The Effect of Social and Environmental Factors on The Occurrence of Hemorrhagic Dengue Fever in Grobogan, Central Java

Ambar Sari1), Setyo Sri Rahardjo2), Endang Sutisna Sulaeman2)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Faculty of Medicine, Universitas Sebelas Maret



Background: Dengue haemorrhagic fever (DHF) is a growing and enigmatic public health problem worldwide particularly in South-East Asia countries. The potential se­ve­rity of the de­ngue problem is underlined by the fact that there is not yet any com­pre­hensive understanding of why dengue viruses produce a disease with fatal outcome. This study aimed to examine the ef­fect of social and environmental factors on the oc­cur­­­rence of DHF in Grobogan, Central Java.

Subjects and Method: A case control study was carried out in Grobogan, Central Java, from November to December 2018. A sample of 200 study subjects was selected for this study by fixed disease sampling, consisting of 50 study subjects with DHF and 150 without DHF. The dependent variable was DHF. The independent variables were water shelter, ponds, farm land, house density, hanging clothes, mosquito larvae, edu­ca­tion, employment, and mosquito nest eradication program. Data on DHF status were ob­tained from medical record. The other data were collected by questionnaire and ana­lyzed by a multiple logistic regression.

Results: Water shelter (b=2.92; 95% CI= 1.24 to 4.64; p= 0.001), hanging clothes (b= 1.72; 95% CI= o.26 to 3.17; p=0.020), house density (b=3.39; 95% CI= 1.80 to 4.98; p<0.001), farm land (b= 2.12; 95% CI= 0.68 to 3.55; p=0.004), mosquito larvae (b= 2.26; 95% CI= 0.76 to 3.76; p=0.003), and pond (b=1.70; 95% CI= 0.20 to 3.21; p=0.026) increased the risk of DHF. High edu­­cation (b=-3.06; 95% CI= -4.82 to -1.31; p=0.001), employed (b=-3.45; 95% CI= -5.21 to -1.69; p<0.001), and mosquito nest era­­­dication program (b= -2.74; 95% CI= -4.34 to -1.14; p=0.001) decreased the risk of  DHF.

Conclusion: Water shelter, hanging clothes, house density, farm land, mosquito lar­vae, and pond increase the risk of DHF. High education, employed, and mosquito nest eradication pro­gram decrease the risk of DHF.

Keywords: dengue hemorrhagic fever, social factors, environmental factors, mosquito nest eradication program

CorrespondenceAmbar Sari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: ambarsa­ Mobile:08562623045.


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