Assessing perceived dengue risk, attitude, and prevention practices in Barangay Buhangin Proper, Davao City

Dengue remains a significant public health issue in the Philippines and globally. This study aimed to evaluate the risk perception, attitude, and prevention practices of Barangay Buhangin Proper residents while examining whether socio-demographic profiles significantly influenced these factors. The objective was to develop strategic community health interventions. A total of 584 residents participated in face-to-face interviews using an adapted risk perception, attitude, and practice questionnaire. The results show that residents demonstrated good risk perception (51.49, cut-off = 51.20) and attitude (43.62, cut-off = 38.40), but exhibited poor practice (47.22, cut-off = 57.60). The study also revealed that females (OR = 1.493, 95% CI = 1.016-2.194, p = 0.041), college graduates (OR = 0.653, 95% CI = 0.273-1.561, p = 0.041), and employed individuals (OR = 0.654, 95% CI = 0.441-0.970, p = 0.034) were statistically associated with good risk perception while being married (OR = 0.699, 95% CI = 0.318-1.714, p = 0.038) was associated with a positive attitude. However, no socio-demographic factors were linked to good practice, indicating that the issue with practices persists regardless of profile. Furthermore, weak positive correlations were observed between risk perception and attitude (r = 0.266, p < 0.001), risk perception and practice (r = 0.092, p < 0.027), and attitude and practice (r = 0.144, p < 0.001). Despite awareness of risks and having positive attitudes, the community struggles to maintain effective practices due to complacency, self-serving behaviour, and inadequately targeted interventions. This study recommends implementing tailored interventions to address the root causes and effectively combat dengue

socio-demographic profile; development of community health interventions; modifiable factors in dengue progression; change mechanisms for dengue prevention; implementing change mechanisms

https://doi.org/10.61751/ijmmr/2.2024.26

[1] Taylor-Salmon E, Hill V, Paul LM, Koch RT, Breban MI, Chaguza C, et al. Travel surveillance uncovers dengue virus dynamics and introductions in the Caribbean. Nat Commun. 2024;15:3508. DOI: 10.1038/s41467-024-47774-8

[2] Dengue and severe dengue [Internet]. [cited 2024 June 6]. Available from: https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue

[3] Centers for disease control and prevention [Internet]. [cited 2024 June 6]. Available from: https://www.cdc.gov/dengue/index.html

[4] Philippines seeing more dengue cases in 2024 [Internet]. [cited 2024 June 6]. Available from: https://www.sunstar.com.ph/manila/philippines-seeing-more-dengue-cases-in-2024

[5] Abrigana K. Dengue cases in Davao go up in first half of 2024. GMA Regional TV [Internet]. 2024 [cited 2024 June 6]. Available from: https://www.gmanetwork.com/regionaltv/news/102718/dengue-cases-in-davao-go-up-in-first-half-of-2024/story/#:~:text=The%20number%20of%20dengue%20cases,in%202023%20with%207%2C199%20cases

[6] Dengue prevention and control program [Internet]. [cited 2024 June 6]. Available from: https://doh.gov.ph/national-dengue-prevention-and-control-program

[7] Ong EP, Obeles AJT, Ong BAG, Tantengco OAG. Perspectives and lessons from the Philippines' decades-long battle with dengue. Lancet Reg Health West Pac. 2022;24:100505. DOI: 10.1016/j.lanwpc.2022.100505

[8] Sulistyawati S, Dwi Astuti F, Rahmah Umniyati S, Tunggul Satoto TB, Lazuardi L, Nilsson M, et al. Dengue vector control through community empowerment: Lessons learned from a community-based study in Yogyakarta, Indonesia. Int J Environ Res Public Health. 2019;16(6):1013. DOI: 10.3390/ijerph16061013

[9] Aerts C, Revilla M, Duval L, Paaijmans K, Chandrabose J, Cox H, et al. Understanding the role of disease knowledge and risk perception in shaping preventive behavior for selected vector-borne diseases in Guyana. PLoS Negl Trop Dis. 2020;14(4):e0008149. DOI: 10.1371/journal.pntd.0008149

[10] Herbuela VRDM, de Guzman FS, Sobrepeña GD, Claudio ABF, Tomas ACV, Arriola-delos Reyes CM, et al. Knowledge, attitude, and practices regarding dengue fever among pediatric and adult in-patients in Metro Manila, Philippines. Int J Environ Res Public Health. 2019;16(23):4705. DOI: 10.3390/ijerph16234705

[11] Siddique AB, Omi NT, Rasel SM, Hoque SSB, Rahman N, Sarker S, et al. Assessment of perceived dengue risk and prevention practices among youth in Bangladesh. Sci Rep. 2024;14:3940. DOI: 10.1038/s41598-024-54238-y

[12] Gregorio ER, Takeuchi R, Hernandez PMR, Medina JR, Kawamura S, Salanguit MB, et al. Knowledge, attitudes, and practices related to dengue among public school teachers in a Central Luzon Province in the Philippines: An analytic cross-sectional study. Trop Med Health. 2024;52:25. DOI: 10.1186/s41182-024-00591-7  

[13] eFOI – electronic freedom of information – request [Internet]. [cited 2024 June 6]. Available from https://www.foi.gov.ph/requests/aglzfmVmb2ktcGhyHQsSB0NvbnRlbnQiEERPSC0wNjY3NTI1NDE5OTIM

[14] Palicte C. Dengue kills 5, infects 969 in Davao city. Philippine News Agency [Internet]. 2022 [cited 2024 June 6]. Available from: https://www.pna.gov.ph/articles/1179513

[15] Zamzuri MIA, Jamhari MN, Faisal Ghazi H, Muhamad Hasani MH, Mohd Ali NK, Abd. Rashid MF, et al. A unique double tango: Construct validation and reliability analysis of risk perception, attitude and practice (RPAP) questionnaire on dengue infection. PLoS One. 2021;16(8):e0256636. DOI: 10.1371/journal.pone.0256636

[16] Wight D, Wimbush E, Jepson R, Doi L. Six steps in quality intervention development (6SQuID). J Epidemiol Community Health. 2016;70:520–5. DOI: 10.1136/jech-2015-205952

[17] Tirman L, Biggs H, Morrison K, Manner J, Sivaramakrishnan D, Baker G, et al. Stand Up for Health: Programme theory for an intervention to reduce sedentary behaviour in contact centres. Eval Program Plann. 2021;89:102002. DOI: 10.1016/j.evalprogplan.2021.102002

[18] The World Medical Association. Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects [Internet]. [cited 2024 June 6]. Available from: https://www.wma.net/what-we-do/medical-ethics/ declaration-of-helsinki/

[19] Zamzuri MIA, Abd Majid FN, Dapari R, Hassan MR, Isa AMM. Perceived risk for dengue infection mediates the relationship between attitude and practice for dengue prevention: A study in Seremban, Malaysia. Int J Environ Res Public Health. 2022;19:13252. DOI: 10.3390/ijerph192013252

[20] Bonem EM, Ellsworth PC, Gonzalez R. Age differences in risk: Perceptions, intentions and domains. Behav Decis Mak. 2015;28(4):317–30. DOI: 10.1002/bdm.1848

[21] Rakhmani AN, Limpanont Y, Kaewkungwal J, Okanurak K. Factors associated with dengue prevention behaviour in Lowokwaru, Malang, Indonesia: A cross-sectional study. BMC Public Health. 2018;18:619. DOI: 10.1186/s12889-018-5553-z

[22] Selvarajoo S, Liew JWK, Tan W, Lim XY, Refai WF, Zaki RA, et al. Knowledge, attitude and practice on dengue prevention and dengue seroprevalence in a dengue hotspot in Malaysia: A cross-sectional study. Sci Rep. 2020;10:9534. DOI: 10.1038/s41598-020-66212-5

[23] Hamed M. Knowledge, attitude, and practices toward dengue fever among the public: A cross-sectional study in the Western region of Saudi Arabia. Front Public Health. 2024;12:1327427. DOI: 10.3389/fpubh.2024.1327427

[24] Diaz-Quijano FA, Martínez-Vega RA, Rodriguez-Morales AJ, Rojas-Calero RA, Luna-González ML, Díaz-Quijano RG. Association between the level of education and knowledge, attitudes and practices regarding dengue in the Caribbean region of Colombia. BMC Public Health. 2018;18:143. DOI: 10.1186/s12889-018-5055-z

[25] Nur M, Omarulharis S, Azfar M, Maryam A, Azfar H, Adibah BAH, et al. Knowledge, attitude and practice of dengue prevention among sub urban community in Sepang, Selangor. Int J Public Health Clin Sci. 2017;4(2):73–83.

[26] Hossain MI, Alam NE, Akter S, Suriea U, Aktar S, Shifat SK, et al. Knowledge, awareness and preventive practices of dengue outbreak in Bangladesh: A countrywide study. PLoS One. 2021;16(6):e0252852. DOI: 10.1371/journal.pone.0252852

[27] Glova NM, Escano MTR. Influence of information scanning on dengue-related health beliefs and adherence to prevention practices in at-risk areas of Davao City, Philippines. Banwa A. 2019;13:art041.

[28] Llemit RLG, Revita JC. Dengue cases reach 1,414 in Davao city. SunStar [Internet]. 2019 [cited 2024 Aug 6]. Available from: https://www.sunstar.com.ph/article/1817637/davao/local-news/dengue-cases-reach-1414-in-davao-city