Assessing the knowledge, attitudes, and practices (KAP) of dengue in Thailand: a systematic review and meta-analysis

Abstract Aim Dengue cases are on the rise in Thailand, coinciding with increases in flooding events. Studies pertaining to public knowledge, attitudes, and practices (KAP) of dengue prevention have frequently been used to better understand the public’s needs towards dengue. While these studies were...

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Main Authors: Julia Crowley, Bowen Liu, Hanan Jan
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Archives of Public Health
Subjects:
Online Access:https://doi.org/10.1186/s13690-025-01522-6
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author Julia Crowley
Bowen Liu
Hanan Jan
author_facet Julia Crowley
Bowen Liu
Hanan Jan
author_sort Julia Crowley
collection DOAJ
description Abstract Aim Dengue cases are on the rise in Thailand, coinciding with increases in flooding events. Studies pertaining to public knowledge, attitudes, and practices (KAP) of dengue prevention have frequently been used to better understand the public’s needs towards dengue. While these studies were conducted in different settings, it is necessary to initiate a systematic review and meta-analysis of relevant studies. Subjects and method We conducted a systematic review and meta-analysis of prior studies in Thailand that assessed the KAP towards dengue. Eligibility criteria were established and independently used by reviewers to select nine studies for the systematic review and three for the meta-analysis. Collectively, the nine studies included 3,058 individuals and 2,519 households. Results The overall estimate of the proportion of participants with good knowledge of dengue prevention is 35% (95% CI: 14-59%), suggesting the majority of the population in Thailand had low levels of knowledge towards dengue. The poor levels of practice in Thailand were also observed and confirmed for the majority of the population by meta-analysis, with the pooled estimate of the proportion of participants with good practice of dengue prevention being 25% (95% CI: 22-27%). In contrast, most of the studies included in the systematic review reported positive attitudes towards dengue prevention, and this finding was also affirmed by the meta-analysis, as the pooled estimate of the proportion of positive attitudes towards dengue prevention is 61% (95% CI: 43-77%). Conclusion Despite good attitudes towards dengue prevention, poor knowledge and poor practices predominate, highlighting the need for enhanced public health campaigns to educate the public on dengue risks and prevention methods.
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spelling doaj-art-aab0ee51a3074a84ab2536342c4f0b8f2025-08-20T03:00:57ZengBMCArchives of Public Health2049-32582025-02-0183111410.1186/s13690-025-01522-6Assessing the knowledge, attitudes, and practices (KAP) of dengue in Thailand: a systematic review and meta-analysisJulia Crowley0Bowen Liu1Hanan Jan2Department of Architecture, Urban Planning and Design, University of Missouri-Kansas CityDivision of Computing, Analytics, and Mathematics, School of Science and Engineering, University of Missouri-Kansas CityDivision of Computing, Analytics, and Mathematics, School of Science and Engineering, University of Missouri-Kansas CityAbstract Aim Dengue cases are on the rise in Thailand, coinciding with increases in flooding events. Studies pertaining to public knowledge, attitudes, and practices (KAP) of dengue prevention have frequently been used to better understand the public’s needs towards dengue. While these studies were conducted in different settings, it is necessary to initiate a systematic review and meta-analysis of relevant studies. Subjects and method We conducted a systematic review and meta-analysis of prior studies in Thailand that assessed the KAP towards dengue. Eligibility criteria were established and independently used by reviewers to select nine studies for the systematic review and three for the meta-analysis. Collectively, the nine studies included 3,058 individuals and 2,519 households. Results The overall estimate of the proportion of participants with good knowledge of dengue prevention is 35% (95% CI: 14-59%), suggesting the majority of the population in Thailand had low levels of knowledge towards dengue. The poor levels of practice in Thailand were also observed and confirmed for the majority of the population by meta-analysis, with the pooled estimate of the proportion of participants with good practice of dengue prevention being 25% (95% CI: 22-27%). In contrast, most of the studies included in the systematic review reported positive attitudes towards dengue prevention, and this finding was also affirmed by the meta-analysis, as the pooled estimate of the proportion of positive attitudes towards dengue prevention is 61% (95% CI: 43-77%). Conclusion Despite good attitudes towards dengue prevention, poor knowledge and poor practices predominate, highlighting the need for enhanced public health campaigns to educate the public on dengue risks and prevention methods.https://doi.org/10.1186/s13690-025-01522-6KnowledgeAttitudesPracticesKAPDengueThailand
spellingShingle Julia Crowley
Bowen Liu
Hanan Jan
Assessing the knowledge, attitudes, and practices (KAP) of dengue in Thailand: a systematic review and meta-analysis
Archives of Public Health
Knowledge
Attitudes
Practices
KAP
Dengue
Thailand
title Assessing the knowledge, attitudes, and practices (KAP) of dengue in Thailand: a systematic review and meta-analysis
title_full Assessing the knowledge, attitudes, and practices (KAP) of dengue in Thailand: a systematic review and meta-analysis
title_fullStr Assessing the knowledge, attitudes, and practices (KAP) of dengue in Thailand: a systematic review and meta-analysis
title_full_unstemmed Assessing the knowledge, attitudes, and practices (KAP) of dengue in Thailand: a systematic review and meta-analysis
title_short Assessing the knowledge, attitudes, and practices (KAP) of dengue in Thailand: a systematic review and meta-analysis
title_sort assessing the knowledge attitudes and practices kap of dengue in thailand a systematic review and meta analysis
topic Knowledge
Attitudes
Practices
KAP
Dengue
Thailand
url https://doi.org/10.1186/s13690-025-01522-6
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