Behavioral and Environmental Determinants of Dengue Hemorrhagic Fever Occurrence in North Semarang District

Fatima Anggi Jayanti; Martini Martini; Bagoes Widjanarko; Dwi Sutiningsih; Angela Pricillia Helen

doi:10.14710/jekk.v11i4.34697

DOI: https://doi.org/10.14710/jekk.v11i4.34697

Behavioral and Environmental Determinants of Dengue Hemorrhagic Fever Occurrence in North Semarang District

*Fatima Anggi Jayanti - Master of Epidemiology, Faculty of Public Health, Universitas Diponegoro, Indonesia

Martini Martini - Department of Epidemiology and Tropical Diseases, Faculty of Public Health, Universitas Diponegoro, Indonesia

Bagoes Widjanarko - Department of Health Education and Behavioral Sciences, Faculty of Public Health, Universitas Diponegoro, Indonesia

Dwi Sutiningsih - Department of Epidemiology and Tropical Diseases, Faculty of Public Health, Universitas Diponegoro, Indonesia

Angela Pricillia Helen - Master of Epidemiology, Faculty of Public Health, Universitas Diponegoro, Indonesia

Received: 24 Sep 2026; Revised: 5 Oct 2026; Accepted: 5 Oct 2026; Available online: 7 Oct 2026; Published: 1 Nov 2026.

under http://creativecommons.org/licenses/by-sa/4.0.

BibTex Citation Data :

@article{jekk34697,
    author = {Fatima Anggi Jayanti and Martini Martini and Bagoes Widjanarko and Dwi Sutiningsih and Angela Helen},
    title = {Behavioral and Environmental Determinants of Dengue Hemorrhagic Fever Occurrence in North Semarang District},
    journal = {Jurnal Epidemiologi Kesehatan Komunitas},
  volume = {11},
    number = {4},
    year = {2026},
    keywords = {Dengue Haemorrhagic fever; behavioural factors; environmental factors; cross sectional study},
    abstract = {  Background:  DHF remains a public health problem in coastal areas. This study aimed to identify behavioural and environmental factors associated with DHF incidence in North Semarang District.   Methods:  An analytic observational study with a case-control design was conducted from April to June 2026 in North Semarang District. The final dataset used for multivariable analysis comprised 100 respondents, consisting of 58 respondents in the DHF group and 42 respondents in the non-DHF group. Data were collected using structured interviews and environmental observations. Variables analysed included knowledge of DHF, PSN 3M Plus practice, and environmental risk. Bivariate analysis used the Chi-square test, while multivariable analysis used binary logistic regression.   Result:  Knowledge level and environmental risk were significantly associated with DHF occurrence. Respondents with high knowledge had lower odds of DHF than those with low knowledge (AOR = 0.186; 95% CI = 0.069–0.502; p < 0.001). Respondents living in risky environmental conditions had higher odds of DHF (AOR = 6.005; 95% CI = 2.182–16.521; p < 0.001). PSN 3M Plus practice was not statistically significant after adjustment (AOR = 0.495; 95% CI = 0.182–1.343; p = 0.167). The final model was statistically significant (Omnibus test p < 0.001), with Nagelkerke R² = 0.429 and overall classification accuracy of 81.0%.   Conclusion:  Risky environmental conditions, low knowledge, and poor PSN 3M Plus practices increase the risk of DHF. Integrated vector control and community involvement are essential.   },
   issn = {2615-4854},   pages = {330--337}  doi = {10.14710/jekk.v11i4.34697},
    url = {https://ejournal2.undip.ac.id/index.php/jekk/article/view/34697}
}

Citation Format:

Abstract

Background: DHF remains a public health problem in coastal areas. This study aimed to identify behavioural and environmental factors associated with DHF incidence in North Semarang District.

Methods: An analytic observational study with a case-control design was conducted from April to June 2026 in North Semarang District. The final dataset used for multivariable analysis comprised 100 respondents, consisting of 58 respondents in the DHF group and 42 respondents in the non-DHF group. Data were collected using structured interviews and environmental observations. Variables analysed included knowledge of DHF, PSN 3M Plus practice, and environmental risk. Bivariate analysis used the Chi-square test, while multivariable analysis used binary logistic regression.

Result: Knowledge level and environmental risk were significantly associated with DHF occurrence. Respondents with high knowledge had lower odds of DHF than those with low knowledge (AOR = 0.186; 95% CI = 0.069–0.502; p < 0.001). Respondents living in risky environmental conditions had higher odds of DHF (AOR = 6.005; 95% CI = 2.182–16.521; p < 0.001). PSN 3M Plus practice was not statistically significant after adjustment (AOR = 0.495; 95% CI = 0.182–1.343; p = 0.167). The final model was statistically significant (Omnibus test p < 0.001), with Nagelkerke R² = 0.429 and overall classification accuracy of 81.0%.

Conclusion: Risky environmental conditions, low knowledge, and poor PSN 3M Plus practices increase the risk of DHF. Integrated vector control and community involvement are essential.

Note: This article has supplementary file(s).

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Determinan Faktor Perilaku dan Lingkungan dengan Kejadian Demam Berdarah Dengue di Kecamatan Semarang Utara

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Keywords: Dengue Haemorrhagic fever; behavioural factors; environmental factors; cross sectional study

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Section: Articles

Language : EN

In Vol 11, No 4: November 2026 (in progress)

Daerah (Perda) Kota Semarang Nomor 5 age 2010 Tentang Pengendalian Penyakit Demam Berdarah Dengue. 2010
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Saskia Diah Nisa. Optimizing Environmental Sanitation as an Effort to Control Dengue Fever (DBD) Vectors. Journal Health of Indonesian. 2025;3(01):33-41. doi: 10.58471/health.v3i01.147
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Chng JW, Parvathi T, Pang J. Knowledge, attitudes and practices of dengue prevention between dengue sustained hotspots and non-sustained hotspots in Singapore: a cross-sectional study. Sci Rep. 2022;12(1):18426. doi: 10.1038/s41598-022-22776-y
Phuyal P, Kramer IM, Kuch U, et al. The knowledge, attitude and practice of community people on dengue fever in Central Nepal: a cross-sectional study. BMC Infect Dis. 2022;22(1):454. doi: 10.1186/s12879-022-07404-4
Sutriyawan A, Wirawati K, Suherdin S. Kejadian Demam Berdarah Dengue dan Hubungannya dengan Perilaku 3M Plus: Studi Kasus Kontrol. Promotif : Jurnal Kesehatan Masyarakat. 2021;11(2):172-180. doi: 10.56338/pjkm.v11i2.2024

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