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Suharto, Agung
Poltekkes Kemenkes Surabaya
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Journal : health dynamics

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Dengue Fever Prevention Behavior at the Household Level in High and Low Incidence Areas: A Cross-Sectoral Comparative Study in the Tropics Budi Joko Santosa; Agung Suharto; Nurlailis Saadah; Heru Santoso Wahito Nugroho; Sunarto Sunarto; Suparji Suparji; Alfi Rusdianti
Health Dynamics Vol 3, No 1 (2026): January 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30103

Abstract

Background: Dengue fever remains a major public health concern in tropical regions, including Indonesia. Household-level knowledge, attitudes, and practices (KAP) play a critical role in sustainable vector control. This study aimed to compare KAP regarding dengue prevention among household heads in high- and low-incidence areas in Magetan Regency, Indonesia. Methods: A cross-sectional comparative study was conducted among 785 household heads selected using stratified random sampling. A total of 390 respondents were recruited from high-incidence areas (≥11 cases/year) and 395 from low-incidence areas (≤10 cases/year). Data were collected using a validated and reliable structured questionnaire measuring knowledge (45 items), attitudes (18 items), and practices (25 items). Spearman rank correlation was used to examine associations between sociodemographic factors and KAP scores, and the Mann–Whitney U test was applied to compare differences between groups. Results: Knowledge and attitude scores did not differ significantly between high- and low-incidence areas (p > 0.05). However, prevention practice scores were significantly higher in high-incidence areas (Mean = 15.51; SD = 4.37) compared to low-incidence areas (Mean = 12.94; SD = 5.91; p < 0.001). Age was positively associated with attitudes and practices in both areas, while education level was significantly correlated with knowledge. Employment status was associated with prevention practices, whereas gender showed no significant association with KAP. Conclusions: Dengue prevention practices were stronger in high-incidence areas, suggesting that direct exposure to disease risk influences behavioral responses more than knowledge alone. Strengthening community empowerment and behavior-focused interventions is essential, particularly in low-incidence areas, to enhance preparedness and prevent future outbreaks.
Co-Authors Afitsya Salsa Ayudi Alfi Rusdianti Ardela Reza Fernanda Astin Nur Hanifah Astuti Setiyani, Astuti Berliana Septy Harviandani Budi Joko S Budi Joko Santosa Budi Joko Santoso Budi Yulianto Crysma Alfina Damayanti Debby Rahmawati Desti Ria Fortuna Isatanto Dwi Yuniarti Elly Marliana Elly Marliana Elsa Safira Prameswari Febriana, Citra Nurwidya Friska Diah Puspitasari Gelintina Kurniawati Handayani, Tinuk Esti Harviandani, Berliana Septy Hendriyani, Feftin Heny Trisetyowati Herlina, Tutiek Herlina, Tutiek Heru Santoso Wahito Nugroho Icha Amelia Kusuma Wardani Ike Mutiarasari Irnama Syahara Kasiati, Klanting Luluk Widarti, Luluk Maria Oktaviani Moh. Wildan N Surtinah Nana Usnawati Nana Usnawati Nani Surtinah Ngestiningrum, Ayesha Hendriana nurlailis saadah Nurlailis Sa’adah Nurtatik Nurul Zakinah Nurweningtyas Nurweningtyas Nuryani Nuryani Nuryani Nuryani, Nuryani Oktavia Puspita Sari Purwanto, Triana Septianti Rahayu Sumaningsih Rahayu Sumaningsih Rahayu, Teta Puji Refiola Priska Talia Sanjung Alam Amanda Santosa, Budi Joko Santosa, Budi Joko Sayyidah Shofiyyah Setya Dewi Shelian Nur Febiana Sukarni Sulikah, Sulikah Sumasto, Hery Sunarto Sunarto Suparji Suparji Suparji Suparji Suparji Suparji Suparji Suparji Suparji Suparji Suparji Suparji Surtinah, N Swastika Sari Sakina Syaifoel Hardy Tigor Maylani Tinuk Esti H Tinuk Esti Handyani Triana Septianti Triana Septianti Tutiek Herlina Tutiek Herlina Tutiek Herlina Wisnu, Nurwening Tyas Wisnu, Nurwening Tyas Yulia Prasetyani Lestari