Risk factors associated with Dengue incidence in Bandung, Indonesia: a household based case-control study

Abstract

Background: Bandung have urban areas with adequate housebuilding quality, yet still has high Dengue endemic cases. This study aims to investigate the characteristics of dengue incidence at the household level. Methods: Data analyzed from 781 households consisted of 261 cases and 522 controls. We applied matched case-control samples with a ratio of 1:2 (case: controls). The stages of the research consisted of a house status observation using a form inspection checklist and interviews using a closed-ended questionnaire. The data analyzed by pairwise spearmen correlation and binary logistic regression for risk factor prediction. Results: Risk factors for productive age and low level of education of family heads, dirty toilets, and unhealthy house status have a significant effect on the increase of dengue cases in Bandung (p<0.05). The determinant factor is the productive age of the head of the family (31 60 years), it means that the family who has a family head in a productive age is 2.53 (95% CI 1.34-4.78; p <0.05) times more likely to have a household member suffering from DHF in Bandung. Conclusion: The age and the level of education of the household heads, toilet hygiene, and healthy home status have an essential role in influencing dengue fever. Therefore, health workers need to perform an intensive health promotion regarding DHF to the household heads. (Health Science Journal of Indonesia 2020;11(1):45-51)