Title:
Risk and Protective Factors for Primary and Secondary Dengue Infections among School-aged Children in the Meuang District of Rayong Province, Thailand
Authors:
Buathong, Rome
Year:
2014
PAGE:
xii, 39
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
public health, risk, infection, protective factor, school, Thailand
Abstract:
Background: Dengue is a major public health problem in Thailand. Many risk factors of dengue infection were studied but they rarely explored factors associated with primary and secondary infections. This study aimed to determine risk and protective factors in different type of dengue infection. Methods: A matched case-control study was conducted. A case was identified as either primary or secondary dengue infection by single dilution plaque reduction neutralization testing. A control was matched with the case by age and school location. Behavioural information after birth was obtained from caregivers. Conditional logistic regression analyses were applied to adjust for confounding factors among significant determinants. Results: Seventy eight cases including 40 primary and 38 secondary infections were recruited. Significant risk factors of primary infection included a child born in an urban area (p = 0.03) and no migration from the home town (p = 0.03). The protective factor of secondary infection was the child had a parent as a caregiver at preschool age (p = 0.03) and sleeping under bed netting during weekend at home in school age (p = 0.03). The risk factor of secondary infection was that the child had a fever very often (≥ 3 times per year by average) (p = 0.03) and the child never changed schools in school age (p = 0.004). Conclusions: Our study confirmed that different determinants played a role in primary and secondary dengue infections. Interventions for dengue prevention should specifically be designed to target children at each age groups.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development Policy and Practice
Country:
Thailand, Kingdom of
Region:
Southeast Asia
Training:
Master in International Health
Category:
Research
Right:
© 2014 Buathong
Document type:
Thesis/dissertation
File:
rFfJDqTiIA_20161109094454816.pdf