Harapan Harapan, Bustamam Aslam, Radiansyah Arsil, Angraini Pradiba, Fasli Riny, Salwiyadi Salwiyadi, Bastian Reza Akbar, Oktiviyari Ade, Akmal Imaduddin, Iqbalamin Muhammad, Adil Jamalul, Henrizal Fenni, Groneberg David Alexander, Kuch Ulrich, Muller Ruth
Southeast Asian J Trop Med Public Health. 2017 Mar;48(2):297-305.
The aim of this study was to study the relationships between economic status, knowledge, attitude and practice regarding dengue fever (DF), attitude towards vaccination against dengue virus infection, willingness to participate in a study on dengue, and acceptance of a dengue vaccine. Information on variables of interest was collected in questionnaire-assisted interviews during a communitybased cross-sectional survey conducted in Aceh, Indonesia. A proposed relationship model was tested using Confirmatory Factor Analysis (CFA), and an Exploratory Factor Analysis (EFA) was used to reconstruct an alternative relationship model among variables. Our proposed relationship model differed from the result of the EFA. The CFA indicated that knowledge and attitudes towards DF had the strongest relationship. We also found several direct relationships between sets of variables: a) economic status and knowledge on DF, b) economic status and practices regarding DF, c) knowledge and practices regarding DF, d) attitudes towards DF and dengue vaccine acceptance, as well as e) attitudes towards vaccination and dengue vaccine acceptance. There was no relationship between economic status and dengue vaccine acceptance. In conclusion, our model suggested that the most suitable factor to be targeted for improving dengue prevention was knowledge about DF. In addition, improving attitudes towards vaccination seemed to be the most appropriate effort to increase public acceptance of a dengue vaccine.
本研究旨在探讨经济状况、登革热（DF）相关知识、态度和行为、对登革病毒感染疫苗接种的态度、参与登革热研究的意愿以及对登革热疫苗的接受程度之间的关系。在印度尼西亚亚齐进行的一项基于社区的横断面调查中，通过问卷调查辅助访谈收集了相关变量的信息。使用验证性因子分析（CFA）对提出的关系模型进行了检验，并使用探索性因子分析（EFA）重建了变量之间的替代关系模型。我们提出的关系模型与EFA的结果不同。CFA表明，对DF的知识和态度之间的关系最为密切。我们还发现了几组变量之间的直接关系：a）经济状况与DF知识，b）经济状况与DF相关行为，c）DF知识与行为，d）对DF的态度与登革热疫苗接受度，以及e）对疫苗接种的态度与登革热疫苗接受度。经济状况与登革热疫苗接受度之间没有关系。总之，我们的模型表明，改善登革热预防最适合针对的因素是DF知识。此外，改善对疫苗接种的态度似乎是提高公众对登革热疫苗接受度的最适当努力。
