Multilevel Analysis of Dengue Hemorrhagic Fever in Bantul Regency

[摘要] Background: Dengue Hemorrhagic Fever(DHF) is one of the main vector-borne diseasesinfecting humans. It remains a major publichealth problem in tropical and sub-tropicalregions around the world. The poor physicaland social environment are the leading cause ofthe increasing incidence of DHF. This studyaimed to determine the effect of the physicaland social environment on dengue incidenceusing multilevel analysis.Subjects and Method: This was an analytic acase-control study conducted in Bantul, Yogyakarta, Indonesia, from November to December2018. A total of 250 study subjects wereselected using the fix disease sampling method.The dependent variable was the incidence ofDHF. The independent variables were MayaIndex (MI), Density Figure (DF), householdcrowding, knowledge, mosquito nests eradication, and use of mosquito repellent. The datawere collected using a questionnaire. The datawere analyzed by using multilevel multiplelogistic regression with Stata 13.Results: The incidence of dengue fever wasincreased with high Maya index (OR= 5.04;95% CI= 2.38 to 10.67; p <0.001), high densityfigure (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 stratahad contextual effect toward the incidence ofDHF with Intra-Class Correlation (ICC) by17.34%.Conclusion: Maya Index, density figure,household crowding, knowledge, mosquitonests eradication behavior, and the use of mosquito repellents affect the incidence of DHF.Village strata have a contextual effect on DHFincidence.

[学科分类] 食品科学和技术

[关键词] DHF;Maya Index;density figure;occupancy density;knowledge;mosquito nestseradication