{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T23:35:43Z","timestamp":1781825743151,"version":"3.54.5"},"reference-count":34,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T00:00:00Z","timestamp":1709856000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Over the past few decades, the incidence of dengue fever has considerably increased. Effective vector control strategies and specific protection using dengue vaccine are thought to be the key elements to combat dengue. The dengue incidence among the Singapore youths (15\u201324\u2009years) was second only to that of adults (25\u201344\u2009years). This study evaluated the knowledge and attitude of Singapore youths on dengue and its preventive measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross-sectional study using online-based questionnaire survey was conducted among Singapore youths from September to November 2022. Data were analyzed for descriptive statistics whereas Chi-squared test, linear regression analysis and Pearson correlation were used to determine the association between demographic factors and youth\u2019s attitude on dengue prevention using Rstudio.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 624 respondents completed the survey out of 1822 surveys distributed nation-wide, with a response rate of 34.2% (mean age 17.4\u2009years <jats:inline-formula><mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mo>\u00b1<\/mml:mo><\/mml:math><\/jats:inline-formula> 1.84; 59.3% female; 89.9% Chinese). The mean dengue knowledge scores of participants were 14.1 <jats:inline-formula><mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mo>\u00b1<\/mml:mo><\/mml:math><\/jats:inline-formula>2.8. Univariate analysis showed that teenagers (15\u201319\u2009years) had significantly higher knowledge score than the young adults (20\u201324\u2009years) (<jats:inline-formula><mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mi>\u03b2<\/mml:mi><\/mml:math><\/jats:inline-formula>=0.82,95%CI\u2009=\u20090.13\u20131.51, <jats:italic>p<\/jats:italic>\u2009=\u20090.021). Majority of them were aware of the Mozzie Wipeout campaign (90.2%) followed by the release of Wolbachia mosquitos (69.1%). Two-thirds of the youths who were aware of Wolbachia and Gravitrap considered that it was effective in reducing dengue infection rates. Participants suggested information about the current dengue infection rate (71.9%) as the most effective of the five proposed strategies to improve uptake of dengue preventive measures. In comparison to young adults, teenagers were more likely to uptake dengue preventive measures if widespread mosquito control practices were implemented (69.1% vs. 42.3%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The overall knowledge of the youths on dengue and its prevention was satisfactory. Future health promotion campaigns targeting the youths should focus on transforming the knowledge into practice.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1361717","type":"journal-article","created":{"date-parts":[[2024,3,11]],"date-time":"2024-03-11T18:59:47Z","timestamp":1710183587000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Literacy and attitude of Asian youths on dengue and its prevention in an endemic developed community"],"prefix":"10.3389","volume":"12","author":[{"given":"Wern Fern","family":"Soo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalaipriya","family":"Gunasekaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ding Xuan","family":"Ng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylie","family":"Kwek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ngiap Chuan","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,3,8]]},"reference":[{"key":"ref1","volume-title":"Dengue and severe dengue","year":"2023"},{"key":"ref2","article-title":"Epidemic dengue in Singapore during COVID-19 pandemic","author":"Teoh","year":"2023"},{"key":"ref3","volume-title":"Spike in dengue cases due to global warming, warns WHO","year":"2023"},{"key":"ref4","volume-title":"WHO urges swift action as dengue cases surge in Bangladesh","year":"2023"},{"key":"ref5","volume-title":"Dengue cases","year":""},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e0008428","DOI":"10.1371\/journal.pntd.0008428","article-title":"A greener vision for vector control: the example of the Singapore dengue control programme","volume":"14","author":"Sim","year":"2020","journal-title":"PLoS Negl Trop Dis"},{"key":"ref7","volume-title":"Community called to do \u2018Mozzie Wipeout\u2019 for 14 days to break breeding cycle","year":"2016"},{"key":"ref8","volume-title":"NEA Launches National dengue prevention campaign early to urge continued vigilance and avert A dengue outbreak in 2023","year":"2023"},{"key":"ref9","volume-title":"Definition of youth","year":""},{"key":"ref10","doi-asserted-by":"publisher","first-page":"204","DOI":"10.4269\/ajtmh.17-0819","article-title":"Dengue in Singapore from 2004 to 2016: cyclical epidemic patterns dominated by serotypes 1 and 2","volume":"99","author":"Rajarethinam","year":"2018","journal-title":"Am J Trop Med Hyg"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"4720","DOI":"10.18203\/2394-6040.ijcmph20184562","article-title":"Knowledge attitude and practice on dengue among university students","volume":"5","author":"Amanah","year":"2018","journal-title":"Int J Commun Med Public Health"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e100264","DOI":"10.1136\/gpsych-2020-100264","article-title":"Internet-based surveys: relevance, methodological considerations and troubleshooting strategies","volume":"33","author":"Menon","year":"2020","journal-title":"Gen Psychiatr"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"100206","DOI":"10.1016\/j.chbr.2022.100206","article-title":"Response rates of online surveys in published research: a meta-analysis","volume":"7","author":"Wu","year":"2022","journal-title":"Comput Hum Behav Rep"},{"key":"ref14","volume-title":"FormSG\u2014create digital forms for citizens in minutes","year":"2023"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1312","DOI":"10.1136\/bmj.328.7451.1312","article-title":"Selecting, designing, and developing your questionnaire","volume":"328","author":"Boynton","year":"2004","journal-title":"BMJ"},{"key":"ref16","volume-title":"Most popular global mobile messenger apps as of January 2023, based on number of monthly active users","year":"2023"},{"key":"ref17","first-page":"371","article-title":"Generalizability","volume-title":"The Sage encyclopedia of qualitative research methods","author":"Donmoyer","year":"2008"},{"key":"ref18","first-page":"113","article-title":"Knowledge, attitude and preventive behaviour regarding dengue fever among youth in Malaysia","volume-title":"Social science and technology toward performance improvement: research concept, effect and agenda","author":"Mustafa","year":"2020"},{"key":"ref19","volume-title":"Literacy rate, youth total (% of people ages 15\u201324) - Malaysia, Somalia, Singapore","year":"2022"},{"key":"ref20","volume-title":"Newly appointed as the teacher-in-charge for your school\u2019s environmental programmes? 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