Evidence map›Paper›PMID 41071783›Full record

ArticlePLoS neglected tropical diseases2025

Evaluating urban community knowledge, attitudes, and preventive actions (KAP) using the health belief model: Insights from an ideation-informed interpretation of recurrent dengue outbreaks in Selangor, Malaysia.

Nurul Adilah Samsudin, Zul-'Izzat Ikhwan Zaini, Ching Sin Siau, Hidayatulfathi Othman

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Article in PLoS neglected tropical diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Nurul Adilah SamsudinCentre for Toxicology and Health Risk Studies (CORE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda A. Aziz, Kuala Lumpur, Malaysia.ORCID 0009-0004-1593-3804
Zul-'Izzat Ikhwan ZainiDepartment of Basic Science, Faculty of Health Sciences, Universiti Teknologi Mara (UiTM), Cawangan Pulau Pinang, Kampus Bertam, Kepala Batas, Penang, Malaysia.
Ching Sin SiauCentre for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda A. Aziz, Kuala Lumpur, Malaysia.
Hidayatulfathi OthmanCentre for Toxicology and Health Risk Studies (CORE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda A. Aziz, Kuala Lumpur, Malaysia.ORCID 0000-0002-1430-3438

Funding

Universiti Kebangsaan Malaysia (UKM)
6 · The paper itself

Abstract

backgroundDengue fever remains endemic in Malaysia and presents a persistent public health concern, affecting Selangor in particular. There is an information gap regarding the knowledge, attitudes, and practices (KAP) of residents in Hulu Langat, Selangor, regarding dengue infection. This study aimed to clarify the dengue-related KAP of Hulu Langat residents using the health belief model (HBM) and discuss the potential integration of ideation concepts to provide a more comprehensive understanding. MATERIALS AND

methodsA community‑based cross‑sectional survey was conducted among 146 individuals in Hulu Langat during March 2022. Data on the respondents' sociodemographic details and dengue KAP were obtained using an HBM-based semi-structured questionnaire. The data were analyzed using descriptive statistics, the Kaiser-Meyer-Olkin (KMO) measure, factor analysis, Student's t-test, and Spearman's rank correlation coefficient.

resultsAmong the 146 participants, only 38.7% demonstrated sufficient overall knowledge regarding dengue, which included knowledge about Aedes mosquitoes and dengue disease, as well as knowledge of mosquito breeding sites and prevention measures. Notably, the proportion of participants with a positive attitude was relatively low at 27.3%, and only 42.5% demonstrated good preventive practices against Aedes mosquito breeding and dengue fever. Correlation analysis showed a negligible relationship between knowledge and attitude, a significant negative correlation between knowledge and practice, and a moderate negative correlation between attitude and practice. These results highlight the complex dynamics influencing dengue prevention behaviors in the studied population.

conclusionThe results revealed that the respondents had notable KAP gaps related to preventing Aedes mosquito breeding and dengue fever. The results demonstrated that raising awareness, shaping a positive attitude, and promoting effective prevention behavior in the studied population require improvement. These results underscore the importance of targeted interventions and comprehensive public health strategies to enhance understanding, attitudes, and practices regarding dengue prevention among the community, especially in recurrent hotspot areas.

Indexed as

DengueDisease OutbreaksHealth Belief ModelHealth Knowledge, Attitudes, PracticeAdolescentAdultAedesAnimalsCross-Sectional StudiesFemaleHumansMalaysiaMaleMiddle AgedSurveys and QuestionnairesUrban Population

Identifiers

PMID41071783
PMCPMC12513606

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.