Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
Postgraduate Institute of Medicine (PGIM), Colombo, 7, Sri Lanka.
Sci Rep. 2020 Jun 12;10(1):9534. doi: 10.1038/s41598-020-66212-5.
Dengue has become a global public health problem. Despite reactive efforts by the government in Malaysia, the dengue cases are on the increase. Adequate knowledge, positive attitude and correct practice for dengue control are essential to stamp out the disease. Hence, this study aims to assess the factors associated with dengue knowledge, attitude and practice (KAP), as well as the association with dengue IgM and IgG seropositivity. A community-based cross-sectional study was conducted in a closed, dengue endemic area with multi-storey dwellings . Five hundred individuals (aged 18 years and above) were approached for pre-tested KAP and seroprevalences assessment. The study showed only half of the total participants have good knowledge (50.7%) but they had insufficient knowledge about dengue during pregnancy. 53.2% of people had poor attitude and 50.2% reported poor practice for dengue control. Out of 85 respondents who agreed to participate in the dengue seroprevalence study, 74.1% (n = 63) were positive for dengue IgG and 7.1% (n = 6) were positive for dengue IgM. Among all sociodemographic variable, race is the only independent predicator for all KAP levels (P < 0.05). In conclusion, proactive and sustainable efforts are needed to bring a behavioural change among communities in order to fight dengue outbreaks in endemic areas.
登革热已成为全球公共卫生问题。尽管马来西亚政府做出了反应性努力，但登革热病例仍在增加。充分的知识、积极的态度和正确的登革热控制实践对于消灭这种疾病至关重要。因此，本研究旨在评估与登革热知识、态度和实践（KAP）相关的因素，以及与登革热 IgM 和 IgG 血清阳性率的相关性。在一个有多层住宅的封闭登革热流行地区进行了一项基于社区的横断面研究。共邀请了 500 名（年龄在 18 岁及以上）个体进行预测试的 KAP 和血清流行率评估。研究表明，只有一半的参与者具有良好的知识（50.7%），但他们对孕妇的登革热知识不足。53.2%的人态度较差，50.2%的人在登革热控制方面的实践较差。在同意参加登革热血清流行率研究的 85 名受访者中，74.1%（n=63）对登革热 IgG 呈阳性，7.1%（n=6）对登革热 IgM 呈阳性。在所有社会人口统计学变量中，种族是所有 KAP 水平的唯一独立预测因子（P<0.05）。总之，需要采取积极和可持续的努力，在疫区社区中引起行为变化，以对抗登革热疫情。
