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Dengue in Dhaka, Bangladesh: Hospital-based cross-sectional KAP assessment at Dhaka North and Dhaka South City Corporation area

Dengue, the most important mosquito-borne viral disease of humans is a recurring global health problem. In Bangladesh, dengue outbreaks are on the increase despite the efforts of government and it is not clear what the understanding of the general Dhaka population towards dengue fever is. Knowledge,...

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Autores principales: Abir, Tanvir, Ekwudu, O’mezie, Kalimullah, Nazmul Ahsan, Nur-A Yazdani, Dewan Muhammad, Al Mamun, Abdullah, Basak, Palash, Osuagwu, Uchechukwu Levi, Permarupan, P. Yukthamarani, Milton, Abdul Hasnat, Talukder, Shamim Hyder, Agho, Kingsley E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8009423/
https://www.ncbi.nlm.nih.gov/pubmed/33784366
http://dx.doi.org/10.1371/journal.pone.0249135
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author Abir, Tanvir
Ekwudu, O’mezie
Kalimullah, Nazmul Ahsan
Nur-A Yazdani, Dewan Muhammad
Al Mamun, Abdullah
Basak, Palash
Osuagwu, Uchechukwu Levi
Permarupan, P. Yukthamarani
Milton, Abdul Hasnat
Talukder, Shamim Hyder
Agho, Kingsley E.
author_facet Abir, Tanvir
Ekwudu, O’mezie
Kalimullah, Nazmul Ahsan
Nur-A Yazdani, Dewan Muhammad
Al Mamun, Abdullah
Basak, Palash
Osuagwu, Uchechukwu Levi
Permarupan, P. Yukthamarani
Milton, Abdul Hasnat
Talukder, Shamim Hyder
Agho, Kingsley E.
author_sort Abir, Tanvir
collection PubMed
description Dengue, the most important mosquito-borne viral disease of humans is a recurring global health problem. In Bangladesh, dengue outbreaks are on the increase despite the efforts of government and it is not clear what the understanding of the general Dhaka population towards dengue fever is. Knowledge, attitude and practice (KAP) studies are essential guides in public health interventions. Hence, using KAP, this study aims to assess patient-perspectives with regards to factors associated with dengue, as well as investigate the associated factors between the two corporations in Dhaka. A Hospital-based cross-sectional study of 242 fever patients from two city-corporations in Dhaka (Dhaka North City Corporations, DNCC (n = 91, 37.6%) and Dhaka South City Corporation, DSCC (n = 151, 62.4%) was conducted using pre-tested KAP items. Wilcoxon’s Rank Sum was used to determine the KAP by DNCC, DSCC and both corporations and multivariate Poisson regression analyses. The two corporations were analysed separately due to the differences in income distribution, concentration of slums, hospitals and clinics. The study found that more than half of the study population were knowledgeable about dengue (mean percentage scores was 52%), possess an appropriate and acceptable attitude towards the disease (69.2%), and about two thirds of the respondents (71.4%) engaged in practices towards its prevention. After adjusting for the potential cofounders, the factors associated with KAP about dengue fever varied between DNCC and DSCC; with duration of residency and use of mosquito nets were associated with knowledge in the north while income class and age were associated with knowledge and attitude in the south. In the pooled analysis (combining both corporations), knowledge of dengue was associated with good practice towards dengue fever among the respondents. The duration of residence in Dhaka (10+ years), not using mosquito nets and length of time spent in the hospital (7+ days) due to dengue, and decreased knowledge (Adjusted coefficient (β) = -0.01, 95%CI: -0.02, -0.01) were associated with attitude towards dengue in DNCC. On the other hand, middle-high income class, age (40+ years) and increased knowledge were associated with practice towards dengue in DSCC (β = 0.02, 95%CI: 0.01, 0.03). Efforts to increase knowledge about dengue fever through education by the administrations of both corporations would benefit from targeting these high-risk groups for a more sustainable outcome.
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spelling pubmed-80094232021-04-07 Dengue in Dhaka, Bangladesh: Hospital-based cross-sectional KAP assessment at Dhaka North and Dhaka South City Corporation area Abir, Tanvir Ekwudu, O’mezie Kalimullah, Nazmul Ahsan Nur-A Yazdani, Dewan Muhammad Al Mamun, Abdullah Basak, Palash Osuagwu, Uchechukwu Levi Permarupan, P. Yukthamarani Milton, Abdul Hasnat Talukder, Shamim Hyder Agho, Kingsley E. PLoS One Research Article Dengue, the most important mosquito-borne viral disease of humans is a recurring global health problem. In Bangladesh, dengue outbreaks are on the increase despite the efforts of government and it is not clear what the understanding of the general Dhaka population towards dengue fever is. Knowledge, attitude and practice (KAP) studies are essential guides in public health interventions. Hence, using KAP, this study aims to assess patient-perspectives with regards to factors associated with dengue, as well as investigate the associated factors between the two corporations in Dhaka. A Hospital-based cross-sectional study of 242 fever patients from two city-corporations in Dhaka (Dhaka North City Corporations, DNCC (n = 91, 37.6%) and Dhaka South City Corporation, DSCC (n = 151, 62.4%) was conducted using pre-tested KAP items. Wilcoxon’s Rank Sum was used to determine the KAP by DNCC, DSCC and both corporations and multivariate Poisson regression analyses. The two corporations were analysed separately due to the differences in income distribution, concentration of slums, hospitals and clinics. The study found that more than half of the study population were knowledgeable about dengue (mean percentage scores was 52%), possess an appropriate and acceptable attitude towards the disease (69.2%), and about two thirds of the respondents (71.4%) engaged in practices towards its prevention. After adjusting for the potential cofounders, the factors associated with KAP about dengue fever varied between DNCC and DSCC; with duration of residency and use of mosquito nets were associated with knowledge in the north while income class and age were associated with knowledge and attitude in the south. In the pooled analysis (combining both corporations), knowledge of dengue was associated with good practice towards dengue fever among the respondents. The duration of residence in Dhaka (10+ years), not using mosquito nets and length of time spent in the hospital (7+ days) due to dengue, and decreased knowledge (Adjusted coefficient (β) = -0.01, 95%CI: -0.02, -0.01) were associated with attitude towards dengue in DNCC. On the other hand, middle-high income class, age (40+ years) and increased knowledge were associated with practice towards dengue in DSCC (β = 0.02, 95%CI: 0.01, 0.03). Efforts to increase knowledge about dengue fever through education by the administrations of both corporations would benefit from targeting these high-risk groups for a more sustainable outcome. Public Library of Science 2021-03-30 /pmc/articles/PMC8009423/ /pubmed/33784366 http://dx.doi.org/10.1371/journal.pone.0249135 Text en © 2021 Abir et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Abir, Tanvir
Ekwudu, O’mezie
Kalimullah, Nazmul Ahsan
Nur-A Yazdani, Dewan Muhammad
Al Mamun, Abdullah
Basak, Palash
Osuagwu, Uchechukwu Levi
Permarupan, P. Yukthamarani
Milton, Abdul Hasnat
Talukder, Shamim Hyder
Agho, Kingsley E.
Dengue in Dhaka, Bangladesh: Hospital-based cross-sectional KAP assessment at Dhaka North and Dhaka South City Corporation area
title Dengue in Dhaka, Bangladesh: Hospital-based cross-sectional KAP assessment at Dhaka North and Dhaka South City Corporation area
title_full Dengue in Dhaka, Bangladesh: Hospital-based cross-sectional KAP assessment at Dhaka North and Dhaka South City Corporation area
title_fullStr Dengue in Dhaka, Bangladesh: Hospital-based cross-sectional KAP assessment at Dhaka North and Dhaka South City Corporation area
title_full_unstemmed Dengue in Dhaka, Bangladesh: Hospital-based cross-sectional KAP assessment at Dhaka North and Dhaka South City Corporation area
title_short Dengue in Dhaka, Bangladesh: Hospital-based cross-sectional KAP assessment at Dhaka North and Dhaka South City Corporation area
title_sort dengue in dhaka, bangladesh: hospital-based cross-sectional kap assessment at dhaka north and dhaka south city corporation area
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8009423/
https://www.ncbi.nlm.nih.gov/pubmed/33784366
http://dx.doi.org/10.1371/journal.pone.0249135
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