{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T23:20:38Z","timestamp":1781565638133,"version":"3.54.5"},"reference-count":37,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2021,6,13]],"date-time":"2021-06-13T00:00:00Z","timestamp":1623542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Dengue fever, a mosquito-transmitted viral disease, is present in many neighborhoods in Jeddah City, Saudi Arabia. One factor likely to affect its distribution is the socio-economic status of local neighborhoods; however, the absence of socio-economic census data in Saudi Arabia has precluded detailed investigation. This study aims to develop a proxy measure of socio-economic status in Jeddah City in order to assess its relationship with the occurrence of dengue fever. The Delphi method was used to assess the socio-economic status (high, medium or low) of local neighborhoods in Jeddah City. A Geographic Information System (GIS) was applied to understand the distribution of dengue fever according to the socio-economic status of Jeddah City neighborhoods. Low-socio-economic status neighborhoods in south Jeddah City, with poor environmental conditions and high levels of poverty and population density, reported most cases of dengue fever. Nevertheless, dengue continues to increase in high socio-economic status neighborhoods in the northern part of the city, possibly due to ideal breeding conditions caused by the presence of standing water associated with high levels of construction. Moreover, the low-socioeconomic-status neighborhoods had the highest average number of cases, being 3.95 times that of high-status neighborhoods for the period 2006\u20132009. The Delphi approach can produce a useful and robust measure of socio-economic status for use in the analysis of patterns of dengue fever. Results suggest that there are nuances in the relationship between socio-economic status and dengue that indicate that higher status areas are also at risk. A useful additional tool for researchers in Saudi Arabia would be the development of census data or other systematic measures that allow socio-economic status to be included in spatial analyses of dengue fever and other diseases.<\/jats:p>","DOI":"10.3390\/ijerph18126407","type":"journal-article","created":{"date-parts":[[2021,6,14]],"date-time":"2021-06-14T10:30:25Z","timestamp":1623666625000},"page":"6407","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Evaluation of Neighborhood Socio-Economic Status, as Measured by the Delphi Method, on Dengue Fever Distribution in Jeddah City, Saudi Arabia"],"prefix":"10.3390","volume":"18","author":[{"given":"Ibrahim","family":"Alkhaldy","sequence":"first","affiliation":[{"name":"Department of Administrative and Human Research, Umm Al-Qura University, Makkah 21955, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Barnett","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Canterbury, Christchurch 8140, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"187","DOI":"10.2471\/BLT.07.040170","article-title":"Reconstructing historical changes in the force of infection of dengue fever in Singapore: Implications for seillance and control","volume":"86","author":"Egger","year":"2008","journal-title":"Bull. World Health Organ."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Guha-Sapir, D., and Schimmer, B. (2005). Dengue fever: New paradigms for a changing epidemiology. Emerg. Themes Epidemiol., 2.","DOI":"10.1186\/1742-7622-2-1"},{"key":"ref_3","unstructured":"WHO (2019, April 02). Dengue Fact Sheet. Neglected Tropical Diseases. New Delhi. Available online: http:\/\/.www.searo.who.int\/entity\/vector_borne_tropical_diseases\/data\/data_factsheet\/en\/."},{"key":"ref_4","first-page":"504","article-title":"The global distribution and burden of dengue","volume":"496","author":"Bhatt","year":"2013","journal-title":"Nat. Med."},{"key":"ref_5","unstructured":"WHO (2015, April 24). Impact of Dengue. Available online: http:\/\/www.who.int\/csr\/disease\/dengue\/impact\/en\/."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Herricks, J.R., Hotez, P.J., Wanga, V., Coffeng, L.E., Haagsma, J.A., Bas\u00e1\u00f1ez, M.-G., Buckle, G., Budke, C.M., Carabin, H., and F\u00e8vre, E.M. (2017). The global burden of disease study 2013: What does it mean for the NTDs?. PLoS Negl. Trop. Dis., 11.","DOI":"10.1371\/journal.pntd.0005424"},{"key":"ref_7","first-page":"72","article-title":"Trends of dengue fever in Madhya Pradesh, India","volume":"40","author":"Singh","year":"2018","journal-title":"Dengue Bull."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"135","DOI":"10.2310\/7060.2004.18557","article-title":"Prospective observational study of fever in hospitalized returning travelers and migrants from tropical areas, 1997\u20132001","volume":"11","author":"Antinori","year":"2004","journal-title":"J. Travel Med."},{"key":"ref_9","unstructured":"WHO (1999). Prevention and Control of Dengue and Dengue Haemorrhagic Fever: Comprehensive Guidelines, SEARO."},{"key":"ref_10","first-page":"77","article-title":"Entomological investigation of Aedes aegypti in Kassala and Elgadarief State, Sudan","volume":"3","author":"Abdalmagid","year":"2008","journal-title":"Sudan. J. Public Health"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1007\/s11538-008-9300-y","article-title":"A stochastic spatial dynamical model for Aedes aegypti","volume":"70","author":"Otero","year":"2008","journal-title":"Bull. Math. Biol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1111\/tmi.13530","article-title":"Spatiotemporal distribution and socioeconomic disparities of dengue, chikungunya and Zika in two Latin American cities from 2007 to 2017","volume":"26","author":"Carabali","year":"2021","journal-title":"Trop. Med. Int. Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.jiph.2015.05.006","article-title":"The epidemiology of Dengue fever in Saudi Arabia: A systematic review","volume":"9","author":"Alhaeli","year":"2016","journal-title":"J. Infect. Public Health"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"764","DOI":"10.4269\/ajtmh.2001.65.764","article-title":"Virologic and serologic surveillance for dengue fever in Jeddah, Saudi Arabia, 1994\u20131999","volume":"65","author":"Fakeeh","year":"2001","journal-title":"Am. J. Trop. Med. Hyg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1093\/trstmh\/trt022","article-title":"Seroprevalence of dengue virus infection in Aseer and Jizan regions, Southwestern Saudi Arabia","volume":"107","author":"Mahfouz","year":"2013","journal-title":"Trans. R. Soc. Trop. Med. Hyg."},{"key":"ref_16","first-page":"9","article-title":"Characteristics of dengue fever in a large public hospital, Jeddah, Saudi Arabia","volume":"18","author":"Ayyub","year":"2006","journal-title":"J. Ayub Med. Coll. Abbottabad"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.actatropica.2007.09.005","article-title":"Clinical profile and outcome of hospitalized patients during first outbreak of dengue in Makkah, Saudi Arabia","volume":"105","author":"Khan","year":"2008","journal-title":"Acta Trop."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2316","DOI":"10.3201\/eid1712.110658","article-title":"Seroprevalence of Alkhurma and other hemorrhagic fever viruses, Saudi Arabia","volume":"17","author":"Memish","year":"2011","journal-title":"Emerg. Infect. Dis."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"taaa029","DOI":"10.1093\/jtm\/taaa029","article-title":"Saudi Arabia\u2019s drastic measures to curb the COVID-19 outbreak: Temporary suspension of the Umrah pilgrimage","volume":"27","author":"Ebrahim","year":"2020","journal-title":"J. Travel Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1016\/S0140-6736(16)00274-9","article-title":"A crucial time for public health preparedness: Zika virus and the 2016 Olympics, Umrah, and Hajj","volume":"387","author":"Elachola","year":"2016","journal-title":"Lancet"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.actatropica.2016.12.034","article-title":"Modelling the association of dengue fever cases with temperature and relative humidity in Jeddah, Saudi Arabia\u2014A generalised linear model with break-point analysis","volume":"168","author":"Alkhaldy","year":"2017","journal-title":"Acta Trop."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1080\/09603123.2019.1656801","article-title":"Twenty-Two years of dengue fever (1996\u20132017): An epidemiological study in a Brazilian city","volume":"31","author":"Campos","year":"2021","journal-title":"Int. J. Environ. Health Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.actatropica.2017.01.001","article-title":"Spatio-temporal and neighborhood characteristics of two dengue outbreaks in two arid cities of Mexico","volume":"167","author":"Harris","year":"2017","journal-title":"Acta Trop."},{"key":"ref_24","unstructured":"Central Department of Statistics & Information (2011, December 02). Saudi Arabia Preliminary Results of Census, Available online: https:\/\/www.stats.gov.sa\/en\/13."},{"key":"ref_25","unstructured":"Jeddah Municipality. Jeddah Urban Observatory Department (2011, December 02). Estimated Census Data for Jeddah City Neighborhoods, Available online: https:\/\/www.stats.gov.sa\/en\/13."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"4713","DOI":"10.1016\/j.scitotenv.2011.08.028","article-title":"Modeling dengue fever risk based on socioeconomic parameters, nationality and age groups: GIS and remote sensing based case study","volume":"409","author":"Khormi","year":"2011","journal-title":"Sci. Total. Environ."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1080\/01416200.2011.614740","article-title":"The Delphi method: Gathering expert opinion in religious education","volume":"34","author":"Baumfield","year":"2012","journal-title":"Br. J. Relig. Educ."},{"key":"ref_28","first-page":"2644","article-title":"Integrated fuzzy Delphi method and GIS to indentify farm ponds\u2019 preservation values and spatial location in Yunlin County, Taiwan","volume":"610","author":"Lee","year":"2013","journal-title":"Adv. Mater. Res."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Bosun, P., and Modrak, V. (2014). Using the Delphi method in forecasting tourism activity. Int. Lett. Soc. Humanist. Sci., 66\u201372.","DOI":"10.18052\/www.scipress.com\/ILSHS.25.66"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Boulkedid, R., Abdoul, H., Loustau, M., Sibony, O., and Alberti, C. (2011). Using and reporting the Delphi method for selecting healthcare quality indicators: A systematic review. PLoS ONE, 6.","DOI":"10.1371\/journal.pone.0020476"},{"key":"ref_31","unstructured":"Naffee, I. (2014, November 21). South Jeddah Residents Decry Power Outages. Available online: http:\/\/www.arabnews.com\/saudi-arabia\/news\/623431."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1093\/trstmh\/trs011","article-title":"Geographical distribution and spatio-temporal patterns of dengue cases in Jeddah Governorate from 2006\u20132008","volume":"107","author":"Alzahrani","year":"2013","journal-title":"Trans. R. Soc. Trop. Med. Hyg."},{"key":"ref_33","unstructured":"Scott, T.W., and Morrison, A. (2004). Aedes aegypti density and the risk of dengue-virus transmission. Frontis, 187\u2013206."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Guo, C., Zhou, Z., Wen, Z., Liu, Y., Zeng, C., and Xiao, D. (2017). Global epidemiology of dengue outbreaks in 1990\u20132015: A systematic review and meta-analysis. Front. Cell Infect. Microbiol.","DOI":"10.3389\/fcimb.2017.00317"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Marti, R., Li, Z., Catry, T., Roux, E., Mangeas, M., Handschumacher, P., Gaudart, J., Tran, A., Demagistri, L., and Faure, J.-F. (2020). A mapping review on urban landscape factors of dengue retrieved from earth observation data, GIS techniques, and survey questionnaires. Remote Sens., 12.","DOI":"10.3390\/rs12060932"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Addas, A., and Alserayhi, G. (2020). Quantitative evaluation of public open space per inhabitant in the Kingdom of Saudi Arabia: A case study of the city of Jeddah. Sage Open, 10.","DOI":"10.1177\/2158244020920608"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Aljoufie, M. (2021). The impact assessment of increasing population density on Jeddah road transportation using spatial-temporal analysis. Sustainability, 13.","DOI":"10.3390\/su13031455"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/12\/6407\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:13:53Z","timestamp":1760163233000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/12\/6407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,13]]},"references-count":37,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2021,6]]}},"alternative-id":["ijerph18126407"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18126407","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,13]]}}}