Application of the Health Belief Model to Dengue Fever Prevention Behavior and Dengue Fever Incidence in Jepara Regency, Central Java
DOI:
https://doi.org/10.26911/thejhpb.2025.10.03.09Abstract
Background: Dengue fever is an infectious disease caused by the dengue virus and transmitted through the bites of Aedes aegypti and Aedes albopictus mosquitoes. The disease continues to pose a major public health challenge, particularly in tropical and subtropical regions, including Indonesia. This study aims to examine the Health Belief Model in relation to dengue prevention behaviors and the incidence of dengue fever in Jepara District, Central Java.
Subjects and Method: This was a cross-sectional study conducted in Jepara District, Central Java, in January 2025. A sample of 200 respondents was selected using the fixed disease sampling method, all of whom were residents of Jepara District. The dependent variable was dengue prevention behavior. Independent variables included perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. The data were collected using a questionnaire and analyzed using multiple linear analysis.
Results: Dengue prevention behavior increased with higher perceived susceptibility (b = 0.21; 95% CI = 0.00 to 0.43; p = 0.049), perceived severity (b = 0.29; 95% CI = 0.01 to 0.57; p = 0.044), perceived benefits (b= 0.33; 95% CI= 0.03 to 0.63; p = 0.030), cues to action (b = 0.19; 95% CI = 0.01 to 0.37; p = 0.042), and self-efficacy (b= 0.33; 95% CI = 0.01 to 0.65; p = 0.045), while lower perceived barriers were associated with improved prevention behavior (b = –0.18; 95% CI = –0.36 to –0.01; p = 0.045).
Conclusion: The results of this study show that higher levels of perceived susceptibility, perceived severity, perceived benefits, cues to action, and self-efficacy, as well as lower perceived barriers, enhance dengue prevention behaviors.
Keywords:
dengue fever, health belief model, dengue prevention behaviorHow to Cite
References
Alyafei A, Easton-Carr R (2024). The Health Belief Model of behavior change. In StatPearls. StatPearls Publishing.
Annan E, Angulo-molina A, Fairos W, Yaacob W, Kline N, Lopez-lemus U, Haque U (2022). Behavioral sciences determining perceived self-efficacy for preventing dengue fever in two climatically diverse Mexican States: A Cross-Sectional Study, Behavioral Sciences. Behav Sci (Basel). 12(4):94. https://doi.org/10.3390/bs12040094
Bontong D, Tanifan A, Dorkas R, Humo-nobe I, Pesurnay Y (2022). Prevalence of dengue fever in 2019 to 2021 at Mutiara Hospital, Sorong City (in Indonesia). Walafiat Hosp J. 03(02): 115–125. https://Whj.Umi.Ac.Id/In-dex.Php/Whj/Article/View/Whj2201
Carico R.R, Sheppard J, Thomas CB (2021). Community pharmacists and com-munication in the time of COVID-19: Applying the health belief model. Res Social Adm Pharm. 17(1):1984-1987. https://doi.org/10.1016/j.sapharm.2020.03.017.
Febriasari G, Kusumawardhani E (2019). Beliefs and dengue fever prevention behaviors among housewives based on the Health Belief Model (in Indo-nesia). Jurnal Ilmu Psikologi. 10(1): 41-56. doi: 10.51353/inquiry.v10i1.227.
Govindasamy D, Vijalakashmi G, Vijaya-kumar B, Rahul A (2024). Asses-sment of public perspectives and bar-riers towards dengue preventive pra-ctices using the Health Belief Model in Puducherry, India: A cross-sectional study. Asian Pac J Trop Med. 17(8): 358–68.
Kementerian Kesehatan RI (2024). Update Data Dengue.
Kirwelakubun A, Winarti E (2024). Imple-mentation of the Health Belief Model in dengue fever prevention behaviors: A literature review (in Indonesia). J Kesehatan Tambusai. 5(1):593–605.
Laili N, Tanoto W (2021). Community Health Belief Model regarding the implementation of the COVID-19 vaccination (in Indonesia). Jurnal Ilmiah Kesehatan Keperawatan. 17(3), 198. https://doi.org/10.26753/jikk.v-17i3.625.
Melizza N, Kurnia AD, Dewi LS (2020). Smoking behavior, perceived self-efficacy, and motivation of smoking cessation among university student. Int J Health Sci. 8(1): 23–29
Montanaro A, Bryan D (2014). Comparing theory-based condom interventions: Health Belief Model versus theory of planned behavior. Health Psychology: Official Journal of the Division of Health Psychology. APA. 33(10):12 51- 1260. https://doi.org/10.1037/a0033-969.
Ogunrinde O, Nnaji C, Amirkhanian A (2021). Quality management techno-logies in highway construction: sta-keholders’ perception of utility, bene-fits, and barriers. Pract Period Struct Des Constr. 26(1): DOI : 10.10-61/(ASCE)SC.1943- 5576.0000531.
Rakhmani AN, Limpanont Y, Kaewkungwal J, Okanurak K (2018). Factors asso-ciated with dengue prevention beha-viour in Lowokwaru, Malang, Indo-nesia: A crosssectional study, BMC Public Health, 18(1): 1–6. doi: 10.118-6/s12889-018- 5553-z
Rothman KJ, Greenland S, Lash TL (2008). Modern epidemiology (Vol. 3). Phila-delphia: Wolters Kluwer Health-/Lippincott Williams & Wilkins.
Schlesselman JJ (1982). Case-control studies: design, conduct, analysis. Ox-ford University Press.
Wahyudi Y, Sulistiya L (2021). Application of the dengue hemorrhagic fever prevention program to the behaviour of community support in monitoring larvae and eradicating dengue hemorrhagic fever mosquite larvae by applying the theory of Health Belief Models (in Indonesia). Jurnal Surya Medika. 7(1):191–196. https://doi.org/10.330-84/jsm.v7i1.2656.
Weale V, Stuckey R, Kinsman N, Oakman J (2022). Workplace musculoskeletal disorders: A systematic review and key stakeholder interviews on the use of comprehensive risk management approaches. Int J Ind Ergon. 91: 103338. DOI: 10.1016/j.ergon.2022.1-03338.
World Health Organization (2024) Dengue-Global Situation.
Yari A, Mohseni S, Ezati Rad R, Hosseini Z, Shahabi N, Aghamolaei T (2024). The effectiveness of educational interven-tion in promoting preventive beha-viors of dengue fever in Southern Iran: Applying Health Belief Model (HBM). Health Sci Rep. 7(12):1–15.
Zamzuri A, Majid N, Dapari R, Hassan R, Isa M (2022). Perceived risk for dengue infection mediates the relationship between attitude and practice for dengue prevention: A Study in Seremban, Malaysia. Int J Environ Res Public Health. 19(20).
