than 90% of men and women reported low or no perceived risk of Zika. Most participants identified mosquito bite as a route of transmission, while significantly fewer identified sexual intercourse (≈ 40%) and vertical (29% men, 41% women) transmission routes. Conclusion Sexually-active adults in the United States, especially young men, lack awareness of sexual and vertical transmission of Zika Virus. Given the likely endemic nature of Zika, this low-risk perception is an important prevention challenge. Zika prevention messaging should address lesser known transmission routes, emphasize male education, and promote correct and consistent condom use.en-USAttribution-NonCommercial-NoDerivs 3.0 United StatesZika virus infectionprevention & controlsexual healthArticle