Determinants of Superficial Dermatophytosis: The Role of Knowledge, Attitudes, and Personal Hygiene in a Cross-Sectional Study

Winda Yulia; Aulia Zalsabila Rosadi; Reno Keumalazia Kamarlis; Nanda Earlia; RM. Agung Pranata Kusuma Atmaja; Iflan Nauval

Penulis

Winda Yulia Departemen Mikrobiologi, Program Studi Magister Kedokteran Tropis, Fakultas Kedokteran Universitas Syiah Kuala
Aulia Zalsabila Rosadi Graduated Program of Faculty of Medicine, Universitas Syiah Kuala, Indonesia
Reno Keumalazia Kamarlis Department of Anatomical Pathology, Faculty of Medicine, Universitas Syiah Kuala, Indonesia
Nanda Earlia Department of Dermatology and Venerology, Faculty of Medicine, Universitas Syiah Kuala, Indonesia
RM. Agung Pranata Kusuma Atmaja Department of Parasitology, Faculty of Medicine, Universitas Syiah Kuala, Indonesia
Iflan Nauval Department of Clinical Nutrition, Faculty of Medicine, Universitas Syiah Kuala, Indonesia

Kata Kunci:

dermatophytosis, tropical disease, personal hygiene, health behavior, attitude

Abstrak

Background: Superficial dermatophytosis is a common fungal infection that remains a public health concern, particularly in communal living environments such as Islamic boarding schools where close contact and suboptimal hygiene practices facilitate transmission. Behavioral factors, including knowledge, attitudes, and personal hygiene, play an important role in influencing individual susceptibility to dermatophytosis. Method: This study aimed to examine the relationship between knowledge, attitudes, and personal hygiene and the incidence of superficial dermatophytosis among students in Islamic boarding schools in Darussalam District, Aceh Besar. Results: Knowledge (p= 0.023; OR= 2.424; 95% CI: 1.124–5.229), attitudes (p= 0.007; OR= 5.453; 95% CI: 1.428–20.816), and personal hygiene (p< 0.001; OR= 40.000; 95% CI: 5.120–312.470) were significantly associated with superficial dermatophytosis. Poor personal hygiene demonstrated the strongest association with disease occurrence. Discussion: These findings highlight that inadequate knowledge and unfavorable attitudes may lead to poor hygiene behaviors, increasing the risk of dermatophytosis transmission in densely populated educational settings. Conclusion: Behavioral factors, particularly personal hygiene, are key determinants of superficial dermatophytosis among Islamic boarding school students. Strengthening health education, hygiene promotion, and preventive interventions within boarding school settings is essential to reduce the burden of dermatophytosis.

Biografi Penulis

Winda Yulia, Departemen Mikrobiologi, Program Studi Magister Kedokteran Tropis, Fakultas Kedokteran Universitas Syiah Kuala

First author, corresponding author

Referensi

Riyadi E, Batubara DE, Pratiwi Lingga FD. Association between personal hygiene and dermatophytosis incidence. J Pandu Husada. 2020; 1(4): 204. https://jurnal.umsu.ac.id/index.php/JPH/article/view/5307/4818

de Hoog GS, Dukik K, Monod M, Packeu A, Stubbe D, Hendrickx M, et al. Toward a novel multilocus phylogenetic taxonomy for the dermatophytes. Mycopathologia. 2017; 182(1–2): 5–31. https://doi.org/10.1007/s11046-016-0073-9

Moskaluk AE, VandeWoude S. Current topics in dermatophyte classification and clinical diagnosis. Pathogens. 2022; 11(9). https://doi.org/10.3390/pathogens11090957

World Health Organization. Ringworm (tinea). 2025.

Available from: https://www.who.int/news-room/fact-sheets/detail/ringworm-(tinea)

Sharma B, Nonzom S. Superficial mycoses, a matter of concern: global and Indian scenario—an updated analysis. Mycoses. 2021; 64(8): 890–908.

https://doi.org/10.1111/myc.13309

Belmiloud B, Shahar HK, Abdulrahman H. Determinants of risk factors for dermatophyte infections related to patients’ knowledge, attitude, and hygiene practices among patients attending a dermatology department in a government hospital in Setif Province, Algeria. Malays J Med Health Sci. 2022; 18(1): 206–213.

https://mjmhs.msj.org.my/

Gnat S, Łagowski D, Nowakiewicz A, Osińska M, KopińskiŁ. Population differentiation, antifungal susceptibility, and host range of Trichophyton mentagrophytes. Eur J Clin Microbiol Infect Dis. 2020; 39(11): 2099–2113. https://link.springer.com/article/10.1007/s10096-020-03952-2

Arifaa K, Zuleikha T, Hatta S. Management of a 23-year-old female patient with tinea pedis through a family doctor approach. J Health Agromedicine. 2025; 12(1): 215–228. https://juke.kedokteran.unila.ac.id/index.php/agro/search/authors/view?givenName=Arifaa%20Thalitha%20Zuleikha&familyName=&affiliation=FK%20UNILA&country=ID&authorName=Arifaa%20Thalitha%20Zuleikha

Prabowo DA, Anggraini MT, Ratnaningrum K, et al. Knowledge level, personal hygiene, and home environment associated with tinea incidence among fishermen in Kalianda District, Indonesia. J Anestesi J Ilmu Kesehatan dan Kedokteran. 2025; 3. https://jurnal.stikeskesdam4dip.ac.id/index.php/Anestesi/article/view/1614

Gnat S, Łagowski D, Dyląg M, Nowakiewicz A. European hedgehogs (Erinaceus europaeus L.) as a reservoir of dermatophytes in Poland. Microb Ecol. 2022; 84(2): 363–375. https://doi.org/10.1007/s00248-021-01866-w

Patel NH, Padhiyar JK, Patel AP, Chhebber AS, Patel BR. Psychosocial and financial impact of dermatophytosis: a questionnaire-based observational study. Indian Dermatol Online J. 2020; 10(4): 481–485. https://link.springer.com/article/10.1007/s10096-020-03952-2

Segal E, Elad D. Human and zoonotic dermatophytoses: epidemiological aspects. Front Microbiol. 2021; 12(August):1–10. https://doi.org/10.3389/fmicb.2021.713532

Leung AKC, Lam JM, Leong KF, Hon KL. Tinea corporis: an updated review. Drugs Context. 2020; 9: 1–12. https://doi.org/10.7573/dic.2020-5-6

Tang C, Kong X, Ahmed SA, Thakur R, Chowdhary A, Nenoff P, et al. Taxonomy of the Trichophyton mentagrophytes/T. interdigitale species complex harboring the multiresistant genotype T. indotineae. Mycopathologia. 2021; 186(3): 315–326.

https://doi.org/10.1007/s11046-021-00544-2.

Al Aboud AM, Crane JS. Tinea capitis. Treasure Island (FL): StatPearls Publishing; 2025. https://www.ncbi.nlm.nih.gov/books/NBK536909/

Tria F, Sari A, Angraini DI. Management of tinea corporis in cracker makers using a family medicine approach. 2020; 9: 12–18. http://repository.lppm.unila.ac.id/25221/1/2020_Juli_Majority_fauzia_DIA.pdf

Keshwania P, Kaur N, Chauhan J, Sharma G, Afzal O, Alfawaz Altamimi AS, et al. Superficial dermatophytosis across the world’s populations. ACS Omega. 2023; 8(35): 31575–31599. https://pubs.acs.org/doi/10.1021/acsomega.3c01988

Vazheva G, Zisova L. Tinea barbae profunda caused by Trichophyton rubrum: an autoinoculation from primary tinea pedis. 2021; 63(2): 292–296. https://pubmed.ncbi.nlm.nih.gov/33932023

Supenah P. Dermatophyte fungal infection among natural stone workers’ toenails in Bobos Village, Dukupuntang District, Cirebon Regency. Health Information Journal. 2020; 12(1): 38–45. https://doi.org/10.36990/hijp.vi.166

Zhan P, Ge YP, Lu XL, She XD, Li ZH, Liu WD. Two feet–one hand syndrome: a case–control analysis and laboratory study in two dermatology hospitals in China. Clin Exp Dermatol. 2024. DOI 10.1111/j.1365-2230.2009.03458.x

Sidabalok F, Nababan KA, Nababan ES. Knowledge, attitudes, and practices of grade XI science students regarding tinea cruris at SMA Negeri 1 Kutalimbaru, academic year 2016/2017. 2022; 12(2): 106–112. https://ojs.lppmmethodistmedan.net

Dhakal B, Shrestha BL, Shah S, Rijal S, Karki BB, Pangeni PM, et al. Knowledge, practice, and infection status of prisoners toward dermatomycosis in Nepal. Front Public Health. 2024; 12(July): 1–7. https://doi.org/10.3389/fpubh.2024.1406346

Sukmawati S, Ahmad H, Islam F, Akbar F. Risk factors for scabies incidence among students at Islamic boarding schools in Mamuju Regency, Indonesia. J Med Health. 2025; 7(2).

https://doi.org/10.28932/jmh.v7i2.9245

Jartarkar SR, Patil A, Goldust Y, Cockerell CJ, Schwartz RA, Grabbe S, et al. Pathogenesis, immunology, and management of dermatophytosis. J Fungi. 2022; 8(1): 1–15. https://doi.org/10.3390/jof8010039

Deng R, Wang X, Li R. Dermatophyte infection: from fungal pathogenicity to host immune responses. 2023; (November): 1–15. https://doi.org/10.3389/fimmu.2023.1285887

Zorah VB. Association between personal hygiene and obesity with tinea cruris incidence among patients at Amanda Medika Clinic. 2024; 2(3). https://journal.arikesi.or.id/index.php/Vitamin/article/view/463/552