{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T23:36:15Z","timestamp":1781825775890,"version":"3.54.5"},"update-to":[{"DOI":"10.1371\/journal.pntd.0012222","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T00:00:00Z","timestamp":1717718400000}}],"reference-count":22,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T00:00:00Z","timestamp":1716854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosntds.org"],"crossmark-restriction":false},"short-container-title":["PLoS Negl Trop Dis"],"abstract":"<jats:p>Dengue poses a significant public health concern worldwide. It is identified as a recent emerging infectious disease in Nepal. Understanding the situation and dynamics between knowledge, attitudes, and practices (KAP) related to dengue among students is crucial for effective prevention and control strategies. This study aimed to assess the KAP and their associated factors of dengue among non-health undergraduate students of Nepal to identify gaps and suggest appropriate interventions. A web-based cross-sectional study was conducted among 429 non-health undergraduate students at eleven Nepalese Universities, with 80% of participants from the four most prominent ones in the country. Self-administered online forms were administered via Google Forms platform predominantly through social media for data collection. Data was cleaned and then exported to IBM SPSS Statistics 20.0 for analysis. Demographic characteristics of respondents were described using descriptive statistics. Multivariate logistic regression was conducted to determine the association between individual characteristics and KAP. Pearson\u2019s correlation coefficient was used to determine the association between knowledge-attitude, attitude-practice, and knowledge-practice. Statistical significance was determined at the P-value &lt; 0.05. Around half of the participants were female (50.3%). The majority of participants were between 22 to 37 years, unmarried, and belonged to the Brahmin\/Chhetri ethnic group. This study demonstrated a significant gap in KAP. Only 15.2% of participants had good knowledge while 25.9% and 68.3% of participants exhibited good attitudes and practices respectively. Marital status (AOR = 3.32, CI: 1.32\u20138.34), third-year educational level (AOR = 3.59, CI:1.34\u20139.57), and fourth-year educational level (AOR = 4.93, CI:1.88\u201312.94) were significantly associated with knowledge regarding dengue. Age (AOR = 1.73, CI: 1.10\u20133.01) was significantly associated with preventive practice regarding dengue. None of the demographic or socio-economic characteristics of respondents was associated with attitude on dengue. The knowledge-attitude (r<jats:sub>ka<\/jats:sub> = 0.01), knowledge-practice (r<jats:sub>kp<\/jats:sub> = 0.22), and attitude-practice (r<jats:sub>ap<\/jats:sub> = 0.01) were positively correlated in this study.<\/jats:p>","DOI":"10.1371\/journal.pntd.0012222","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T18:40:10Z","timestamp":1716921610000},"page":"e0012222","update-policy":"https:\/\/doi.org\/10.1371\/journal.pntd.corrections_policy","source":"Crossref","is-referenced-by-count":11,"title":["Knowledge, attitude, and practice regarding dengue among non-health undergraduate students of Nepal"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1541-780X","authenticated-orcid":true,"given":"Sheetal","family":"Bhandari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9671-3846","authenticated-orcid":true,"given":"Manish","family":"Rajbanshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabin","family":"Adhikari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richa","family":"Aryal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kshitij","family":"Kunwar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajan","family":"Paudel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,5,28]]},"reference":[{"key":"pntd.0012222.ref001","volume-title":"Dengue home","author":"CDC"},{"key":"pntd.0012222.ref002","unstructured":"Dengue: Guidelines for Diagnosis, Treatment, Prevention and Control: New Edition. Geneva: World Health Organization; 2009. Avalaible from: 23762963."},{"issue":"7446","key":"pntd.0012222.ref003","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1038\/nature12060","article-title":"The global distribution and burden of dengue","volume":"496","author":"S Bhatt","year":"2013","journal-title":"Nature"},{"issue":"9966","key":"pntd.0012222.ref004","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/S0140-6736(14)60572-9","article-title":"Dengue","volume":"385","author":"MG Guzman","year":"2015","journal-title":"The Lancet"},{"issue":"184","key":"pntd.0012222.ref005","article-title":"Dengue- An Emerging Disease in Nepal.","volume":"51","author":"SB Pun","year":"2011","journal-title":"J Nepal Med Assoc"},{"key":"pntd.0012222.ref006","unstructured":"Dengue periodic outbreaks and epidemiological trends in Nepal | Annals of Clinical Microbiology and Antimicrobials | Full Text (Internet). (cited 2022 Dec 31). Available from: https:\/\/ann-clinmicrob.biomedcentral.com\/articles\/10.1186\/s12941-018-0258-9."},{"key":"pntd.0012222.ref007","unstructured":"Climate change threatens mountainous Nepal with a spike in dengue infections (Internet). (cited 2022 Dec 31). Available from: https:\/\/www.gavi.org\/vaccineswork\/climate-change-threatens-mountainous-nepal-spike-dengue-infections."},{"key":"pntd.0012222.ref008","unstructured":"64b3dea63a1e4.pdf (Internet). (cited 2023 Aug 4). Available from: https:\/\/edcd.gov.np\/uploads\/resource\/64b3dea63a1e4.pdf."},{"issue":"1","key":"pntd.0012222.ref009","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s41182-020-0194-1","article-title":"The alarming outbreaks of dengue in Nepal","volume":"48","author":"N Adhikari","year":"2020","journal-title":"Trop Med Health"},{"key":"pntd.0012222.ref010","unstructured":"national-guidelines-on-prevention-management-and-control-of-dengue-in-nepal.pdf (Internet). (cited 2020 May 6). Available from: EDCD|National Guidelines of Prevention, Control & Management of Dengue in Nepal 2019."},{"issue":"7","key":"pntd.0012222.ref011","doi-asserted-by":"crossref","first-page":"4023","DOI":"10.3390\/ijerph19074023","article-title":"Knowledge, Attitude, and Practices towards Dengue Fever among University Students of Dhaka City, Bangladesh","volume":"19","author":"MM Rahman","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"pntd.0012222.ref012","volume-title":"Biostatistics: A Foundation for Analysis in the Health Sciences","author":"WW Daniel","year":"2018"},{"issue":"1","key":"pntd.0012222.ref013","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1186\/s12879-018-3006-z","article-title":"Knowledge, attitude, and practice regarding dengue virus infection among inhabitants of Aceh, Indonesia: a cross-sectional study","volume":"18","author":"H Harapan","year":"2018","journal-title":"BMC Infect Dis"},{"issue":"7","key":"pntd.0012222.ref014","doi-asserted-by":"crossref","first-page":"e102028","DOI":"10.1371\/journal.pone.0102028","article-title":"Knowledge, Attitude and Practice Regarding Dengue Fever among the Healthy Population of Highland and Lowland Communities in Central Nepal","volume":"9","author":"M Dhimal","year":"2014","journal-title":"PLOS ONE."},{"key":"pntd.0012222.ref015","first-page":"2320","volume":"4","author":"R Jha","year":"2016","journal-title":"Knowledge and Awareness regarding Dengue among the Undergraduate health Science students of Dengue Hit region of Nepal"},{"issue":"2","key":"pntd.0012222.ref016","first-page":"139","article-title":"Knowledge, attitudes and practices regarding dengue infection in Westmoreland, Jamaica","volume":"59","author":"F Shuaib","year":"2010","journal-title":"West Indian Med J"},{"issue":"1","key":"pntd.0012222.ref017","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1177\/101053950301500107","article-title":"A Knowledge, Attitude and Practices (KAP) Study on Dengue among Selected Rural Communities in the Kuala Kangsar District","volume":"15","author":"F Hairi","year":"2003","journal-title":"Asia Pac J Public Health"},{"issue":"6","key":"pntd.0012222.ref018","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1016\/j.puhe.2015.02.026","article-title":"Community knowledge, awareness and preventive practices regarding dengue fever in Puducherry\u2013South India","volume":"129","author":"S Jeelani","year":"2015","journal-title":"Public Health"},{"issue":"1","key":"pntd.0012222.ref019","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1186\/s12879-022-07404-4","article-title":"The knowledge, attitude and practice of community people on dengue fever in Central Nepal: a cross-sectional study","volume":"22","author":"P Phuyal","year":"2022","journal-title":"BMC Infect Dis"},{"key":"pntd.0012222.ref020","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1007\/s10389-018-0971-z","article-title":"Positive impact of educational intervention on knowledge, attitude, and practice towards dengue among university students in Malaysia","volume":"27","author":"W.R. 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Knowledge, Attitudes and Practices Regarding Dengue Fever in a Suburban Community in Sri Lanka. 2015 Jul 14 (cited 2023 Mar 24); Available from: http:\/\/dr.lib.sjp.ac.lk\/handle\/123456789\/1852."},{"issue":"4","key":"pntd.0012222.ref022","doi-asserted-by":"crossref","first-page":"692","DOI":"10.4269\/ajtmh.2006.74.692","article-title":"Dengue knowledge and practices and their impact on Aedes aegypti populations in Kamphaeng Phet, Thailand","volume":"74","author":"CJ Koenraadt","year":"2006","journal-title":"Am J Trop Med Hyg"}],"updated-by":[{"DOI":"10.1371\/journal.pntd.0012222","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T00:00:00Z","timestamp":1717718400000}}],"container-title":["PLOS Neglected Tropical Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pntd.0012222","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T18:28:23Z","timestamp":1717784903000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pntd.0012222"}},"subtitle":[],"editor":[{"given":"Amy C.","family":"Morrison","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,5,28]]},"references-count":22,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5,28]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pntd.0012222","relation":{"new_version":[{"id-type":"doi","id":"10.1371\/journal.pntd.0012222","asserted-by":"object"}]},"ISSN":["1935-2735"],"issn-type":[{"value":"1935-2735","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,28]]}}}