Sociodemographic and Structural Risk Factors for Dengue in a Rapidly Developing Indonesian District

Round 1

Reviewer 1 Report

Comments and Suggestions for Authors

This study has a significant of the factor related to the prevalence of Daugue fever in the Deli Serdang District, Indonesia. It can apply to improve the environmental factor reducing this incidents. However, your manuscript should be addressed this area of improvement to raise your manuscript quality as this below; 

 Overall:

   Please re-check your style of font and some of information including abbreviations and page spacing. 
Abstract:

 - You should give of short description to expand the meaning of the need for integrated housing, environmental
, and school-based interventions to make a clear for the imagination of this implementation.

Introduction:

  -Please add the related literature to attract the topic of your study. You might explain the literature to show the situation of Dangue fever around the world. Then, focus in south east asia. Finally, you give the big reason to study in your area. 

- Why you select for the case control study?  Please explain for more information.

 

Methodology: 

 - Please explain for the inclusion, exclusion criteria, and the withdraw criteria for the sample selections

- Can you show the incident rate (per 100,000 population) of Dangue fever at Deli Serdang District? It can lead the others to believe that your location is the actually main problem for this study.

-How to measure the validity and consistency of your questionnaire survey? Please add this information.

-How to develop the questions? You should create the conceptual framework and give the definition of this framework. Moreover, please give the relative research to confirm your topic of this questionnaire. 

-Please add the intext-citation of the Stata program usage.

 - Please explain the definition of Characteristics of home environmental conditions in the methodology .

Dicussion:

 - Please add several related research in this section.

- Please try to revise your discussion in line of 212-219 because some plant can prohibit the biking of mosquito including lemon glass or some of herb . You need to analyze your result with the several kinds of literatures. 

- On your limitation, please add the method to survey the prevalence of mosquito. Moreover, please add the recommendation to the further studies. 

-Please add the future recommendation to study the more factors associated with the environmental condition and housing sanitation. 
-Please add the public health policy implementation based on your study. 

 

Reference

• Please add the reference list at least 40 lists.

Author Response

Please see the attachment.

Author Response File: Author Response.pdf

Reviewer 2 Report

Comments and Suggestions for Authors

Lubis et al., in their manuscript “Sociodemographic and structural risk factors for dengue in a rapidly developing Indonesian district”, present a case-control study evaluating risk factors for dengue in a rapidly developing urban district in Indonesia.

Most similar published studies focus on very densely populated urbanised areas, and a study like this in a transitioning urban setting helps determine the key factors in that context.

The manuscript is well written and easy to follow, with a good flow. However, I feel the sample size is too small to determine the factors with confidence, and it would be better overall if the authors considered additional factors, such as health awareness and literacy regarding Dengue / other vector-borne diseases. The manuscript also fits within the Journal’s scope.

Major Comments:

1. As I mentioned above, the Introduction and overall flow of the manuscript are well written and easy to follow, but the image quality in Figure 1 is poor. Could you please replace it with a higher DPI image? The text on the figure is hard to read and could be a size or two bigger.
2. The study is based on data collected during July-September 2024, which is slightly dated and covers a short period. I am wondering how seasonal influences and vegetation around the semi-urban areas during these months affect the incidence of dengue cases. If the authors have any related data, they should consider adding it.
3. Also, why was this specific period chosen? Was it associated with a high prevalence of dengue cases?
4. It’s been almost two years since the data collection. How has the rapid development of the semi-urban setting affected the incidence? What are the current dengue cases, and have there been any changes to the socio-demographic status of the people compared to before?
5. The authors should also attach the research questions or the questionnaire as a supplementary file. I also wonder whether any alternative formats of the questionnaire were intended to be provided to people who were not interested in answering via WhatsApp? This could boost participation.

Minor Comments:

1. Page 2 / Line 59, italicise “Aedes aegypti” & Page 7 / Lines 215-216, italicise “Aedes aegypti” and “Aedes albopictus”.
2. Page 8 – intentionally left Blank?     

Author Response

Please see the attachment.

Author Response File: Author Response.pdf

Round 2

Reviewer 1 Report

Comments and Suggestions for Authors

All of the concerns are addressed in the revision manuscript. However, please recheck your format of text including the topic of Public health relevance—How does this work relate to a public health issue?