Abstract
Objective: To evaluate the quality of life of mothers of Brazilian children with congenital Zika virus syndrome (CZS) and associated factors . Material and Methods: This cross-sectional study assessed the quality of life (QoL) of 65 mothers of children diagnosed with CZS using the WHOQOL-bref questionnaire. Information related to mothers and children's characteristics and aspects of QoL (physical, psychological, social and environment domains) was collected. Data were presented using descriptive and inferential statistics. Associations between independent variables and quality of life outcome were carried out through bivariate analyses, adopting a 5% significance level. Results: The “physical” domain showed the highest score (65.98 ± 17.62), while the “environment” domain showed the lowest score (48.55 ± 14.75). The quality of life for the physical domain was associated with maternal schooling and child's sex, while the psychological domain was associated with family income and child's sucking difficulty . Conclusion: Socioeconomic characteristics and comorbidities were associated with mothers' QoL. Knowledge of QoL determinants and their impact on different dimensions of life can serve as a guide for interventions aimed at improving the QoL of this population.
Highlights
Material and Methods: This cross-sectional study assessed the quality of life (QoL) of 65 mothers of children diagnosed with congenital Zika virus syndrome (CZS) using the WHOQOL-bref questionnaire
Congenital Zika virus syndrome (CZS) includes the entire spectrum of manifestations observed in children exposed to the Zika virus (ZIKV) even during the gestational period [1]
To integrate the main group (G1 - mothers of children with CZS), mothers of children diagnosed with growth and development changes related to ZIKV infection were recruited in two health centers
Summary
Congenital Zika virus syndrome (CZS) includes the entire spectrum of manifestations observed in children exposed to the Zika virus (ZIKV) even during the gestational period [1]. Abnormalities can be detected at birth or appear during the first [2,3] or second year of life, with outcomes associated with this condition appearing in the following years [4]. Many infants have less evident deficiencies at birth, which become visible over time, as the ZIKV replication in the infant brain continues after delivery [5], and the brain growth of pre-exposed children may show a slowdown [6]. Infants who initially had head circumference in the pre-established normality range may develop microcephaly in the postnatal period, as well as brain abnormalities consistent with CZS. Microcephaly diagnosed at birth is not a necessary characteristic of the condition since it can be verified a posteriori [6]
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