Perceived Risk for Dengue Infection Mediates the Relationship between Attitude and Practice for Dengue Prevention: A Study in Seremban, Malaysia

Zamzuri, Mohd ‘Ammar Ihsan Ahmad; Majid, Farah Nabila Abd; Dapari, Rahmat; Hassan, Mohd Rohaizat; Isa, Abd Majid Mohd

doi:10.3390/ijerph192013252

Cited by 5 publications

(10 citation statements)

References 39 publications

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“…Moreover, our study found that preventative measures were frequently practised by those who considered removing mosquito breeding sites as their own responsibility, who were, in turn, those with previous history of DF, similar to past studies [ 16 , 47 ]. This suggests a lack of motivation to change current behaviour/habits, unless individuals experience and fully perceive the risks of DF [ 18 , 41 , 45 , 48 ]. Therefore, we recommend these strategies for government agencies and non-governmental organisations (NGOs):…”

Section: Discussionmentioning

confidence: 99%

“…The selected models were used to create an overarching model via piecewise structural equation modelling (PSEM) [ 18 , 19 , 24 , 34 ], using ‘psem()’ from the ‘piecewiseSEM’ package [ 35 ]. Based on the linear mixed-effects modelling results, ‘Knowledge’, ‘Attitude’ and ‘Practice’ were considered to be correlated rather than directly causally associated, and therefore were indicated as correlated errors in the PSEM.…”

Section: Methodsmentioning

confidence: 99%

“…Selection of the final model was based on tests of directed separation ( p >0.05), which indicated that all variables were independent of one another, and Fisher’s C test ( p >0.05), which confirmed that all potential paths were included in the model [ 35 ]. Using ‘fitMeasures()’ from the ‘lavaan’ package [ 36 , 37 ], the comparative fit index (CFI), Tucker–Lewis index (TLI) and standardised root mean square residual (SRMR) were obtained to assess whether the PSEM fit the data well [ 18 , 24 , 34 ].…”

Section: Methodsmentioning

confidence: 99%

“…To identify preventative strategies for DF, numerous studies have evaluated the knowledge of, attitudes towards, and practices in, (KAP) DF prevention [16][17][18][19][20]. However, DF KAP among migrant workers in Malaysia remains understudied despite being a sizable portion of the country's workforce and vulnerable to DF [21].…”

Section: Introductionmentioning

confidence: 99%

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Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia

Chaudhary,

Lim,

Faller

et al. 2024

PLoS ONE

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Background Globally, 390 million dengue virus infections occur per year. In Malaysia, migrant workers are particularly vulnerable to dengue fever (DF) due to mosquito breeding sites exposure and poor health literacy. Therefore, this study aimed to (i) assess the current DF knowledge, attitudes and practices (KAP), and (ii) identify strategies to promote DF awareness, among migrant workers in Klang Valley. Method A survey was conducted with 403 Nepali, Filipino and Indonesian migrant workers through phone interviews and online self-administered questionnaires. Piecewise structural equation modelling was applied to identify predictor variables for DF KAP. Results Most respondents were male, working in the services industry, had completed high school, aged between 30–39 years and with less than ten years work experience in Malaysia. Overall, respondents’ knowledge was positively correlated with attitude but negatively with practices. Older respondents, who had completed higher education, obtained higher knowledge scores. Similarly, those with working experience of >20 years in Malaysia obtained higher attitude scores. Respondents with a previous history of DF strongly considered the removal of mosquito breeding sites as their own responsibility, hence tended to frequently practise DF preventive measures. Respondents’ knowledge was also positively correlated to their understanding of DF information sourced from social media platforms. Conclusion These findings highlighted: (i) the need for targeted DF educational intervention among younger and newly arrived workers with lower levels of education and (ii) maximising the usage of social media platforms to improve DF public awareness.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia

Chaudhary,

Lim,

Faller

et al. 2024

PLoS ONE

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“…Studies conducted in Indonesia and Colombia have shown that adults who have experienced dengue are also more likely to have a positive attitude toward preventing it [55,56]. In terms of the impact of dengue experience on prevention practices, a study from Malaysia found age and dengue history are the main determinants that influence a high practice level [57], which is consistent with another study's result where previous dengue infections were positively associated with dengue prevention practices [58]. Therefore, if a child had a previous dengue infection, it is likely that this experience improved the overall KAP in the household [52,58].…”

Section: Plos Neglected Tropical Diseasesmentioning

confidence: 99%

Knowledge, attitude and practice (KAP) and risk factors on dengue fever among children in Brazil, Fortaleza: A cross-sectional study

Zhang,

Zahreddine,

Abreu

et al. 2023

PLoS Negl Trop Dis

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Background Dengue fever is a mosquito-borne viral disease that is associated with four serotypes of the dengue virus. Children are vulnerable to infection with the dengue virus, particularly those who have been previously infected with a different dengue serotype. Sufficient knowledge, positive attitudes, and proper practices (KAP) are essential for dengue prevention and control. This study aims to estimate the dengue seropositivity for study participants and to examine the association between households’ dengue-related knowledge, attitudes, and practices (KAP), and children’s risk of dengue seropositivity, while accounting for socioeconomic and demographic differences in Brazil. Methodology/Principal findings This analysis was based on a cross-sectional study from Fortaleza, Brazil between November 2019, and February 2020. There were 392 households and 483 participant children who provided a sample of sufficient quality for serological analysis. The main exposure was a household’s dengue-related knowledge, attitudes, and practices, assessed through a questionnaire to construct a composite KAP score categorized into three levels: low, moderate, and high. The main outcome is dengue immunoglobulin G(IgG) antibodies, collected using dried blood spots and assessed with Panbio Dengue IgG indirect ELISA (enzyme-linked immunosorbent assays) test commercial kits. The estimated crude dengue seroprevalence among participating children (n = 483) was 25%. Five percent of households (n = 20) achieved a score over 75% for KAP, sixty-nine percent of households (n = 271) scored between 50% and 75%, and twenty-six percent of households (n = 101) scored lower than 50%. Each KAP domain was significantly and positively associated with the others. The mean percentage scores for the three domains are 74%, 63%, and 39% respectively. We found high household KAP scores were associated with an increased adjusted relative risk (aRR) of seropositivity (aRR: 2.11, 95% CI: 1.11–4.01, p = 0.023). Household adult respondents’ education level of elementary school or higher was negatively associated with children’s risk of being seropositive (aRR: 0.65, 95% CI: 0.48–0.87, p = 0.005). The risk of seropositivity in older children (6–12 years old) was over 6 times that of younger children (2–5 years old) (aRR: 6.08, 95% CI: 3.47–10.64, p<0.001). Children living in households with sealed water tanks or no water storage had a lower risk of being seropositive (aRR: 0.73, 95% CI: 0.54–0.98, p = 0.035). Conclusions/Significance Our results provide insight into the prevalence of dengue seropositivity in Fortaleza, Brazil in children, and certain demographic and socioeconomic characteristics associated with children’s risk of being seropositive. They also suggest that KAP may not identify those more at-risk for dengue, although understanding and enhancing households’ KAP is crucial for effective community dengue control and prevention initiatives.

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Exploring community needs in combating aedes mosquitoes and dengue fever: a study with urban community in the recurrent hotspot area

Samsudin,

Othman,

Siau

et al. 2024

BMC Public Health

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Background Aedes mosquitoes are the main vector of dengue infection, a global health threat affecting millions of people annually. Conventional prevention and control methods against dengue outbreaks have only achieved marginal success. Recognizing the complex issue at hand, a multilevel participatory approach is crucial. Thus, alternative strategies that involve community engagement are increasingly being considered and attempted. While community-based vector control programs have been conducted, sustaining behavioral changes among the population remains a challenge. This study aimed to identify the specific community needs in combating Aedes mosquitoes and dengue fever as a basis to guide the development of community-driven initiatives and foster a deeper sense of ownership in the fight against dengue. Methods Between 1 August 2022 and 30 November 2022, we conducted a study in Hulu Langat district, Selangor, using a mixed-method design. All participants consented to the study, which comprised 27 participants (FGDs) and 15 participants (IDIs). The IDIs included two participants with a history of dengue fever, one community leader, one faith leader, seven local authorities, and four district health officers. Semi-structured interviews and discussions were performed among stakeholders and community members recruited via purposive and snowball sampling techniques. All interviews were audio-recorded before being analyzed using reflexive thematic analysis. Results These results derived from qualitative data explored the perspectives and needs of communities in combating Aedes mosquitoes and dengue fever. Interviews were conducted with various stakeholders, including community members, leaders, and health officers. The study identified the necessity of decisive actions by authorities to address the impact of the dengue epidemic, the importance of community engagement through partnerships and participatory approaches, the potential benefits of incentives and rewards to enhance community participation, and the need for sustained community engagement and education, especially via the involvement of young people in prevention efforts. These findings provide valuable insights into the design of effective strategies against Aedes mosquitoes and dengue fever. Conclusions In short, there is an urgent need for a comprehensive approach involving multiple stakeholders in the fight against Aedes mosquitoes and dengue fever. The approach should incorporate efforts to raise awareness, provide practical resources, and foster community responsibility. The active involvement of teenagers as volunteers can contribute to long-term prevention efforts. Collaboration, resource allocation, and community engagement are crucial for effective dengue control and a healthier environment.

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Perceived Risk for Dengue Infection Mediates the Relationship between Attitude and Practice for Dengue Prevention: A Study in Seremban, Malaysia

Cited by 5 publications

References 39 publications

Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia

Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia

Knowledge, attitude and practice (KAP) and risk factors on dengue fever among children in Brazil, Fortaleza: A cross-sectional study

Exploring community needs in combating aedes mosquitoes and dengue fever: a study with urban community in the recurrent hotspot area

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