Assessment of Dengue Fever Knowledge and Preventive Practices among the General Population of Jeddah

Authors

  • Abdullah J Al-Sahafi Assistant Director of General Directorate of Health Affairs for Public Health Division, Jeddah, KSA
  • Hassan Bin Usman Shah 2.Research Department, Directorate of Public Health Affairs for Public Health Division, Jeddah, KSA.
  • Mashal Mesfer Al-Sayali Directorate of Health Affairs for Public Health Division, Jeddah, KSA.
  • Najlaa Mandoura Research Department, Directorate of Health Affairs for Public Health Division, Jeddah, KSA
  • Soha Abdulgader Alhazza Dengue control program, Department of Public Health, Jeddah, KSA
  • Ola Akram Head of Research Unit, Directorate of Health Affairs for Public Health Division, Jeddah, KSA
  • Nora Al-Otaibi Dengue control program, Department of Public Health, Jeddah, KSA
  • Saeed Mahdi Al-Garni Head of Dengue control program, Jeddah, KSA
  • Moath Al-Johani Dengue control program, Department of Public Health, Jeddah, KSA
  • Emad AL- Mohammaadi Infection control Department of Ministry of Health, Jeddah
  • Abdullah Al-Garni Head of Infection control, Department of Public Health, Jeddah, KSA
  • Fatima AlGarni Research Department, Directorate of Health Affairs for Public Health Division, Jeddah, KSA
  • Reema Ahmed 4th year MBBS student, Royal college of Surgeons Ireland (RCSI)

DOI:

https://doi.org/10.36570/jduhs.2021.2.1142

Keywords:

Dengue fever, Health Belief Model, Knowledge, Practice, Perceived Threat, Perceived Benefits, Perceived Barriers

Abstract

Objectives:

More than half of the world's population live in areas potentially at risk of acquiring dengue fever (DF). Evaluation of awareness and health beliefs regarding DF among the general population is important for devising disease control strategies.

This study assessed knowledge, health beliefs, and preventive practices against DF in different dengue endemic districts of Jeddah, Saudi Arabia.

Methods

A Cross-sectional study was conducted in three dengue-endemic districts of Jeddah, Saudi Arabia. The community members residing in these areas were randomly selected by multistage stratified random sample method and interviewed individually using a structured validated questionnaire. Overall mean scores were calculated for knowledge, practices, and Health Belief Model (HBM) construct. Bivariate analysis using a chi-square test and multivariate regression analysis were performed to test the association between DF knowledge, practices, and predictors.

Results: Around 61% (mean = 11.18) and 52% (mean = 5.17) individuals had adequate DF knowledge and practices, respectively. Multivariate regression showed perceived mosquito control benefits (OR=1.857, 95% CI=1.078-3.199, p=0.026) and perceived barriers (OR=0.532, 95% CI=0.305-0.926, p=0.026) as significant predictors for adequate dengue knowledge. For dengue preventive practices the only predictor was their perception of mosquito control benefit (OR=1.864, 95% CI=1.109-3.134, p=0.019).

Conclusion: Overall, DF knowledge and practices were rather limited in selected dengue endemic districts of Jeddah. Adequate knowledge leads to satisfactory dengue preventive practices. Health beliefs remain significant predictors of both knowledge and dengue prevention practices. Findings suggest that HBM constructs can be integrated as ways of motivating for the adoption of preventive practices against DF.

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References

(1) Parks W, Lloyd L. Planning social mobilization and communication for dengue fever prevention and control: a step- by-step guide. Geneva, World Health Organization Mediterranean Centre for Vulnerability Reduction and the UNICEF/ UNDP/World Bank/WHO Special Program for Research and Training in Tropical Diseases, 2004 (WHO/CDS/ WMC/2004.2). https://www.who.int/tdr/publications/documents/planning_dengue.pdf

(2) Samuel PP, Tyagi BK. Diagnostic methods for detection & isolation of dengue viruses from vector mosquitoes. Indian journal of Medical Research. 2006; 123(5):615–28. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.534.7616&rep=rep1&type=pdf

(3) Murray NE, Quam MB, Wilder-Smith A. Epidemiology of dengue: past, present and future prospects. Clin Epidemiol. 2013; 5: 299–309. doi: 10.2147/CLEP.S34440 PMID: 23990732

(4) Siddiqui TR, Ghazal S, Bibi S, Ahmed W, Sajjad SF. Use of the health belief model for the assessment of public knowledge and household preventive practices in Karachi, Pakistan, a dengue-endemic city. PLoS neglected tropical diseases. 2016; 10(11):e0005129. https://doi.org/10.1371/journal.pntd.0005129

(5) Wilder-Smith A, Gubler DJ. Geographic expansion of dengue: the impact of international travel. Medical Clinics. 2008; 92(6):1377-90. https://doi.org/10.1016/j.mcna.2008.07.002

(6) Kholedi AA, Balubaid O, Milaat W, Kabbash IA, Ibrahim A. Factors associated with the spread of dengue fever in Jeddah Governorate, Saudi Arabia. Eastern Mediterranean Health J. 2012;18(1): 15-23. http://applications.emro.who.int/emhj/v18/01/18_1_2012_0015_0023.pdf

(7) Usman H B, Alsahafi A, Abdulrashid O, et al. Effect of Health Education on Dengue Fever: A Comparison of Knowledge, Attitude, and Practices in Public and Private High School Children of Jeddah. Cureus 10(12): e3809. DOI 10.7759/cureus.3809

(8) Claro LB, Tomassini HC, Rosa ML. Dengue prevention and control: a review of studies on knowledge, beliefs, and practices. Cadernos de saúde pública. 2004; 20(6):1447-57. http://dx.doi.org/10.1590/S0102-311X2004000600002

(9) McCallum JE. Military medicine: from ancient times to the 21st century. ABC-CLIO; 2008.

(10) Alhaeli A, Bahkali S, Ali A, Househ MS, El-Metwally AA. The epidemiology of Dengue fever in Saudi Arabia: A systematic review. Journal of infection and public health. 2016; 9(2):117-24. https://doi.org/10.1016/j.jiph.2015.05.006

(11) Ayyub M, Khazindar AM, Lubbad EH, Barlas S, Alfi AY, Al- Ukayli A. Characteristics of dengue fever in a large public hospital, Jeddah, Saudi Arabia. Journal of Ayub Medical College, Abbottabad. 2006;18(2):9-13. http://www.ayubmed.edu.pk/JAMC/PAST/18-2/ayyub.pdf

(12) Chakravarti A, Kumaria R. Eco-epidemiological analysis of dengue infection during an outbreak of dengue fever, India. Virology Journal. 2005; 2:32.

https://doi.org/10.1186/1743-422X-2-32

(13) Samuel PP, Tyagi BK. Diagnostic methods for detection & isolation of dengue viruses from vector mosquitoes. Indian J Med Res. 2006; 123(5):615–28. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.534.7616&rep=rep1&type=pdf

(14) Claro LB, Tomassini HC, Rosa ML. Prevenção e controle do dengue: uma revisão de estudos sobre conhecimentos, crenças e práticas da população Dengue prevention and control: a review of studies on knowledge, beliefs, and practices. Cadernos de saúde pública. 2004; 20(6): 57–1447. https://www.scielosp.org/scielo.php?pid=S0102-311X2004000600002&script=sci_arttext&tlng=es

(15) Wong LP, AbuBakar S. Health beliefs and practices related to dengue fever: a focus group study. PLoS neglected tropical diseases. 2013; 7(7):e2310. https://doi.org/10.1371/journal.pntd.0002310

(16) Ibrahim NK, Abalkhail B, Rady M, Al Bar H. An educational programme on dengue fever prevention and control for females in Jeddah high schools. Eastern Mediterranean Health Journal. 2009; 15(5):1058-67. http://www.who.int/iris/handle/10665/117733

(17) Al-Dubai, S., et al., Factors affecting dengue fever knowledge, attitudes and practices among selected urban, semi- urban and rural communities in Malaysia. Southeast Asian Journal of Tropical Medicine and Public Health, 2013; 44(1): 37-49. http://www.tm.mahidol.ac.th/seameo/2013-44-1-full/6-5403-10.pdf

(18) Wong LP, AbuBakar S, Chinna K. Community knowledge, health beliefs, practices and experiences related to dengue fever and its association with IgG seropositivity. PLoS neglected tropical diseases. 2014;8(5):e2789. https://doi.org/10.1371/journal.pntd.0002789

(19) Farah SR, Usmani AQ, Atif I, Usman SH, Haider SH. Are We Aware of Dengue Fever? A Community Based KAP Survey on Dengue Fever in Rawalpindi. Journal of Islamic International Medical College. 2013;8(3):69-73. http://www.ejmanager.com/mnstemps/133/133-1423224128.pdf

(20) Sarti E, Cox H, Besada-Lombana S, Tapia-Maruri L. Dengue Awareness in Latin American Populations: A Questionnaire Study. Infectious diseases and therapy. 2015;4(2):199-211. https://link.springer.com/article/10.1007/s40121-015-0068-8

(21) Nagoor K, Babu S, Kahn S, Kalluri RJ, John KR. Knowledge, attitude and practice on dengue fever and its prevention and control measures in urban slums of South India. International Journal Of Community Medicine And Public Health. 2017;4(8):3013-7. DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20173363

(22) Gunasekara TD, Velathanthiri VG, Weerasekara MM, Fernando SS, Peelawattage M, Guruge D, Fernando S. Knowledge, attitudes and practices regarding dengue fever in a suburban community in Sri Lanka. Galle Med J. 2015;17(1): 10-17. http://hdl.handle.net/123456789/1852

(23) Thompson F, Caltabiano ML. The health belief model and dengue fever preventative behaviours: a pilot programme. Int J Health Pro and Edu. 2013;48(1):9-19. https://doi.org/10.1080/14635240.2010.10708175

(24) Al-Zurfi BM, Fuad MD, Abdelqader MA, Baobaid MF, Elnajeh M, Ghazi HF. Knowledge, attitude and practice of dengue fever and health education programme among students of Alam Shah science school, Cheras, Malaysia. Practice. 2015; 15(2): 69-74. http://www.mjphm.org.my/mjphm/journals/2015%20-%20Volume%2015%20(2)/KNOWLEDGE,%20ATTITUDE%20AND%20PRACTICE%20OF%20DENGUE%20FEVER%20AND%20HEATH%20EDUCATION%20PROGRAMME%20AMONG%20STUDENTS%20OF%20ALAM%20SHAH%20SCIENCE%20SCHOOL,%20CHERAS,%20MALAYSIA.pdf

(25) Ho M, Luk Y, Choy RYL. Knowledge, attitude and practices of Hong Kong residents for dengue fever prevention. The Hong Kong Practitioner. 2006; 28:68-75.

(26) Dhimal M, Aryal KK, Dhimal ML, Gautam I, Singh SP, Bhusal CL, et al. Knowledge, attitude and practice regarding dengue fever among the healthy population of highland and lowland communities in central Nepal. PloS One. 2014; 9: e102028. doi: 10.1371/journal.pone.0102028 PMID: 25007284

(27) Itrat A, Khan A, Javaid S, Kamal M, Khan H, Javed S, et al. Knowledge, awareness and practices regarding dengue fever among the adult population of dengue hit cosmopolitan. PloS One. 2008; 3: e2620. doi: 10.1371/journal.pone.0002620 PMID: 18612437

(28) Ramzan M, Ansar A, Nadeem S. Dengue epidemics: knowledge perhaps is the only key to success. J Ayub Med Coll Abbottabad. 2015; 27: 402–406. PMID: 26411128

(29) Yboa BC, Labrague LJ. Dengue knowledge and preventive practices among rural residents in Samar province, Philippines. Am J Pub Health Res. 2013; 1(2): 47–52. DOI:10.12691/ajphr-1-2-2

(30) Castro M, Sa ́nchez L, Pe ́rez D, Sebrango C, Shkedy Z, Van der Stuyft P. The relationship between economic status, knowledge on dengue, risk perceptions and practices. PloS One. 2013; 8: e81875. doi: 10.1371/journal.pone.0081875 PMID: 24349145

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Published

2021-08-12 — Updated on 2021-08-16

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How to Cite

Al-Sahafi, A. J., Shah, H. B. U., Al-Sayali, M. M., Mandoura, N., Alhazza, S. A., Akram, O., Al-Otaibi, N., Al-Garni, S. M., Al-Johani, M., AL- Mohammaadi, E., Al-Garni, A., AlGarni, F., & Ahmed, R. (2021). Assessment of Dengue Fever Knowledge and Preventive Practices among the General Population of Jeddah. Journal of the Dow University of Health Sciences (JDUHS), 15(2), 56–63. https://doi.org/10.36570/jduhs.2021.2.1142 (Original work published August 12, 2021)

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