Peer Review Report For: Determinants of urban mosquito population density and community responses: A cross-sectional study [version 4; peer review: 2 approved, 2 approved with reservations, 1 not approved]

Background Vector-borne diseases transmitted by various arthropods account for approximately 17% of the global burden of infectious diseases. These arthropods, especially mosquitoes, are particularly rampant in Mangalore because of the humid coastal climate and scaling urbanization. Objectives To identify key environmental and household determinants of mosquito presence in urban Mangalore, to assess household-level prevention practices, and to evaluate community perceptions and self-reported disease burden towards mosquito-borne diseases. Methods The study involved households in selected wards of the urban field practice area of the Department of Community Medicine, a teaching and service field area under the Mangalore City Corporation, selected through convenience sampling. Data were collected using a semi-structured questionnaire covering sociodemographic details, mosquito proliferation, breeding determinants, behavioral measures, perception of mosquito control, and self-reported cases of mosquito-borne diseases. The data were analyzed using Jamovi version 2.6.26. Results Among 95 respondents (70.5% female and 94.8% literate), 42.1% reported an increase in mosquito breeding sites over the past year, 69.4% recognized the rainy season as the peak period of mosquito activity. Water stagnation [74.7% (95% CI: 64.8–83.1)] and ongoing construction activity [32.4% (95% CI: 21.8–44.1)] emerged as significant environmental determinants of higher mosquito density which was not statistically significant. A large majority of households (91.6%) reported using chemical measures for mosquito prevention, while 92.6% of participants were aware of mosquito-borne diseases. Despite this, nearly one-third (29.4%) of respondents had experienced a mosquito-borne illness in the preceding year, with 71.4% dengue infection. The use of mosquito repellents was paradoxically associated with a higher prevalence of mosquito-borne diseases (OR = 3.7; 95% CI: 1.4–9.6; p = 0.024). Conclusion Although awareness and preventive measure uptake were high, gaps remain in consistent environmental control and municipal interventions. Strengthening local authority action on water stagnation and construction-site management is essential for sustainable vector control.