Displaying publications 81 - 100 of 275 in total

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  1. Khan M, Mahmood HZ, Noureen S, Muhmood K, Husnain MIU, Hameed Khaliq I
    Trop Biomed, 2019 Sep 01;36(3):664-676.
    PMID: 33597488
    The extent of the economic burden of malaria and its imposed mechanisms are both relevant to public policy. This paper investigates the economic burden of malaria and household behaviour in relation to the treatment and prevention of the illness in Pakistan. In this regard, data were collected from a randomly selected sample of 360 households using structured questionnaires. The survey results indicate that 23.4% of household members contracted malaria during the three-month reference period. The average per person cost of malaria is estimated at 3116 Pakistani rupees (PKR) (USD 32). The estimated cost of the illness was found to be equivalent to, on average, 6.7% of monthly household income. Although high-income households face a higher financial burden due to better preventive and mitigation measures, the negative consequences hit low-income households harder due to liquidity constraints and poor access to effective treatment. We recommend that malaria control policies be integrated into development and poverty reduction programs.
    Matched MeSH terms: Family Characteristics
  2. Sajab MS, Mohan D, Santanaraj J, Chia CH, Kaco H, Harun S, et al.
    Sci Rep, 2019 08 12;9(1):11703.
    PMID: 31406228 DOI: 10.1038/s41598-019-48274-2
    The recognition of cellulose nanofibrils (CNF) in the past years as a high prospect material has been prominent, but the impractical cellulose extraction method from biomass remained as a technological barrier for industrial practice. In this study, the telescopic approach on the fractionation of lignin and cellulose was performed by organosolv extraction and catalytic oxidation from oil palm empty fruit bunch fibers. The integration of these techniques managed to synthesize CNF in a short time. Aside from the size, the zeta potential of CNF was measured at -41.9 mV, which allow higher stability of the cellulose in water suspension. The stability of CNF facilitated a better dispersion of Fe(0) nanoparticles with the average diameter size of 52.3-73.24 nm through the formulation of CNF/Fe(0). The total uptake capacity of CNF towards 5-fluorouracil was calculated at 0.123 mg/g. While the synergistic reactions of adsorption-oxidation were significantly improved the removal efficacy three to four times greater even at a high concentration of 5-fluorouracil. Alternatively, the sludge generation after the oxidation reaction was completely managed by the encapsulation of Fe(0) nanoparticles in regenerated cellulose.
    Matched MeSH terms: Family Characteristics
  3. Teng H, Chen Y, Lin X, Lv Q, Chai TT, Wong FC, et al.
    Food Chem Toxicol, 2019 Jul;129:138-143.
    PMID: 31034934 DOI: 10.1016/j.fct.2019.04.043
    The aim of this study was to assess the inhibitory effects of Sonchus olearleu extract on the generation of heterocyclic amines in roasted pork patties cooked by pan-frying. All samples were cooked for two different durations (45 min and 105 min) under 200 °C and 230 °C. 2-amino-3-methylimidazo[4,5-f]quinoline (IQ), 2-ami- no-3,8-dimethylimidazo[4,5-f]quinoxaline (MeIQx), 2-amino-3,4,8-trimethylimidazo[4,5-f]quinox-aline (4,8-DiMeIQx), harman, and norharman were detected and quantified. In patties cooked at 230 °C for 105 min, S. olearleu extract (0.5%) significantly inhibited the formation of IQ, harman, and norharman by 39%, 67%, and 63%, respectively. In contrast to IQ, the levels of harman and norharman were significantly reduced by the extracts tested. However, no such effects were observed for MeIQx and 4, 8-DiMeIQx. Notably, the inhibitory effect on heterocyclic amines is significantly correlated with the antioxidant potential and total phenolic content of S. olearleu extract.
    Matched MeSH terms: Family Characteristics
  4. Ogiri IA, Sidique SF, Talib MA, Abdul-Rahim AS, Radam A
    Waste Manag Res, 2019 Jul;37(7):755-762.
    PMID: 30967098 DOI: 10.1177/0734242X19842328
    To encourage recycling in Malaysian households, a waste separation at source programme was implemented that made it mandatory for households to sort their waste into different categories before leaving it out for collection. Penalties designed to act as a deterrent are imposed on households that fail to sort their waste appropriately. But does this deterrence motivate compliance with the programme directives? This study employs the deterrence theory to investigate if deterrence alone is sufficient to motivate households to actively participate in recycling. A total of 866 questionnaires were administered in person in households in Putrajaya and Melaka. Data were analysed using structural equation modelling. The results of the structural model reveal that just 25% of the variance in compliance is explained by the severity of the sanction, and the perceived certainty of penalty imposed. Perceived severity of sanction (β = 0.149, p = 0.012) and perceived certainty of sanction (β = 0.383, p = 0.000) were found to contribute significantly to compliance behaviour to the programme directives. However, deterrence alone cannot motivate household participation in waste separation at source because it only explains 25% of compliance behaviour. The present study provides information that could allow policymakers to understand recycling habits better and implement more effective compliance strategies.
    Matched MeSH terms: Family Characteristics*
  5. Hossan MS, Chan ZY, Collins HM, Shipton FN, Butler MS, Rahmatullah M, et al.
    Cancer Lett, 2019 07 01;453:57-73.
    PMID: 30930233 DOI: 10.1016/j.canlet.2019.03.034
    Natural products possess a significant role in anticancer therapy and many currently-used anticancer drugs are of natural origin. Cerberin (CR), a cardenolide isolated from the fruit kernel of Cerbera odollam, was found to potently inhibit cancer cell growth (GI50 values 60% bioavailability and rapid absorption; doses of 1-10 mg/kg CR were predicted to maintain efficacious unbound plasma concentrations (>GI50 value). CR's potent and selective anti-tumour activity, and its targeting of key signalling mechanisms pertinent to tumourigenesis support further preclinical evaluation of this cardiac glycoside.
    Matched MeSH terms: Family Characteristics
  6. Sehreen F, Masud MM, Akhtar R, Masum MRA
    Environ Monit Assess, 2019 Jun 22;191(7):457.
    PMID: 31230139 DOI: 10.1007/s10661-019-7595-9
    The city of Dhaka has been ranked repeatedly as the most polluted, the most populous, and the most unbearable city in the world. More than 19.5 million inhabitants live in Dhaka, and the population growth rate of urban areas in Bangladesh is almost double that of rural areas. Rapid urbanization is one of the leading contributors to water pollution in Dhaka and could prevent the country from achieving sustainable development. Therefore, this study estimates respondents' willingness to pay (WTP) to improve water pollution management systems and identifies factors that influence WTP in Dhaka. This study employed the contingent valuation method (CVM) to estimate WTP of the respondents. Data were collected using a structured questionnaire with CVM questions, which was distributed to households in the study areas. The results revealed that 67% of the respondents are willing to pay for an improved water pollution management system, while 31.8% of households are unwilling to pay. The study also found that socio-economic factors (e.g., income and education) and perception significantly influence WTP. Therefore, this paper will provide directives for policymakers in developing an effective policy framework, as well as sensitize all stakeholders to the management of water pollution in Dhaka. The study suggests that social institutions, financial institutions, banks, non-government organizations (NGOs), insurance companies, and the government could provide effective outreach programs for water pollution management as part of their social responsibility.
    Matched MeSH terms: Family Characteristics
  7. Bhoo-Pathy N, Ng CW, Lim GC, Tamin NSI, Sullivan R, Bhoo-Pathy NT, et al.
    J Oncol Pract, 2019 06;15(6):e537-e546.
    PMID: 31112479 DOI: 10.1200/JOP.18.00619
    BACKGROUND: Financial toxicity negatively affects the well-being of cancer survivors. We examined the incidence, cost drivers, and factors associated with financial toxicity after cancer in an upper-middle-income country with universal health coverage.

    METHODS: Through the Association of Southeast Asian Nations Costs in Oncology study, 1,294 newly diagnosed patients with cancer (Ministry of Health [MOH] hospitals [n = 577], a public university hospital [n = 642], private hospitals [n = 75]) were observed in Malaysia. Cost diaries and questionnaires were used to measure incidence of financial toxicity, encompassing financial catastrophe (FC; out-of-pocket costs ≥ 30% of annual household income), medical impoverishment (decrease in household income from above the national poverty line to below that line after subtraction of cancer-related costs), and economic hardship (inability to make necessary household payments). Predictors of financial toxicity were determined using multivariable analyses.

    RESULTS: One fifth of patients had private health insurance. Incidence of FC at 1 year was 51% (MOH hospitals, 33%; public university hospital, 65%; private hospitals, 72%). Thirty-three percent of households were impoverished at 1 year. Economic hardship was reported by 47% of families. Risk of FC attributed to conventional medical care alone was 18% (MOH hospitals, 5%; public university hospital, 24%; private hospitals, 67%). Inclusion of expenditures on nonmedical goods and services inflated the risk of financial toxicity in public hospitals. Low-income status, type of hospital, and lack of health insurance were strong predictors of FC.

    CONCLUSION: Patients with cancer may not be fully protected against financial hardships, even in settings with universal health coverage. Nonmedical costs also contribute as important drivers of financial toxicity in these settings.

    Matched MeSH terms: Family Characteristics
  8. Rajamoorthy Y, Taib NM, Munusamy S, Anwar S, Wagner AL, Mudatsir M, et al.
    BMC Public Health, 2019 Jan 10;19(1):47.
    PMID: 30630464 DOI: 10.1186/s12889-018-6375-8
    BACKGROUND: Hepatitis B (HepB) is a major public health concern in Malaysia yet little is known about knowledge and awareness of this infection in the country. Such information is essential for designing effective intervention strategies for HepB prevention and control. The aim of this study was to characterize knowledge and awareness regarding HepB in Malaysia and to identify their associated sociodemographic determinants.

    METHODS: A community-based cross-sectional survey was conducted between January and May 2016 in Selangor state of Malaysia. A two-stage cluster random sampling design was used and one adult member of selected households was interviewed face-to-face. Logistic regression was used to estimate the differences in knowledge and awareness between groups.

    RESULTS: A total of 764 households completed the interviews and were included in the final analysis. Only 36.9 and 38.8% of the participants had good knowledge and awareness, respectively. The factors associated with good knowledge were being in the 35-44 year age group, Malay ethnicity, high educational attainment and high family income. Being Chinese, being older and having high educational attainment were determinants of having good awareness towards HepB. Participants who had good knowledge were 2.5 times more likely to also have good awareness (OR: 2.41, 95% CI: 1.78-3.26, p 

    Matched MeSH terms: Family Characteristics
  9. Karimah Hanim Abd. Aziz, Hafizah Pasi, Jamalludin Ab. Rahman, Razman Mohd. Rus, Hashima R. Nasreen, Farhan Rusl, et al.
    MyJurnal
    Introduction: Undernutrition among under-five children is a very common issue in Malaysia, especially among the Orang Asli population. Therefore, identifying the prevalence and factors associated with undernutrition will assist in tackling the issue of undernutrition and reducing the morbidity and mortality rate associated with it. Methods: A total of 47 conveniently selected Orang Asli children aged 6 to 59 months from Kampung Paya Bungor, Gambang, Kuantan, Pahang participated in this cross-sectional study. A face-to-face interview was carried out by using the validated Questionnaire for the Study of Malnutrition in Rural Malaysia 2009. The weight and height of the children were measured and plotted on the growth chart. All the data were analyzed using IBM SPSS Statistics Version 24.0. Descriptive statistics was used to describe the background characteristics of the respondents and univariate analyses were used to identify suitable factors to be included in multivariate analysis. Binary logistic regression was done to determine independent factors associated with undernutrition. Results: The overall prevalence of undernutrition was 55.3%. The prevalence of underweight, stunting and wasting was 34.0%, 34.0% and 14.9% respectively. This research also revealed that gender (p=0.042) and family size (p=0.024) was shown to have a statistically significant association with undernutrition. However, there were no significant associations between undernutrition with other factors. Conclusion: The prevalence of undernutrition among under-five Orang Asli children was a concern. It was found that the factors associated with undernutrition were female children and children from small families. Prompt interventions aimed at the Orang Asli community should be done to overcome these problems.
    Matched MeSH terms: Family Characteristics
  10. Andrew NL, Bright P, de la Rua L, Teoh SJ, Vickers M
    PLoS One, 2019;14(9):e0223249.
    PMID: 31568527 DOI: 10.1371/journal.pone.0223249
    The coastal zones of Small Island States are hotspots of human habitation and economic endeavour. In the Pacific region, as elsewhere, there are large gaps in understandings of the exposure and vulnerability of people in coastal zones. The 22 Pacific Countries and Territories (PICTs) are poorly represented in global analyses of vulnerability to seaward risks. We combine several data sources to estimate populations to zones 1, 5 and 10 km from the coastline in each of the PICTs. Regional patterns in the proximity of Pacific people to the coast are dominated by Papua New Guinea. Overall, ca. half the population of the Pacific resides within 10 km of the coast but this jumps to 97% when Papua New Guinea is excluded. A quarter of Pacific people live within 1 km of the coast, but without PNG this increases to slightly more than half. Excluding PNG, 90% of Pacific Islanders live within 5 km of the coast. All of the population in the coral atoll nations of Tokelau and Tuvalu live within a km of the ocean. Results using two global datasets, the SEDAC-CIESIN Gridded Population of the World v4 (GPWv4) and the Oak Ridge National Laboratory Landscan differed: Landscan under-dispersed population, overestimating numbers in urban centres and underestimating population in rural areas and GPWv4 over-dispersed the population. In addition to errors introduced by the allocation models of the two methods, errors were introduced as artefacts of allocating households to 1 km x 1 km grid cell data (30 arc-seconds) to polygons. The limited utility of LandScan and GPWv4 in advancing this analysis may be overcome with more spatially resolved census data and the inclusion of elevation above sea level as an important dimension of vulnerability.
    Matched MeSH terms: Family Characteristics
  11. Siti Hafizan Hassan, Hamidi Abdul Aziz, Mohd Samsudin Abdul Hamid, Siti Rashidah Mohd Nasir, Suhailah Mohamed Noor
    ESTEEM Academic Journal, 2019;15(2):11-23.
    MyJurnal
    The effect of unmanageable construction waste is an unstable land settlement and groundwater pollution. In addition to environmental pollution, construction waste could incur construction cost. The most construction waste is the material used at sites and tile is also a part of the waste generated in construction. The objectives of this study are to determine the tile waste generated in construction stages and linear regression analysis for the amount of tile waste generated. The method used in this study was the Linear Regression Model. The regression model established in the sample data reported an R2 value of 0.793; therefore, the model can predict approximately 79.3% of the factor (area) of tile waste generation. The linear regressions can be applied as tools to predict the tile waste generated at construction sites and help the contractor to track the sources of missing waste.
    Matched MeSH terms: Family Characteristics
  12. Nur Emmy Fizreena Shamsuddin, Huda Zainuddin, Salmiah Md. Said
    MyJurnal
    Introduction: Job stress is defined as harmful physical, negative, emotional responses that occur when the require-ments of the job do not match the capabilities, resources or needs of the worker. Factors influencing job stress among nurses in primary healthcare in Malaysia are poorly identified. The objective of this study is to assess the job stress score and identify the predictors of job stress among nurses in Primary Health Care (PHC) facilities in Kuala Lan-gat district of Selangor. Methods: A cross-sectional study conducted among 216 nurses in PHC facilities of Kuala Langat District. Data collection conducted using self-administered questionnaire adopted and modified from Job Stress Scale, Nursing Stress Scale (NSS) and Expanded Nursing Stress Scale (ENSS). Results: There is evidence of job stress with mean score of 28.4(5.5) among nurses in PHC facilities of Kuala Langat District, Selangor, Malaysia. There are association between age, role in organization, duration of services, outside job scope, family size, doing house chores, balance between work and family, balance between work and leisure activities, workload, inadequate preparation, lack of staff support, uncertainty concerning treatment, role conflicts and patients and their families with job stress (p
    Matched MeSH terms: Family Characteristics
  13. Rajamoorthy Y, Radam A, Taib NM, Rahim KA, Munusamy S, Wagner AL, et al.
    PLoS One, 2019;14(4):e0215125.
    PMID: 30964934 DOI: 10.1371/journal.pone.0215125
    BACKGROUND: In Malaysia, one million individuals are estimated to be infected with the hepatitis B virus. A vaccine for infants has been compulsory since 1989, whereas those born before 1989 need to spend their own money to be vaccinated in private clinics or hospitals. The aim of this study was to investigate and ascertain the determinants of willingness to pay (WTP) for adult hepatitis B vaccine in Selangor, Malaysia.

    METHODS: In 2016, 728 households were selected through a stratified, two stage cluster sample and interviewed. Willingness to pay for hepatitis B vaccine was estimated using the Contingent Valuation Method, and factors affecting WTP were modelled with logit regression.

    RESULTS: We found that 273 (37.5%) of the households were willing to pay for hepatitis B vaccination. The mean and median of WTP was estimated at Ringgit Malaysia (RM)303 (approximately US$73) for the three dose series. The estimated WTP was significantly greater in those with higher levels of education, among Malays and Chinese (compared to others, predominantly Indians), and for those with greater perceived susceptibility to hepatitis B virus infection. Other factors-perceived severity, barriers, benefits and cues to action-were not significantly associated with WTP for adult hepatitis B vaccination.

    CONCLUSION: Additional resources are needed to cover the households that are not willing to pay for hepatitis B vaccination. More awareness (particularly in regards to hepatitis B virus susceptibility) could change the national perception towards self-paid hepatitis B virus vaccination and increase hepatitis B vaccine coverage.

    Matched MeSH terms: Family Characteristics
  14. Muhammad Abdulkadir, Ruslan Rainis, Alshammari Eissa Zaidan, Murtala Uba Muhammad, Yamuna A Kani
    MyJurnal
    In the state effort reduce the number of maternal death, a free child and maternal healthcare programme were introduced called Successful delivery. This main aim of this research is to evaluate if women registered with the programme had a better chance of accessing the services in the state. A crosssectional quantitative study involving household interviews of all women of the reproductive age group (15–49 years) residing in Jigawa state from February to April 2019. Logistic regression analysis at 95% confidence interval was used to determine the independent associations between the scheme and use of antenatal care, hospital delivery and postnatal care services. Successful delivery program influenced the antenatal care visit as women registered with the schemes are more likely to have maximum of six visit 39.5 times than those who did not and also more likely to have four visit 2.6 times than those without scheme. Hospital delivery is also attached to the scheme as women registered with the scheme is 5.3 times likely to deliver at hospital when compared to those with not. Successful delivery program influence antenatal care visit and hospital base delivery. Nevertheless many of the pregnant women after delivery did not attend postnatal care.
    Matched MeSH terms: Family Characteristics
  15. LEONG JIA Q, WAN ZALIHA WAN SEMBOK
    MyJurnal
    Pineapple is one of the most important commercial fruit crops served in fresh-cut form which is convenientfor the consumers. However, fresh-cut pineapple induces the activity of phenolic compounds which triggers the generation of brown or dark pigments. Browning incidence (BI) directly influences the fruit’s acceptability and marketability. Therefore, different exposure times (5mins, 10mins, 15mins and 20mins)and typesof LED lights (white, red and blue) were applied on fresh-cut pineapple stored at 5oC storage for twelve days to reduce BI. A significant interaction between the two factors was recorded in lightness coefficient, chroma, total phenolic and ascorbic acid (AA)contents. Regardless of exposure times, all types of LED lights, mainly the blue light, succeeded in delaying BI in fresh-cut pineapple. In conclusion, blue light had a tendency todelay BI andmaintaintheother postharvest quality attributes of fresh-cut pineapple.
    Matched MeSH terms: Family Characteristics
  16. NUR SYUHADA IBRAHIM, ZIKRI MUHAMMAD, JUMADIL SAPUTRA
    MyJurnal
    Industrial development plays the most important role inthe degradationof the global environment. In line with this issue, most universities in the world have introduced environmentalmanagement to increase awarenessamong young generation towards the environment. Therefore, this study is employed to examine the influences of hygiene practices, awareness and involvement levels towards environmentalhygiene among UMT students. The design of this study is quantitative using cross-sectionaldata collectedfrom students at residential colleges in Universiti Malaysia Terengganu. A total of 120 respondents participatedbut only data from 100 students could be used for further analysis after the datascreening process. The result of this study showed that the level of awareness of UMT students on environmental issues could be categorized as moderate. Besides that, this study found that the level of awareness had significant positive influences on environmentalhygiene. Meanwhile, hygiene practices and the level of involvement did not have significant influences on environmentalhygiene. In addition, using the findings of this study, we suggest that the stakeholders of UMT increase the hygiene practice and involvement among young generation to increase the level of awareness regarding environmental hygiene.
    Matched MeSH terms: Family Characteristics
  17. Law LS, Norhasmah S, Gan WY, Siti Nur'Asyura A, Mohd Nasir MT
    Nutrients, 2018 Oct 08;10(10).
    PMID: 30297599 DOI: 10.3390/nu10101455
    Over the course of 16 years, a high percentage of Orang Asli (OA) households in Malaysia has been found to be burdened with food insecurity. Therefore, a study was conducted to improve the understanding of the challenges faced by the OA in Peninsular Malaysia to achieve food security under traditional food systems. In this study, in-depth interview sessions, which were assisted by an interview protocol, were conducted with 61 OA women from nine villages that were selected purposefully across three states (Kelantan, Pahang, and Perak) in Peninsular Malaysia. Furthermore, thematic analysis was performed during data analysis. As a result, four themes were identified, namely (i) the failure in agriculture (sub-themes: threats from wild animals and insufficient land supply), (ii) ineffectiveness of traditional food-seeking activities (sub-themes: exhausting, tiring, dangerous, and time-consuming journey for food-seeking activities, depletion of natural commodities, reduced demands of natural commodities, and lack of equipment), (iii) weather (sub-themes: rainy and dry seasons), and (iv) water issues (subthemes: continuity of water supply and cleanliness of water). The identified modifiable factors of this issue should be incorporated into future schemes of food security intervention in order to efficiently manage the food shortage among the OA.
    Matched MeSH terms: Family Characteristics*
  18. Balachanthar S, Zakaria NA, Lee LK
    Ecol Food Nutr, 2018 07 10;57(4):314-329.
    PMID: 29989434 DOI: 10.1080/03670244.2018.1492380
    Emergency food assistance forms an integral component of flood mitigation in Malaysia. A cross-sectional survey investigating emergency food assistance among 202 flood victims was conducted and alternative food assistance plan was developed using linear programming targeting post-disaster food requirement scenarios. From the study, the receipt of food aid was significantly associated with ethnicity, household income, residential area and evacuation into temporary shelters. Linear programming analysis identified nutritionally appropriate food assistance targeting mass feeding, emergency food basket, and immediate food requirement for as low as MYR 6.07 (1.55 USD), MYR 7.14 (1.82 USD), and MYR 8.00 (2.04 USD), respectively. This study provides nutritional guidelines for disaster food assistance policy.
    Matched MeSH terms: Family Characteristics
  19. Cheah SKA, Yeow PHP, Nair SR, Tan FB
    Ergonomics, 2018 May;61(5):627-643.
    PMID: 29092687 DOI: 10.1080/00140139.2017.1397200
    Household electricity wastage poses a sustainability issue. Ergonomic interventions that prevent wastage through technological innovations are expensive and complex, making consumers unwilling to adopt them. The study aimed to investigate the motivations and impediments in avoiding electricity wastage. Thirteen Repertory Grid interviews were conducted on household electricity users relating to the behaviour of those living with them. The key motivational themes found were altruistic and egoistic reasons while the impediments were perceived behavioural control, hedonism and self-efficacy. Based on the research findings, a behavioural modification framework was developed to encourage consumers to adopt a higher level of responsible electricity practice through the following suggested interventions - (1) reframing sustainability from 'future-for-others' to 'present-for-us', (2) clarifying responsible consumption and (3) performance feedback. The research identified the key motivations and impediments of being a responsible household electricity user and provided a framework to encourage a higher responsibility level. Practitioner Summary: Household electricity wastage poses sustainability issue: excess CO2 & high costs. We developed a mindset changing behavioural modification framework. We investigated HFE issues: motivations & impediments of avoiding the wastage, i.e. altruistic, egoistic, behavioural control, hedonism & self-efficacy. The framework provides governments insights into strategies to address the wastage.
    Matched MeSH terms: Family Characteristics*
  20. Harapan H, Rajamoorthy Y, Anwar S, Bustamam A, Radiansyah A, Angraini P, et al.
    BMC Infect Dis, 2018 02 27;18(1):96.
    PMID: 29486714 DOI: 10.1186/s12879-018-3006-z
    BACKGROUND: The Indonesian region of Aceh was the area most severely affected by the earthquake and tsunami of 26 December 2004. Department of Health data reveal an upward trend of dengue cases in Aceh since the events of the tsunami. Despite the increasing incidence of dengue in the region, there is limited understanding of dengue among the general population of Aceh. The aim of this study was to assess the knowledge, attitude, and practice (KAP) regarding dengue among the people of Aceh, Indonesia in order to design intervention strategies for an effective dengue prevention program.

    METHODS: A community-based cross-sectional study was conducted in Aceh between November 2014 and March 2015 with a total of 609 participants living in seven regencies and two municipalities. Information on the socio-demographic characteristics of participants and their KAP regarding dengue was collected using a pre-tested structured questionnaire. The KAP status (good vs. poor) of participants with different socio-demographic characteristics was compared using Chi Square-test, ANOVA or Fisher's exact test as appropriate. Logistic regression analysis was used to determine the predictors of each KAP domain.

    RESULTS: We found that 45% of participants had good knowledge regarding dengue and only 32% had good attitudes and good dengue preventive practices. There was a significant positive correlation between knowledge and attitudes, knowledge and practice, and attitudes and practice. In addition, people who had good knowledge were 2.7 times more likely to have good attitudes, and people who had good attitudes were 2.2 times more likely to have good practices regarding dengue. The level of education, occupation, marital status, monthly income, socioeconomic status (SES) and living in the city were associated with the knowledge level. Occupation, SES, and having experienced dengue fever were associated with attitudes. Education, occupation, SES and type of residence were associated with preventive practices.

    CONCLUSION: Our study suggests that dengue prevention programs are required to increase KAP levels regarding dengue in the communities of Aceh.

    Matched MeSH terms: Family Characteristics
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