{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T09:48:39Z","timestamp":1790156919260,"version":"4.0.1"},"reference-count":46,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:00:00Z","timestamp":1760054400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004515","name":"Universiti Kebangsaan Malaysia","doi-asserted-by":"publisher","award":["UKM-TR-013"],"award-info":[{"award-number":["UKM-TR-013"]}],"id":[{"id":"10.13039\/501100004515","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosntds.org"],"crossmark-restriction":false},"short-container-title":["PLoS Negl Trop Dis"],"abstract":"\nBackground<\/jats:title>\nDengue fever remains endemic in Malaysia and presents a persistent public health concern, affecting Selangor in particular. There is an information gap regarding the knowledge, attitudes, and practices (KAP) of residents in Hulu Langat, Selangor, regarding dengue infection. This study aimed to clarify the dengue-related KAP of Hulu Langat residents using the health belief model (HBM) and discuss the potential integration of ideation concepts to provide a more comprehensive understanding.<\/jats:p>\n<\/jats:sec>\n\nMaterials and methods<\/jats:title>\nA community\u2011based cross\u2011sectional survey was conducted among 146 individuals in Hulu Langat during March 2022. Data on the respondents\u2019 sociodemographic details and dengue KAP were obtained using an HBM-based semi-structured questionnaire. The data were analyzed using descriptive statistics, the Kaiser-Meyer-Olkin (KMO) measure, factor analysis, Student\u2019s t<\/jats:italic><\/jats:italic>-test, and Spearman\u2019s rank correlation coefficient.<\/jats:p>\n<\/jats:sec>\n\nResults<\/jats:title>\nAmong the 146 participants, only 38.7% demonstrated sufficient overall knowledge regarding dengue, which included knowledge about Aedes mosquitoes and dengue disease, as well as knowledge of mosquito breeding sites and prevention measures. Notably, the proportion of participants with a positive attitude was relatively low at 27.3%, and only 42.5% demonstrated good preventive practices against Aedes mosquito breeding and dengue fever. Correlation analysis showed a negligible relationship between knowledge and attitude, a significant negative correlation between knowledge and practice, and a moderate negative correlation between attitude and practice. These results highlight the complex dynamics influencing dengue prevention behaviors in the studied population.<\/jats:p>\n<\/jats:sec>\n\nConclusion<\/jats:title>\nThe results revealed that the respondents had notable KAP gaps related to preventing Aedes<\/jats:italic><\/jats:italic> mosquito breeding and dengue fever. The results demonstrated that raising awareness, shaping a positive attitude, and promoting effective prevention behavior in the studied population require improvement. These results underscore the importance of targeted interventions and comprehensive public health strategies to enhance understanding, attitudes, and practices regarding dengue prevention among the community, especially in recurrent hotspot areas.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pntd.0013545","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T17:30:33Z","timestamp":1760117433000},"page":"e0013545","update-policy":"https:\/\/doi.org\/10.1371\/journal.pntd.corrections_policy","source":"Crossref","is-referenced-by-count":6,"title":["Evaluating urban community knowledge, attitudes, and preventive actions (KAP) using the health belief model: Insights from an ideation-informed interpretation of recurrent dengue outbreaks in Selangor, Malaysia"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1593-3804","authenticated-orcid":true,"given":"Nurul Adilah","family":"Samsudin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zul-\u2018Izzat Ikhwan","family":"Zaini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ching Sin","family":"Siau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1430-3438","authenticated-orcid":true,"given":"Hidayatulfathi","family":"Othman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,10,10]]},"reference":[{"issue":"10","key":"pntd.0013545.ref001","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1089\/vbz.2020.2762","article-title":"Emerging Mosquito-Borne Viruses Linked to Aedes aegypti and Aedes albopictus: Global Status and Preventive Strategies","volume":"21","author":"J N\u00e4slund","year":"2021","journal-title":"Vector Borne Zoonotic Dis"},{"key":"pntd.0013545.ref002","article-title":"Knowledge about Aedes mosquitoes, dengue fever and Zika virus among primary school students in the dengue cluster areas of Hulu Langat, Selangor","volume":"17","author":"I Zaini","year":"2019","journal-title":"Malays J Health Sci"},{"issue":"2","key":"pntd.0013545.ref003","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1080\/17843286.2020.1837576","article-title":"Dengue: current state one year before WHO 2010-2020 goals","volume":"77","author":"K Wellekens","year":"2022","journal-title":"Acta Clin Belg"},{"issue":"2","key":"pntd.0013545.ref004","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0212497","article-title":"Public perception and attitude towards dengue prevention activity and response to dengue early warning in Malaysia","volume":"14","author":"R Zaki","year":"2019","journal-title":"PLoS One"},{"issue":"1","key":"pntd.0013545.ref005","doi-asserted-by":"crossref","first-page":"9534","DOI":"10.1038\/s41598-020-66212-5","article-title":"Knowledge, attitude and practice on dengue prevention and dengue seroprevalence in a dengue hotspot in Malaysia: A cross-sectional study","volume":"10","author":"S Selvarajoo","year":"2020","journal-title":"Sci Rep"},{"issue":"2","key":"pntd.0013545.ref006","article-title":"Community Attitudes towards Dengue Prevention in Malaysia: A Scoping Review and Implications for SDG 11","volume":"5","year":"2025","journal-title":"J Posthumanism"},{"issue":"2","key":"pntd.0013545.ref007","doi-asserted-by":"crossref","first-page":"432","DOI":"10.17576\/MH.2025.2002.02","article-title":"Effectiveness of COMBI in Dengue Prevention and Control and Participation Factor: A Systematic Review in Malaysia","volume":"20","year":"2025","journal-title":"Medicine & Health"},{"issue":"9","key":"pntd.0013545.ref008","article-title":"Extreme weather events and dengue in Southeast Asia: A regionally-representative analysis of 291 locations from 1998 to 2021","volume":"19","year":"2025","journal-title":"PLOS Neglected Tropical Diseases"},{"issue":"11","key":"pntd.0013545.ref009","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0007863","article-title":"A typology of community and stakeholder engagement based on documented examples in the field of novel vector control","volume":"13","author":"CE Schairer","year":"2019","journal-title":"PLoS Negl Trop Dis"},{"issue":"9","key":"pntd.0013545.ref010","doi-asserted-by":"crossref","first-page":"5035","DOI":"10.3390\/ijerph18095035","article-title":"Challenges to Mitigating the Urban Health Burden of Mosquito-Borne Diseases in the Face of Climate Change","volume":"18","author":"A Ligsay","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"7","key":"pntd.0013545.ref011","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0008302","article-title":"Current vector research challenges in the greater Mekong subregion for dengue, Malaria, and Other Vector-Borne Diseases: A report from a multisectoral workshop March 2019","volume":"14","author":"RC Christofferson","year":"2020","journal-title":"PLoS Negl Trop Dis"},{"key":"pntd.0013545.ref012","doi-asserted-by":"crossref","first-page":"6619175","DOI":"10.1155\/2021\/6619175","article-title":"A Challenge for a Unique Dengue Vector Control Programme: Assessment of the Spatial Variation of Insecticide Resistance Status amongst Aedes aegypti and Aedes albopictus Populations in Gampaha District, Sri Lanka","volume":"2021","author":"R Dalpadado","year":"2021","journal-title":"Biomed Res Int"},{"issue":"3","key":"pntd.0013545.ref013","doi-asserted-by":"crossref","first-page":"958","DOI":"10.18203\/2394-6040.ijcmph20190578","article-title":"Applying health belief model for the assessment of community knowledge, attitude and prevention practices following a dengue epidemic in a township in Selangor, Malaysia","volume":"6","author":"H Othman","year":"2019","journal-title":"Int J Community Med Public Health"},{"key":"pntd.0013545.ref014","article-title":"Hulu Langat records 861 dengue cases, second highest in Selangor","author":"Media Selangor Sdn. Bhd","year":"2022","journal-title":"Selangor J"},{"key":"pntd.0013545.ref015","doi-asserted-by":"crossref","unstructured":"The Director-General of Health Malaysia. Situasi Semasa Demam Denggi di Malaysia bagi Minggu 51\/2021 [Internet]. 2021 [cited 2023 Sep 8]. Available from: https:\/\/kenyataan-akhbar-ketua-pengarah-kesihatan-Malaysia-mengenai-situasi-semasa-demam-denggi-zika-dan-chikungunya-di-Malaysia-ME-51\/2020.pdfMashudi, D. N., Ahmad, N., & Mohd Said, S. (2022). Level of dengue preventive practices and associated factors in a Malaysian residential area during the COVID-19 pandemic: A cross-sectional study. Plos One, 17(4), e0267899.","DOI":"10.1371\/journal.pone.0267899"},{"issue":"4","key":"pntd.0013545.ref016","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0267899","article-title":"Level of dengue preventive practices and associated factors in a Malaysian residential area during the COVID-19 pandemic: A cross-sectional study","volume":"17","author":"DN Mashudi","year":"2022","journal-title":"PLoS One"},{"issue":"2","key":"pntd.0013545.ref017","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0006268","article-title":"Dengue knowledge, attitudes and practices and their impact on community-based vector control in rural Cambodia","volume":"12","author":"E Kumaran","year":"2018","journal-title":"PLoS Negl Trop Dis"},{"key":"pntd.0013545.ref018","doi-asserted-by":"crossref","first-page":"5917378","DOI":"10.1155\/2020\/5917378","article-title":"Findings of a Cross-Sectional Survey on Knowledge, Attitudes, and Practices about COVID-19 in Uganda: Implications for Public Health Prevention and Control Measures","volume":"2020","author":"G Okello","year":"2020","journal-title":"Biomed Res Int"},{"key":"pntd.0013545.ref019","volume-title":"Taxonomy of Educational Objectives: The Classification of Educational Goals","author":"BS Bloom","year":"1956"},{"issue":"1","key":"pntd.0013545.ref020","doi-asserted-by":"crossref","first-page":"1124","DOI":"10.1186\/s12879-024-10025-8","article-title":"A mixed method evaluation of knowledge, attitude and practice on dengue fever among Lalitpur Metropolitan City residents: a cross-sectional investigation","volume":"24","author":"S Ghimire","year":"2024","journal-title":"BMC Infect Dis"},{"issue":"1","key":"pntd.0013545.ref021","doi-asserted-by":"crossref","first-page":"80","DOI":"10.3126\/jaar.v11i1.65524","article-title":"Awareness and Practice on Prevention and Control of Dengue among Community People of Lalitpur Metropolitan City","volume":"11","author":"KC Amitha","year":"2024","journal-title":"J Adv Acad Res"},{"issue":"1","key":"pntd.0013545.ref022","doi-asserted-by":"crossref","first-page":"37","DOI":"10.3390\/tropicalmed4010037","article-title":"Comparison of knowledge, attitude, and practice among communities living in hotspot and non-hotspot areas of dengue in Selangor, Malaysia","volume":"4","author":"NA Ghani","year":"2019","journal-title":"Trop Med Infect Dis"},{"issue":"4","key":"pntd.0013545.ref023","article-title":"Factors affecting dengue prevention practices: nationwide survey of the Malaysian public","volume":"10","author":"LP Wong","year":"2015","journal-title":"PLoS One"},{"issue":"6","key":"pntd.0013545.ref024","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2012-002094","article-title":"Public perceptions and behaviours related to the risk of infection with Aedes mosquito-borne diseases: a cross-sectional study in Southeastern France","volume":"2","author":"J Raude","year":"2012","journal-title":"BMJ Open"},{"issue":"1","key":"pntd.0013545.ref025","first-page":"18","article-title":"Relationship between knowledge level and dengue prevention behavior in Telagajaya Village community, Pakisjaya subdistrict, Karawang regency in 2023","volume":"2","author":"S Sholeha","year":"2023","journal-title":"J Nurs"},{"key":"pntd.0013545.ref026","doi-asserted-by":"crossref","first-page":"1361717","DOI":"10.3389\/fpubh.2024.1361717","article-title":"Literacy and attitude of Asian youths on dengue and its prevention in an endemic developed community","volume":"12","author":"WF Soo","year":"2024","journal-title":"Front Public Health"},{"issue":"3","key":"pntd.0013545.ref027","doi-asserted-by":"crossref","first-page":"76","DOI":"10.20473\/jn.v14i3.16988","article-title":"The Effectiveness of Traditional Media (Leaflet and Poster) to Promote Health in a Community Setting in the Digital Era: A Systematic Review","volume":"14","author":"AL Barik","year":"2019","journal-title":"J Ners"},{"issue":"1","key":"pntd.0013545.ref028","doi-asserted-by":"crossref","first-page":"71","DOI":"10.3390\/insects13010071","article-title":"Effectiveness of Positive Deviance, an Asset-Based Behavior Change Approach, to Improve Knowledge, Attitudes, and Practices Regarding Dengue in Low-Income Communities (Slums) of Islamabad, Pakistan: A Mixed-Method Study","volume":"13","author":"M Shafique","year":"2022","journal-title":"Insects"},{"issue":"1","key":"pntd.0013545.ref029","doi-asserted-by":"crossref","first-page":"195","DOI":"10.4269\/ajtmh.17-0528","article-title":"Knowledge, Attitudes, and Preventive Practices Regarding Dengue in Maracay, Venezuela","volume":"99","author":"J Elsinga","year":"2018","journal-title":"Am J Trop Med Hyg"},{"issue":"6","key":"pntd.0013545.ref030","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0252852","article-title":"Knowledge, awareness and preventive practices of dengue outbreak in Bangladesh: A countrywide study","volume":"16","author":"MI Hossain","year":"2021","journal-title":"PLoS One"},{"key":"pntd.0013545.ref031","unstructured":"Centers for Disease Control and Prevention (CDC). Aedes aegypti and Ae. albopictus mosquito life cycles [Internet]. 2022 Jun 21 [cited 2024 Feb 28]. Available from: https:\/\/www.cdc.gov\/mosquitoes\/about\/life-cycles\/aedes.html"},{"issue":"7","key":"pntd.0013545.ref032","doi-asserted-by":"crossref","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"},{"issue":"4","key":"pntd.0013545.ref033","doi-asserted-by":"crossref","first-page":"1631","DOI":"10.11591\/eei.v9i4.2390","article-title":"Predicting the misconception of dengue disease based on the awareness survey","volume":"9","author":"A Noor Akramin Kamarudin","year":"2020","journal-title":"Bulletin EEI"},{"key":"pntd.0013545.ref034","doi-asserted-by":"crossref","first-page":"1129056","DOI":"10.3389\/fpubh.2023.1129056","article-title":"Knowledge, attitude, and practice of healthcare workers regarding dengue fever in Mazandaran Province, northern Iran","volume":"11","author":"SH Nikookar","year":"2023","journal-title":"Front Public Health"},{"issue":"4","key":"pntd.0013545.ref035","first-page":"303","article-title":"Strategies for dengue control in Malaysia","volume":"35","author":"SK Lam","year":"1994","journal-title":"Trop Med"},{"issue":"1","key":"pntd.0013545.ref036","first-page":"37","article-title":"Factors affecting dengue fever knowledge, attitudes and practices among selected urban, semi-urban and rural communities in Malaysia","volume":"44","author":"SAR Al-Dubai","year":"2013","journal-title":"Southeast Asian J Trop Med Public Health"},{"key":"pntd.0013545.ref037","doi-asserted-by":"crossref","first-page":"66","DOI":"10.37268\/mjphm\/vol.17\/no.3\/art.223","article-title":"Knowledge, attitude, and practice towards dengue fever among patients in hospital Taiping","volume":"17","author":"MA Alhoot","year":"2017","journal-title":"Malays J Public Health Med"},{"key":"pntd.0013545.ref038","first-page":"19","article-title":"The KAP Study on Dengue among Community in Taman Salak Baiduri, Sepang, Selangor","volume":"2","author":"MNAM Kamel","year":"2017","journal-title":"Int J Sci Healthc Res"},{"key":"pntd.0013545.ref039","first-page":"25","article-title":"Community vulnerability on dengue and its association with climate variability in Malaysia: a public health approach","volume":"2","author":"S Mazrura","year":"2010","journal-title":"Malays J Public Health Med"},{"issue":"3","key":"pntd.0013545.ref040","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2023-074222","article-title":"Exploring community behaviours and stakeholder challenges in engaging communities with dengue prevention behaviour in Malaysia: implementation research for a qualitative study with a community-based participatory research design","volume":"14","author":"NA Samsudin","year":"2024","journal-title":"BMJ Open"},{"issue":"1","key":"pntd.0013545.ref041","doi-asserted-by":"crossref","first-page":"1651","DOI":"10.1186\/s12889-024-18965-1","article-title":"Exploring community needs in combating aedes mosquitoes and dengue fever: a study with urban community in the recurrent hotspot area","volume":"24","author":"NA Samsudin","year":"2024","journal-title":"BMC Public Health"},{"key":"pntd.0013545.ref042","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1179\/2046904712Z.00000000047","article-title":"Community participation in the prevention and control of dengue: the patio limpio strategy in Mexico","author":"R Tapia-Conyer","year":"2012","journal-title":"Paediatr Int Child Health"},{"issue":"1","key":"pntd.0013545.ref043","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"},{"key":"pntd.0013545.ref044","volume-title":"The Health Belief Model and Personal Health Behavior","author":"MH Becker","year":"1984"},{"issue":"6","key":"pntd.0013545.ref045","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.3390\/ijerph16061013","article-title":"Dengue Vector Control through Community Empowerment: Lessons Learned from a Community-Based Study in Yogyakarta, Indonesia","volume":"16","author":"S Sulistyawati","year":"2019","journal-title":"Int J Environ Res Public Health"},{"key":"pntd.0013545.ref046","doi-asserted-by":"crossref","first-page":"841","DOI":"10.17576\/jsm-2019-4804-16","article-title":"Knowledge and practices regarding Aedes control amongst residents of Dengue Hotspot areas in Selangor: a cross-sectional study","volume":"48","author":"ZI Zaini","year":"2019","journal-title":"JSM"}],"container-title":["PLOS Neglected Tropical Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pntd.0013545","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T17:30:41Z","timestamp":1760117441000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pntd.0013545"}},"subtitle":[],"editor":[{"given":"Paul O.","family":"Mireji","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2025,10,10]]},"references-count":46,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10,10]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pntd.0013545","relation":{},"ISSN":["1935-2735"],"issn-type":[{"value":"1935-2735","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,10]]}}}