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Taking public views into account is crucial to guide more effective planning and quicker community participation in preventing campaigns. This study aims to assess community perceptions of Madeira population in order to explore their involvement in the <jats:italic>A. aegypti<\/jats:italic>\u2019s control and reinforce health-educational planning. Due to the lack of accurate methodologies for measuring perception, a new tool to assess the community\u2019s perceptions was built.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A cross-sectional survey was performed in the Island\u2019s <jats:italic>aegypti-<\/jats:italic>infested area, exploring residents\u2019 perceptions regarding most critical community behaviour: <jats:italic>aegypti<\/jats:italic>-source reduction and their domestic <jats:italic>aegypti<\/jats:italic>-breeding sites. A novel tool defining five essential topics which underlie the source reduction\u2019s awareness and accession was built, herein called Essential-Perception (EP) analysis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Of 1276 individuals, 1182 completed the questionnaire (92\u2009\u00b7\u20096%). EP-Score analysis revealed that community\u2019s perceptions were scarce, inconsistent and possibly incorrect. Most of the population (99\u2009\u00b7\u20096%) did not completely understood the five essential topics explored. An average of 54\u2009\u00b7\u20092% of residents only partially understood each essential topic, revealing inconsistencies in their understanding. Each resident apparently believed in an average of four false assumptions\/myths. Significant association (p&lt;0.001) was found between both the EP-Score level and the domestic presence of breeding sites, supporting the validity of this EP-analysis. <jats:italic>Aedes aegypti\u2019s<\/jats:italic> breeding sites, consisting of d\u00e9cor\/leisure containers, presented an atypical pattern of infestation comparing with dengue prone regions.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>The studied population was not prepared for being fully engaged in dengue prevention. Evidences suggest that EP-methodology was efficient and accurate in assessing the community perception and its compliance to practices. Moreover, it suggested a list of myths that could persist in the community. This is the first study reporting an <jats:italic>aegypti<\/jats:italic>-entomological pattern and community\u2019s perception in a developed dengue-prone region. Tailored messages considering findings of this study are recommended to be used in future campaigns in order to more effectively impact the community perception and behaviour.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1471-2458-14-39","type":"journal-article","created":{"date-parts":[[2014,1,16]],"date-time":"2014-01-16T00:01:50Z","timestamp":1389830510000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Strengthening the perception-assessment tools for dengue prevention: a cross-sectional survey in a temperate region (Madeira, Portugal)"],"prefix":"10.1186","volume":"14","author":[{"given":"Teresa","family":"Nazareth","sequence":"first","affiliation":[]},{"given":"Rosa","family":"Teod\u00f3sio","sequence":"additional","affiliation":[]},{"given":"Gra\u00e7a","family":"Porto","sequence":"additional","affiliation":[]},{"given":"Luzia","family":"Gon\u00e7alves","sequence":"additional","affiliation":[]},{"given":"Gon\u00e7alo","family":"Seixas","sequence":"additional","affiliation":[]},{"given":"Ana Clara","family":"Silva","sequence":"additional","affiliation":[]},{"given":"Carla Alexandra","family":"Sousa","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2014,1,15]]},"reference":[{"key":"6187_CR1","first-page":"299","volume":"5","author":"EAN Murray","year":"2013","unstructured":"Murray EAN, Quam MB, Wilder-Smith A: Epidemiology of dengue: past, present and future prospects. 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