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印度尼西亚马格朗市婆罗浮屠区家庭登革病毒感染危险因素调查。

Investigation of risk factors for household-based dengue virus infection in Borobudur Subdistrict, Magelang, Indonesia.

作者信息

Ismail Naufal Arif, Haikhah Jamaluddin, Fauziah Evania Tasnim, Prabasunu Muhammad Adam, Rahma Fadila Husnia, Siswanto Siswanto, Widyasari Vita

机构信息

MBBS, Faculty of Medicine, Universitas Islam Indonesia, Kaliurang Street KM 14.5 Yogyakarta 55584, Indonesia.

MD, Borobudur Community Health Center, Sentanu Street No. 9 Wringinputih, Magelang 56553, Indonesia.

出版信息

Germs. 2024 Sep 30;14(3):277-286. doi: 10.18683/germs.2024.1438. eCollection 2024 Sep.

Abstract

INTRODUCTION

Dengue infection poses a serious threat to global public health, including Indonesia. The rapid spread and significant economic impact are crucial concerns for control efforts. Investigating risk factors of dengue virus infection is necessary to formulate effective strategies, particularly at the household level. This study aims to investigate contributing risk factors to dengue virus transmission in the Borobudur Subdistrict, Magelang, Indonesia, an area with persistently high dengue infection mortality rates.

METHODS

This study adopted a case-control design and utilized secondary data collected from six villages in the Borobudur Subdistrict. A total of 111 households (37 cases and 74 controls) participated in the study and completed a questionnaire encompassing: 1) Sociodemographic data; 2) Healthy housing components; 3) Sanitation and behavioral components; and 4) Dengue infection prevention practices. Data were analyzed bivariately using statistical software to identify differences in group proportions.

RESULTS

The findings of this study indicate that the presence of stagnant water (odds ratio [OR]: 5.02) and mosquito larvae (OR: 4.80) around the house, morning sleep habits (OR: 6.97), and lack of participation in anti-dengue programs (OR: 3.23) are significant risk factors (p<0.05) for dengue infection. However, no significant differences (p>0.05) were found in healthy housing components between the case and control groups.

CONCLUSIONS

This study has identified contributing risk factors to dengue virus transmission in the Borobudur Subdistrict. These results can serve as a foundation for designing more effective intervention programs for dengue infection and future prevention efforts.

摘要

引言

登革热感染对包括印度尼西亚在内的全球公共卫生构成严重威胁。其迅速传播和重大经济影响是防控工作的关键关注点。调查登革热病毒感染的风险因素对于制定有效策略至关重要,尤其是在家庭层面。本研究旨在调查印度尼西亚马格朗婆罗浮屠分区登革热病毒传播的促成风险因素,该地区登革热感染死亡率持续居高不下。

方法

本研究采用病例对照设计,并利用从婆罗浮屠分区六个村庄收集的二手数据。共有111户家庭(37例病例和74例对照)参与研究并完成了一份问卷,问卷内容包括:1)社会人口统计学数据;2)健康住房组成部分;3)卫生和行为组成部分;4)登革热感染预防措施。使用统计软件对数据进行双变量分析,以确定组间比例的差异。

结果

本研究结果表明,房屋周围存在积水(优势比[OR]:5.02)和蚊虫幼虫(OR:4.80)、早晨睡眠习惯(OR:6.97)以及未参与抗登革热项目(OR:3.23)是登革热感染的显著风险因素(p<0.05)。然而,病例组和对照组在健康住房组成部分方面未发现显著差异(p>0.05)。

结论

本研究确定了婆罗浮屠分区登革热病毒传播的促成风险因素。这些结果可为设计更有效的登革热感染干预项目和未来预防工作奠定基础。

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