A Comprehensive Study on Knowledge, Attitude and Preventive measures regarding Dengue Fever in Bangladesh: Quantitative Interview among University Students.
Background: Dengue fever (DF) is the most rapidly spreading mosquito-borne viral disease in the world. In this decade it has expanded to new countries and from urban to rural areas. Limited awareness and nonsystematized health education programmes have contributed adversely to the increase in dengue incidence due to limited attention which has positively contributed to the increase in vector receptivity. The current study was conducted to ascertain the knowledge, attitudes and Preventive measures regarding Dengue fever among the students of various universities in Bangladesh.
Study design: A cross-sectional survey was carried out to assess the Knowledge, Awareness and Preventive measures (KAP) among the students of various universities in Bangladesh.
Methodology: Between August 2020 & November 2020, an epidemiological survey was conducted among 199 students of various universities throughout Bangladesh. We collected information on the socio-demographic characteristics of the respondents and their knowledge, attitude and Preventive measures regarding DF using a structured questionnaire. Majority of the questions were dichotomous (Yes/No type) and some questions were asked using five point Likert scale. We then statistically compared their knowledge, attitude and Preventive measures in regard to socio-demographic characteristics of the respondents to identify possible causes of observed differences using SPSS version 23.
Results: Total number of students from Diploma, Undergraduate (Honor's), Postgraduate (Master's) were 199 who had given voluntary consent and participated in this study willingly. The sample comprised more males (56%) than females (44%), and almost 50% of respondents were from allied health science (Pharmacy, Microbiology, Public health, Botany, Zoology, Biotechnology, Biochemistry etc) background. Respondents had relatively good knowledge about aspects of Dengue fever. Out of 199 individuals interviewed, 97% had heard of DF. They had good knowledge score regarding dengue symptoms but comparatively moderate knowledge score regarding dengue transmission and management. The knowledge, attitude and Preventive measures level of study respondents was found statistically significant in relation to the academic attainment of the respondents.
Conclusion: We recommend implementing mass educational programmes throughout the country in order to raise the awareness and to translate knowledge into sound practice to control dengue disease epidemics in Bangladesh.
2. Liu-Helmerson, J., Quam, M., Wilder-Smith, A., Stenlund, H., Ebi, K., Massad, E., Rocklöv, J., Climate change and Aedes vectors: 21st century projections for dengue transmission in Europe, in: EBioMedicine, 2016; 7:267-277
3. Bandyopadhyay, B., Bhattacharyya, I., Adhikary, S., Konar, J., Dawar, N., Sarkar, J. Saha, B. A comprehensive study on the 2012 dengue fever outbreak in Kolkata, India. ISRN Virology, 2013; 1–5
4. Dengue. Retrieved November 26, 2020, from Paho.org website: https://www.paho.org/en/topics/dengue
5. WHO | Dengue fever – Réunion, France. 2019 [cited 2021 Jan 11]; Available from: https://www.who.int/csr/don/20-may-2019-dengue-reunion/en/
6. Pinheiro FP, Corber SJ. Global situation of dengue and dengue haemorrhagic fever, and its emergence in the Americas. World Health Stat Q. 1997; 50(3–4):161–9.
7. Rodriguez-Roche, R., & Gould, E. A. (2013). Understanding the dengue viruses and progress towards their control. BioMed Research International, 2013; 1–20
8. Gubler DJ. The global emergence/resurgence of arboviral diseases as public health problems. Arch Med Res. 2002; 33(4):330–42
9. Halstead SB. Dengue. Lancet. 2007; 370(9599):1644–52.
10. P. M. De A. Zanotto, E. A. Gould, G. F. Gao, P. H. Harvey, and E. C. Holmes, “Population dynamics of flaviviruses revealed by molecular phylogenies,” Proceedings of the National Academy of Sciences of the United States of America, 1996; 93(2):548–553. View at: Publisher Site | Google Scholar
11. Dengue and severe dengue. Retrieved November 26, 2020, from Who.int website: https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue
12. Halstead SB. Dengue in the Americas and Southeast Asia: do they differ? Rev Panam Salud Publica. 2006; 20(6):407–15
13. Blanton RE, Silva LK, Morato VG, Parrado AR, Dias JP, Melo PRS, et al. Genetic ancestry and income are associated with dengue hemorrhagic fever in a highly admixed population. Eur J Hum Genet. 2008; 16(6):762–5.
14. de la C Sierra B, Kourí G, Guzmán MG. Race: a risk factor for dengue hemorrhagic fever. Arch Virol. 2007;152(3):533–42.
15. Halstead SB. Dengue virus-mosquito interactions. Annu Rev Entomol. 2008; 53(1):273–91
16. Guzman MG, Kouri G. Dengue and dengue hemorrhagic fever in the Americas: lessons and challenges. J Clin Virol. 2003; 27(1):1–13
17. Singh N, Kiedrzynski T, Lepers C, Benyon EK. Dengue in the Pacific—an update of the current situation. Pacific Health Dialog. 2005; 12(2):111–119
18. Wilder-Smith A, Gubler DJ. Geographic expansion of dengue: the impact of international travel. Med Clin North Am. 2008; 92(6):1377–90.
19. Franco C, Hynes NA, Bouri N, Henderson DA. The dengue threat to the United States. Biosecur Bioterror. 2010; 8(3):273–6
20. Gould EA, Gallian P, De Lamballerie X, Charrel RN. First cases of autochthonous dengue fever and chikungunya fever in France: from bad dream to reality! Clin Microbiol Infect. 2010; 16(12):1702–4.
21. Kurolt IC, Betica-Radić L, Daković-Rode O, Franco L, Zelená H, Tenorio A, et al. Molecular characterization of dengue virus 1 from autochthonous dengue fever cases in Croatia. Clin Microbiol Infect. 2013; 19(3):E163-5
22. Gubler DJ. Epidemic dengue/dengue hemorrhagic fever as a public health, social and economic problem in the 21st century. Trends Microbiol. 2002; 10(2):100–3
23. Guzman MG, Kouri G. Dengue haemorrhagic fever integral hypothesis: confirming observations, 1987-2007. Trans R Soc Trop Med Hyg. 2008; 102(6):522–3.
24. Wilder-Smith A, Gubler DJ. Geographic expansion of dengue: the impact of international travel. Med Clin North Am. 2008; 92(6):1377–90.
25. Guzmán MG, Vázquez S, Martínez E, Alvarez M, Rodríguez R, Kourí G, et al. Dengue in Nicaragua, 1994: reintroduction of serotype 3 in the Americas. Bol Oficina Sanit Panam. 1996; 121(2):102–10
26. Guzmán MG, Rosario D, Muné M, Alvarez M, Rodríguez R, Kourí G. Genetic relatedness of the dengue 3 virus isolated in the outbreak of dengue hemorrhagic fever in Nicaragua, 1994. Rev Cubana Med Trop. 1996; 48(2):114–7
27. Rico-Hesse R. Microevolution and virulence of dengue viruses. In: Advances in Virus Research. Elsevier; 2003. p. 315–41
28. Sharmin S, Viennet E, Glass K, Harley D. The emergence of dengue in Bangladesh: epidemiology, challenges and future disease risk. Trans R Soc Trop Med Hyg. 2015; 109(10):619–27
29. Akram A. Alarming turn of dengue fever in Dhaka city in 2019. Banglad J Infect Dis. 2019; 6(1):1–2
30. Rahman MR, Islam K. Massive diphtheria outbreak among Rohingya refugees: lessons learnt. J Travel Med [Internet]. 2019; 26(1). Available from: http://dx.doi.org/10.1093/jtm/tay122
31. Fisher LD. Self-designing clinical trials. Stat Med. 1998; 17(14):1551–62.
32. Javid A. Dengue fever: symptoms, treatments and prevention; a general perspec-tive, in. World Journal of Zoology. 2015; 10(1):22–25
33. Shuaib F, Todd D, Campbell-Stennett D, Ehiri J, Jolly PE. Knowledge, attitudes and practices regarding dengue infection in Westmoreland, Jamaica. West Indian Med J. 2010; 59(2):139–46
34. The PLOS ONE Staff. Correction: Knowledge, attitude and practice regarding dengue fever among the healthy population of highland and lowland communities in central Nepal. PLoS One. 2014; 9(10):e110605
35. Singru S, Bhosale S, Debnath D, Fernandez K, Pandve H. Study of knowledge, attitude and practices regarding dengue in the urban and rural field practice area of a tertiary care teaching hospital in Pune, India. Med j Dr D Patil Univ. 2013; 6(4):374
36. Kittigul L, Suankeow K, Sujirarat D, Yoksan S. Dengue haemorrhagic fever: knowledge, attitude and practice in Ang Thong Province, Thailand. Southeast Asian J Trop Med Public Health. 2003; 34(385)
37. Acharya A, Goswami K, Srinath S, Goswami A. Awareness about dengue syndrome and related preventive practices amongst residents of an urban resettlement colony of south Delhi. J Vector Borne Dis. 2005; 42(3):122–7
38. Ibrahim NKR, Al-Bar A, Kordey M, Al-Fakeeh A. Knowledge, attitudes, and practices relating to Dengue fever among females in Jeddah high schools. J Infect Public Health. 2009; 2(1):30–40
39. Huang H-L, Chiu T-Y, Huang K-C, Cheng S-Y, Yao C-A, Lee L-T. Travel-related mosquito-transmitted disease questionnaire survey among health professionals in Taiwan. J Travel Med. 1111; 2011;18(1):34–38:1708–8305
40. Radhika NML, Gunathilaka N, Udayanga L, Kasturiratne A, Abeyewickreme W. Level of awareness of dengue disease among school children in Gampaha District, Sri Lanka, and effect of school-based health education programmes on improving knowledge and practices. Biomed Res Int. 2019; 2019:3092073
41. Beatty M, Biggerstaff B, Rigau J, Petersen L. Estimated risk of transmission of dengue virus through blood transfusion in Puerto Rico. In Atlanta, Georgia, USA; 2006.
42. Cdc.gov. [cited 2021 Jan 11]. Available from: https://www.cdc.gov/dengue/training/cme/ccm/page51440.htmlGleviczky,
43. Chandren JR, Wong LP, AbuBakar S. Practices of dengue fever prevention and the associated factors among the Orang Asli in Peninsular Malaysia. PLoS Negl Trop Dis. 2015; 9(8):e0003954.
44. Why aspirin is not prescribed in dengue? - Quora [Internet]. Quora.com. [cited 2021 Jan 11]. Available from: https://www.quora.com/Why-aspirin-is-not-prescribed-in-dengue
45. Kumaran E, Doum D, Keo V, Sokha L, Sam B, Chan V, et al. Dengue knowledge, attitudes and practices and their impact on community-based vector control in rural Cambodia. PLoS Negl Trop Dis. 2018; 12(2):e0006268.
46. Van Nguyen H, Than PQT, Nguyen TH, Vu GT, Hoang CL, Tran TT, et al. Knowledge, attitude and practice about dengue fever among patients experiencing the 2017 outbreak in Vietnam. Int J Environ Res Public Health. 2019; 16(6):976.
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