Phiraphol Chusongsang. Factors affecting dengue haemorrhagic fever prevention and control behaviors of household leaders and primary school teachers in Khuan Khanun district, Phatthalung province. Master's Degree(Infectious Diseases and Epidemiology ). Mahidol University. : Mahidol University, 2005.
Factors affecting dengue haemorrhagic fever prevention and control behaviors of household leaders and primary school teachers in Khuan Khanun district, Phatthalung province
Abstract:
A cross-sectional study was conducted among household leaders and primary school teachers in two purposively selected sub-districts in Khuan Khanun District, Phatthalung Province. The aims of the study were to assess the associations between prevention and control behaviors in Dengue Hemorrhagic Fever (DHF) and internal factors (demographic characteristics, knowledge, attitudes, perception, having experiences in DHF among family members), and environmental factors. Data collection was done by using a structured questionnaire to interview 350 household leaders randomly sampled from the population census and all of 95 school teachers in the district from February to March 2004. The results showed that 52.9% of the household leaders and 89.5% of primary school teachers were aged between 41-60 years old, and 71.4% of the household leaders and 64.2% of the teachers were female. 69.1% of the household leaders had finished primary education grade 4 or lower while 95.8% of the school teachers had graduated with a bachelor degree. 76.9% of the household leaders had incomes less than 5000 baht per month while 93.7% of the teachers had more than 15,000 baht per month. Both groups, household leaders (90.6%) and teachers (94.4%), had children into household whereas 31.6% and 37.1% of the children were of primary school age, respectively. Only 6.9% and 7.4% of the household leaders and the teachers had experience of family member having had DHF. Most of the household leaders (72.0%) had a low level of knowledge scores and 82.6% had low scores of preventive and control behaviors. As expected, the majority of teachers had higher scores of knowledge, attitudes, and perceptions. However, those with good scores only 48.4% had good preventive and control behaviors. The results from logistic regression analysis demonstrated that significant factors associated with preventive and control behaviors of DHF were being primary school teachers; they had scores of preventive and control behaviors 2.45 times better than that of the household leaders (OR = 2.45; 95% CI = 1.37-4.35). Those who had primary school children in the household had scores of preventive and control behaviors 2.02 times better than those who did not (OR = 2.02; 95% CI = 1.24-3.28), and those who had higher knowledge in DHF had scores of preventive and control behaviors 2.70 times better than those with lower knowledge level (OR = 2.70; 95% CI = 1.54-4.73). Since there is an outbreak of DHF every 2-4 years in Thailand, and vaccination trials for DHF are still under study, the results from this study strongly suggest that an effective health education program should be launched directly to the population in the district including school health programs to improve the preventive and control behaviors in DHF among the population before the outbreak starts.