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. 2012:2012:907494.
doi: 10.1155/2012/907494. Epub 2012 Sep 26.

Ecologic and sociodemographic risk determinants for dengue transmission in urban areas in Thailand

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Ecologic and sociodemographic risk determinants for dengue transmission in urban areas in Thailand

Surachart Koyadun et al. Interdiscip Perspect Infect Dis. 2012.

Abstract

This study analyzed the association between household-level ecologic and individual-level sociodemographic determinants and dengue transmission in urban areas of Chachoengsao province, Thailand. The ecologic and sociodemographic variables were examined by univariate analysis and multivariate logistic regression. In the ecologic model, dengue risk was related to households situated in the ecotope of residential mixed with commercial and densely populated urban residential areas (RCDENPURA) (aOR = 2.23, P = 0.009), high historical dengue risk area (aOR = 2.06, P < 0.001), and presence of household window screens (aOR = 1.62, P = 0.023). In the sociodemographic model, the dengue risk was related to householders aged >45 years (aOR = 3.24, P = 0.003), secondary and higher educational degrees (aOR = 2.33, P = 0.013), household members >4 persons (aOR = 2.01, P = 0.02), and community effort in environmental management by clean-up campaign (aOR = 1.91, P = 0.035). It is possible that the preventive measures were positively correlated with dengue risk because these activities were generally carried out in particular households or communities following dengue experiences or dengue outbreaks. Interestingly, the ecotope of RCDENPURA and high historical dengue risk area appeared to be very good predictors of dengue incidences.

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Figures

Figure 1
Figure 1
Maps of study area: 4 districts including Muang, Bang Pakong, Ban Pho, and Bang Khla. Map of Thailand obtained from http://www.wikimedia.org/.
Figure 2
Figure 2
Diagram showing selection criteria for the 12 blocks: (1) degree of urbanization and (2) intensity of dengue transmission. Abbreviation: DENPURA—densely populated urban residential area.
Figure 3
Figure 3
The four different characterized ecotopes.

References

    1. Gubler DJ. Resurgent vector-borne diseases as a global health problem. Emerging Infectious Diseases. 1998;4(3):442–450. - PMC - PubMed
    1. Gubler DJ. Epidemic dengue/dengue hemorrhagic fever as a public health, social and economic problem in the 21st century. Trends in Microbiology. 2002;10(2):100–103. - PubMed
    1. Guzman MG, Kouri G. Dengue: an update. The Lancet Infectious Diseases. 2002;2:33–42. - PubMed
    1. Daszak P. Emerging infectious diseases and the socio-ecological dimension. EcoHealth. 2005;2(4):239–240.
    1. Wilcox BA, Colwell RR. Emerging and reemerging infectious diseases: biocomplexity as an interdisciplinary paradigm. EcoHealth. 2005;2(4):244–257.

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