Aileen Kenneson|Efraín Beltrán?Ayala|Mercy J. Borbor-Córdova|Mark E. Polhemus|Sadie J. Ryan|Timothy P. Endy|Anna M. Stewart?Ibarra
Social-ecological factors and preventive actions decrease the risk of dengue infection at the household-level: Results from a prospective dengue surveillance study in Machala, Ecuador
Center for Global Health|SUNY Upstate Medical University|Universidad Tecnica de Machala|Escuela Superior Politecnica del Litoral|SUNY Upstate Medical University|Center for Global Health|University of KwaZulu-Natal|University of Florida|Center for Global Health|SUNY Upstate Medical University|SUNY Upstate Medical University|Center for Global Health|SUNY Upstate Medical University|Center for Global Health
ecuador dengue virus denv infections transmitted aedes aegypti mosquito among greatest public health concerns urban coastal communities community householdlevel vector control principal means controlling disease outbreaks study aimed assess impact knowledge attitudes practices kaps socialecological factors presence absence denv infections householdin 2014 2015 individuals denv infections sentinel clinics machala ecuador invited participate study well members household members four neighboring households located within 200 meters conducted diagnostic testing denv study participants surveyed heads households hohs regarding demographics housing conditions kaps compared kaps socialecological factors households n 139 versus without n 80 denv infections using bivariate analyses multivariate logistic regression models without interactionssignificant risk factors multivariate models included proximity abandoned properties interruptions piped water shaded patios p005 significant protective factors included use mosquito bed nets fumigation inside home piped water inside home p005 bivariate analyses multivariate modeling denv infections positively associated hohs male employed younger age households without infections p005 denv infections associated knowledge attitude reported barriers prevention activitiesspecific actions considered decrease risk denv infections household include targeting vector control highly shaded properties fumigating inside home use mosquito bed nets communitylevel interventions include cleanup abandoned properties daily garbage collection reliable piped water inside houses findings inform interventions reduce risk diseases transmitted ae aegypti mosquito chikungunya zika fever