Multilevel Analysis of Dengue Hemorrhagic Fever in Bantul Regency

Journal of Maternal and Child Health

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Title Multilevel Analysis of Dengue Hemorrhagic Fever in Bantul Regency
 
Creator Nurkhairani, Nurkhairani
Rahardjo, Setyo Sri
Murti, Bhisma
 
Description Background: Dengue Hemorrhagic Fever (DHF) is one of the main vector-borne diseases infecting humans. It remains a major public health problem in tropical and sub-tropical regions around the world. The poor physical and social environment are the leading cause of the increasing incidence of DHF. This study aimed to determine the effect of the physical and social environment on dengue incidence using multilevel analysis.Subjects and Method: This was an analytic a case-control study conducted in Bantul, Yogya­karta, Indonesia, from November to December 2018. A total of 250 study subjects were selected using the fix disease sampling method. The dependent variable was the incidence of DHF. The independent variables were Maya Index (MI), Density Figure (DF), household crowding, knowledge, mosquito nests eradica­tion, and use of mosquito repellent. The data were collected using a questionnaire. The data were analyzed by using multilevel multiple logistic regression with Stata 13.Results: The incidence of dengue fever was increased with high Maya index (OR= 5.04; 95% CI= 2.38 to 10.67; p <0.001), high density figure (OR= 4.01; 95% CI= 1.90 to 8.44; p <0.001), high household crowding (OR= 1.90; 95% CI= 0.91 to 3.95; p= 0.870), low know­ledge (OR= 2.94; 95% CI= 1.41 to 6.12; p= 0.004), poor mosquito nests eradication beha­vior (OR= 3.09; 95% CI= 1.47 to 6.49; p= 0.003), did not use insect repellent (OR= 3.06; 95% CI= 0.01 to 0.10; p <0.001). Village strata had contextual effect toward the incidence of DHF with Intra-Class Correlation (ICC) by 17.34%.Conclusion: Maya Index, density figure, household crowding, knowledge, mosquito nests eradication behavior, and the use of mos­quito repellents affect the incidence of DHF. Village strata have a contextual effect on DHF incidence.Keywords: DHF, Maya Index, density figure, occupancy density, knowledge, mosquito nests eradication Correspondence: Nurkhairani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Suta­mi 36 A, Surakarta, Indonesia. Email: ana­christi19@gmail.com. Mobile: +62852­29185­896.Journal of Maternal and Child Health (2021), 06(02): 197-205https://doi.org/10.26911/thejmch.2021.06.02.07
 
Publisher Journal of Maternal and Child Health
 
Contributor
 
Date 2021-03-16
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier http://thejmch.com/index.php?journal=thejmch&page=article&op=view&path[]=574
 
Source Journal of Maternal and Child Health; Vol 6, No 2 (2021); 197-205
2549-0257
2549-0257
 
Language eng
 
Relation http://thejmch.com/index.php?journal=thejmch&page=article&op=view&path[]=574&path[]=pdf
 
Rights Copyright (c) 2021 Journal of Maternal and Child Health
 

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