Sains Malaysiana 48(4)(2019): 841–849
http://dx.doi.org/10.17576/jsm-2019-4804-16
Knowledge and Practices Regarding Aedes Control Amongst Residents of Dengue Hotspot Areas in Selangor: A
Cross-Sectional Study
(Pengetahuan dan Amalan Kawalan Aedes dalam
Kalangan Penduduk Kawasan Khas Denggi
di Selangor: Suatu Kajian Keratan Lintang)
ZUL-'IZZAT
IKHWAN
ZAINI1,2,
HIDAYATULFATHI
OTHMAN1*,
NORHAFIZAH
KARIM1,
NOR
AZIMAH
ABD
RASHID1,
MOHAMAD
BADRUL
HISHAM
ABAS1,
MAZRURA
SAHANI1,
ROZITA
HOD3
& SAIFUL AZLAN NORDIN1
1School of Diagnostic and
Applied Health Sciences, Faculty of Health Sciences, Universiti Kebangsaan
Malaysia, Jalan Raja Muda Abd. Aziz, 50300 Kuala Lumpur, Federal Territory,
Malaysia
2Faculty of Health
Sciences, Universiti Teknologi MARA, Puncak Alam Campus, 42300 Selangor Darul
Ehsan, Malaysia
3Department of Public
Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob
Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Federal Territory,
Malaysia
Diserahkan:
9 September 2018/Diterima: 8 Februari 2019
ABSTRACT
Dengue fever is endemic and remains
a public health concern in Malaysia. The highest number of dengue cases
occurred in Selangor in 2015. The majority of hotspot and outbreak areas in
Malaysia were located in residential areas. Despite the high number of dengue
prevalence in Malaysia, evidence for the level of community knowledge and
practice of methods for Aedes control and prevention in the country
remains scant. This cross-sectional study aimed to assess the demographic
factors associated with the knowledge and practice of Aedes control and
prevention methods. It also aimed to assess the associations and relationships
between the public knowledge and practice of Aedes control and
preventive activities involving Aedes larvae ovitraps (ALOTs),
Mousticide, Denguard and other methods. Two residential areas that were
considered as dengue hotspots were selected for the introduction of Aedes control
and prevention programs. A sample size was calculated using G*power and a total
of 152 residents who attended the dengue awareness events held at Section 3 and
Section 8, Bandar Baru Bangi, Selangor, were recruited. A purposive sampling
approach was adopted, and data were collected by using a pretested
questionnaire with three subsections on sociodemographic information and on the
knowledge and practice of Aedes control and prevention methods. No
statistically significant (p>0.05) relationship between demographic
factors and knowledge and practice scores was found. The results of χ2 square
test showed a strong (φ-coefficient = 0.605) and significant (p<0.001)
association between knowledge and practice scores. In addition, a strong and
significant positive correlation (r=0.648, p<0.001) existed
between knowledge and practice scores. In conclusion, health promotion programs
that focus on educating the public regarding the use of Aedes larvae ovitraps (ALOTs),
Mousticide, Denguard and other methods to prevent and control Aedes mosquitoes and
that involve multiple stakeholders, such as government officials and
responsible authorities, and the active participation of communities are
crucial in the war against Aedes.
Keywords: Aedes larvae
ovitraps (ALOTs); Denguard; knowledge; Mousticide; practices
ABSTRAK
Demam denggi adalah penyakit endemik
yang berterusan menjadi masalah kesihatan awam di Malaysia. Negeri Selangor
mencatatkan jumlah kes tertinggi pada tahun 2015 dan kebanyakan kawasan wabak
dan kawasan khas yang berlaku di Malaysia adalah di kawasan perumahan. Walaupun
dengan prevalens kes denggi yang tinggi, namun begitu masih terdapat kekurangan
maklumat berkenaan tahap pengetahuan dan amalan komuniti terhadap langkah
pengawalan dan pencegahan nyamuk Aedes. Kajian keratan rentas
dijalankan bagi mengenal pasti faktor demografi yang mempengaruhi tahap
pengetahuan dan amalan berkenaan langkah pengawalan dan pencegahan nyamuk Aedes. Kajian juga bertujuan mengenal pasti hubungan antara pengetahuan masyarakat
dan amalan berkenaan langkah pengawalan dan pencegahan yang melibatkan Aedes larvae ovitraps (ALOTs), Mousticide, Denguard dan
langkah-langkah yang lain. Dua kawasan perumahan berstatus kawasan khas telah
dipilih dan diperkenalkan dengan program pengawalan dan pencegahan nyamuk Aedes menggunakan Aedes larvae ovitraps (ALOTs),
Mousticide, Denguard dan langkah-langkah pengawalan dan pencegahan yang lain.
Pengiraan sampel adalah menggunakan perisian G*power dan sebanyak 152 orang
penduduk yang hadir semasa program kesedaran demam denggi di Seksyen 3 dan
Seksyen 8, Bandar Baru Bangi, Selangor dipilih sebagai sampel. Kaedah
pensampelan bertujuan digunakan dan data kajian dikumpul menggunakan borang
soal selidik yang telah diuji yang mengandungi tiga bahagian iaitu bahagian
sosio demografi, bahagian pengetahuan dan bahagian amalan bagi pengawalan dan
pencegahan untuk pengumpulan data. Tiada faktor demografi yang signifikan (p>0.05)
dalam mempengaruhi pengetahuan dan amalan. Ujian χ2 kuasa
dua menunjukkan hubungan signifikan (p<0.001) yang kuat (φ-coefficient
= 0.605) antara skor bagi pengetahuan dan amalan. Terdapat signifikan korelasi
positif yang kuat (r = 0.648, p<0.001) antara skor bagi
pengetahuan dan amalan. Kesimpulannya, program promosi kesihatan yang
melibatkan pelbagai pihak seperti badan kerajaan, pihak yang berwajib dan
penglibatan aktif daripada masyarakat yang memfokuskan dalam mendidik
masyarakat berkenaan penggunaan Aedes larvae ovitraps (ALOTs),
Mousticide, Denguard dan langkah-langkah pengawalan dan pencegahan nyamuk Aedes adalah penting dalam memerangi nyamuk Aedes.
Kata kunci: Aedes larvae ovitraps (ALOTs);
amalan; Denguard; pengetahuan; Mousticide
RUJUKAN
Aishah, H.A.,
Norfazilah, A., Addeena, N.R.R., Wong, M.R., Nurul Atira, N., Fatin Liyana, S.
Muhammad Zaid, M.F. & Shalisah, S. 2018. Knowledge and practice regarding
dengue fever and acceptance towards Wolbachia among Universiti Kebangsaan
Malaysia Medical Centre healthcare staff. Malaysian Journal of Public Health
Medicine 1: 69-76.
Al-Dubai, S.A.,
Ganasegaran, K., Mohanad Rahman, A., Alshagga, M.A. & Saif-Ali, R. 2013.
Factors affecting dengue fever knowledge, attitudes and practices among
selected urban, semi-urban and rural communities in Malaysia. Southeast
Asian Journal of Tropical Medicine and Public Health 44(1): 37-49.
Castro, M., Sanchez, L.,
Perez, D., Sebrango, C., Shkedy, Z. & Van der Stuyft, P. 2013. The
relationship between economic status, knowledge on dengue, risk perceptions and
practices. PLoS ONE 8(12): e81875.
Centres for Disease
Control and Prevention. 2018. Zika virus. https://www.cdc.gov/zika/index.html.
Accessed on 11 November 2018.
Gratz, N.G. 2004.
Critical review of the vector status of Aedes albopictus. Medical and
Veterinary Entomology (18): 215- 227.
Hairi, F., Ong, C.H.,
Suhaimi, A., Tsung, T.W., Anis Ahmad, M.A., Sundaraj, S. & Soe, M.M. 2003.
A knowledge, attitude and practices (KAP) study on dengue among selected rural
communities in the Kuala Kangsar district. Asia Pacific Journal Public
Health 15(1): 37-43.
Hidayatulfathi, O.,
Saiful, A.N., Norazimah, A.R., Mohamed Badrul, H.A., Rozita, H. & Mazrura,
S. 2017. Dengue-free community as an approach for understanding the value and
challenges of inter-agencies partnerships in an intervention program. International
Journal of Community Medicine and Public Health 4(6): 1819-1826.
Idengue. 2015. Dengue
location. http://idengue.remotesensing. gov.my/pageifv2/. Accessed on 18
December 2015.
Itrat, A., Khan, A.,
Javaid, S., Kamal, M., Khan, H., Javed, S., Kalia, S., Khan, A.H., Sethi, M.I.
& Jehan, I. 2008. Knowledge, awareness and practices regarding dengue fever
among the adult population of dengue hit cosmopolitan. PLoS ONE 3(7):
e2620.
Mariam, M., Mohamad
Ikhsan, S. & Zaliha, I. 2014. Factors associated with larval control
practices in denue outbreak prone area. Journal of Environmental and Public
Health. doi.org/10.1155/2014/459173.
Mazrura, S., Rozita, H.,
Hidayatulfathi, O., Zainudin, M.A., Mohamad Naim, M.R., Nadia Atiqah, M.N.,
Rafeah, M.N., Er, A.C., Norela, S., Nurul Ashikin, Z. & Joy, J.P. 2010.
Community vulnerability on dengue and its association with climate variability
in Malaysia: A public health approach. Malaysian Journal of Public Health
Medicine 10(2): 25-34.
Norli, R. & Azmi,
M.T. 2008. A case-control study on factors affecting the incidence of dengue
fever in Johor Bahru. Journal of Community Health 14(2): 56-67.
Palanivel, C., Nishant,
G., Ravi, P.U., Komal, P., Tejas, M.S. & Kapil, Y. 2012. High level of
awareness but poor practices regarding dengue fever control: A cross-sectional
study from North India. North American Journal of Medical Sciences 4(6):
278-282.
Pérez-Guerra, C.L.,
Zielinski-Gutierrez, E., Vargas-Torres, D. & Clark, G.G. 2009. Community
beliefs and practices about dengue in Puerto Rico. The Revista Panamericana
de Salud Pública 25: 218-226.
Rozita, H.,
Hidayatulfathi, O., Nurul Azimah, J., Mazrura, S., Kamarulismail, U., Zainudin,
M.A., Er, A.C. & Zailiza, S. 2013. The COMBI approach in managing dengue
cases in an urban residential area, Nilai, Malaysia. International Journal
of Public Health Research 3(2): 347-352.
Samir, B., Peter, W.G.,
Oliver, J.B., Jane, P.M., Andrew, W.F., Catherine, L.M., John, S.B., Anne,
G.H., Osman, S., Monica, F.M., Dylan, B.G., Thomas, J., William Wint, G.R.,
Cameron, P.S., Thomas, W.S., Jeremy, J.F. & Simon, I.H. 2013. The global
distribution and burden of dengue. Nature 496(7446): 504-507.
Su, W.N., Sok, Y.L.
& Mini Rani, M.B. 2016. A study to detemine the effectiveness of health
education on knowledge of dengue and preventive measures among high school
students in a selected private school, Malaysia. International Journal of
Contemporary Pediatrics 3(2): 553-558.
Thakolwiboon, S.,
Benjatikul, N., Sathianvichitr, K., Prapathrangsee, K., Tienmontri, T.,
Ratanaamonsakul, W., Assantachai, P. & Homsanit, M. 2013. Factors
associated with dengue prevention and control in two villages in central Thai
province: A retrospective review. Journal Medical Association Thai 96(8):
984-991.
Wan Rozita, W.M., Yap,
B.W., Veronica, S., Muhammad, A.K., Lim, K.H. & Sumarni, M.G. 2006.
Knowledge, attitude and practice (KAP) survey on dengue fever in an urban malay
residential area in Kuala Lumpur. Malaysian Journal of Public Health
Medicine 6(2): 62-67.
Wong, L.P., Sharina
Mahavera, M.S., Narges, A. & Sazaly, A.B. 2015. Factors affecting dengue
prevention practices: Nationwide survey of the Malaysian public. PLoS ONE 10(4):
e0122890.
World Health
Organization. 2018. Vector-borne disease. www.who. int/mediacentre/factsheets/fs387/en/index1.html.
Accessed on 20 November 2018.
World Health
Organization. 2016. Dengue and severe dengue.
http://www.who.int/mediacentre/factsheets/fs117/en/. Accessed on 20 August
2018.
*Pengarang untuk
surat-menyurat; email: hida@ukm.edu.my