Crowley Julia, Liu Bowen, Jan Hanan
Department of Architecture, Urban Planning and Design, University of Missouri-Kansas City, Kansas City, MO, USA.
Division of Computing, Analytics, and Mathematics, School of Science and Engineering, University of Missouri-Kansas City, Kansas City, MO, 64110, USA.
Arch Public Health. 2025 Feb 14;83(1):38. doi: 10.1186/s13690-025-01522-6.
Dengue cases are on the rise in Thailand, coinciding with increases in flooding events. Studies pertaining to public knowledge, attitudes, and practices (KAP) of dengue prevention have frequently been used to better understand the public's needs towards dengue. While these studies were conducted in different settings, it is necessary to initiate a systematic review and meta-analysis of relevant studies.
We conducted a systematic review and meta-analysis of prior studies in Thailand that assessed the KAP towards dengue. Eligibility criteria were established and independently used by reviewers to select nine studies for the systematic review and three for the meta-analysis. Collectively, the nine studies included 3,058 individuals and 2,519 households.
The overall estimate of the proportion of participants with good knowledge of dengue prevention is 35% (95% CI: 14-59%), suggesting the majority of the population in Thailand had low levels of knowledge towards dengue. The poor levels of practice in Thailand were also observed and confirmed for the majority of the population by meta-analysis, with the pooled estimate of the proportion of participants with good practice of dengue prevention being 25% (95% CI: 22-27%). In contrast, most of the studies included in the systematic review reported positive attitudes towards dengue prevention, and this finding was also affirmed by the meta-analysis, as the pooled estimate of the proportion of positive attitudes towards dengue prevention is 61% (95% CI: 43-77%).
Despite good attitudes towards dengue prevention, poor knowledge and poor practices predominate, highlighting the need for enhanced public health campaigns to educate the public on dengue risks and prevention methods.
泰国登革热病例呈上升趋势，与此同时洪水事件也在增加。关于登革热预防的公众知识、态度和行为（KAP）的研究经常被用于更好地了解公众对登革热的需求。虽然这些研究是在不同环境下进行的，但有必要对相关研究进行系统评价和荟萃分析。
我们对泰国之前评估登革热KAP的研究进行了系统评价和荟萃分析。制定了纳入标准，评审人员独立使用该标准选择9项研究进行系统评价，3项研究进行荟萃分析。这9项研究总共纳入了3058名个体和2519户家庭。
对登革热预防知识掌握良好的参与者比例的总体估计为35%（95%CI：14 - 59%），这表明泰国大多数人口对登革热的了解程度较低。通过荟萃分析还观察到并证实了泰国大多数人口的预防行为较差，登革热预防行为良好的参与者比例的合并估计值为25%（95%CI：22 - 27%）。相比之下，系统评价中纳入的大多数研究报告了对登革热预防的积极态度，荟萃分析也证实了这一发现，因为对登革热预防持积极态度的比例的合并估计值为61%（95%CI：43 - 77%）。
尽管对登革热预防态度良好，但知识匮乏和行为不佳的情况仍然普遍，这凸显了加强公共卫生宣传活动以教育公众了解登革热风险及预防方法的必要性。
