BACKGROUND: The incidence of dengue hemorrhagic fever (DHF) has experienced rapid development throughout the world in recent decades. Indonesia was reported as the 2nd country with the largest DHF cases among 30 endemic countries. Dengue virus can develop properly based on certain regional conditions. The elevation is an important factor that can affect the presence of dengue vector mosquitoes. High population density contributes to dengue transmission by increasing the contact between infected mosquitoes and human hosts. AIM: This study aimed to determine the correlation between elevation and population density with the incidence of dengue in Kendari City in 2014–2018. METHODS: This research is an observational analytic study with ecological study design. Data incidence of DHF in 2014–2018, elevation and population density were respectively obtained from the Health Office of Kendari City, Meteorology, Climatology and Geophysics Agency of Kendari City, Statistics Agency of Kendari City. The analysis of the data used in the study is univariate and bivariate analysis. Bivariate analysis using Pearson correlation test was performed. RESULTS: The results showed that the correlation between elevation and DHF (p = 0.014, r = 0.339) and the correlation between population density and DHF (p = 0.186). CONCLUSION: It can be concluded that there is significant correlation with positive direction between elevation and the DHF, and there is no significant correlation between population density and DHF incidence in Kendari City in 2014–2018.