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居住在流行地区与内脏利什曼病知识水平之间的关联。

Association between living in the endemic area and level of knowledge of visceral leishmaniasis.

机构信息

Arthropod-Borne Diseases Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.

Department of Public Health, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran.

出版信息

BMC Public Health. 2024 Jan 24;24(1):291. doi: 10.1186/s12889-024-17775-9.


DOI:10.1186/s12889-024-17775-9
PMID:38267911
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10809501/
Abstract

BACKGROUND: Iran is a country with a high prevalence of visceral leishmaniasis (VL) and seven endemic provinces. In this study, we tried to identify unobserved classes of knowledge among Iranians toward VL and assess the predictors of each latent class. METHODS: This cross-sectional study was conducted among randomly selected participants from endemic and non-endemic areas of VL in Iran in 2020 and 2021. The collected data included demographic characteristics and questions about knowledge, attitude, and practice toward VL. We performed latent class analysis using a procedure for latent class analysis (PROC LCA) in SAS to identify the class membership of knowledge of participants toward VL. RESULTS: Five latent classes were identified: very low (38.9%), low (15.5%), moderate (6.2%), high (14.1%), and very high (25.2%) knowledge about VL. Living in endemic areas significantly increased the odds of belonging to the low (adjusted OR (AOR = 7.23; 95% confidence interval (CI):4.52-11.58), high (AOR = 2.71; 95%CI: 1.73-4.23), and very high (AOR = 8.47; 95%CI: 5.78-12.41) classes compared to the very low class. Also, having academic education increased the odds of membership in the very high class (AOR = 2.36; 95%CI: 1.61-3.47) compared to the very low class. CONCLUSION: This study revealed that more than 50% of the participants fell into the latent classes of very low and low knowledge toward VL. Some educational workshops in the endemic areas could be effective in enhancing knowledge about VL.

摘要

背景:伊朗是内脏利什曼病(VL)高发国家,有七个地方性流行省份。本研究旨在确定伊朗人对 VL 的未观察到的知识类别,并评估每个潜在类别存在的预测因素。

方法:本横断面研究于 2020 年和 2021 年在伊朗 VL 地方性流行和非流行地区随机选择参与者进行。收集的数据包括人口统计学特征以及有关 VL 的知识、态度和实践的问题。我们使用 SAS 中的潜在类别分析程序(PROC LCA)进行潜在类别分析,以确定参与者对 VL 的知识类别归属。

结果:确定了五个潜在类别:VL 知识非常低(38.9%)、低(15.5%)、中等(6.2%)、高(14.1%)和非常高(25.2%)。居住在地方性流行地区会显著增加属于低(调整后的比值比(AOR)=7.23;95%置信区间(CI):4.52-11.58)、高(AOR=2.71;95%CI:1.73-4.23)和非常高(AOR=8.47;95%CI:5.78-12.41)类别的可能性,与 VL 知识非常低类相比。此外,与 VL 知识非常低类相比,具有学术教育会增加属于非常高类别(AOR=2.36;95%CI:1.61-3.47)的可能性。

结论:本研究表明,超过 50%的参与者属于 VL 知识非常低和低的潜在类别。在地方性流行地区开展一些教育研讨会可能会有效提高对 VL 的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d2b/10809501/2f097ff9292e/12889_2024_17775_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d2b/10809501/2f097ff9292e/12889_2024_17775_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d2b/10809501/2f097ff9292e/12889_2024_17775_Fig1_HTML.jpg

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本文引用的文献

[1]
Impact of socioeconomic status on the knowledge, attitudes, and practices about visceral leishmaniasis among dog owners.

J Infect Dev Ctries. 2021-10-31

[2]
Knowledge, attitude and practices towards visceral leishmaniasis among HIV patients: A cross-sectional study from Bihar, India.

PLoS One. 2021

[3]
A Review of Leishmaniasis: Current Knowledge and Future Directions.

Curr Trop Med Rep. 2021

[4]
Pattern of Crimean-Congo hemorrhagic fever related high risk behaviors among Iranian butchers and its relation to perceived self-efficacy.

BMC Public Health. 2021-1-30

[5]
Low Knowledge and Attitude Towards Visceral Leishmaniasis Among Migrants and Seasonal Farm Workers in Northwest Ethiopia.

Res Rep Trop Med. 2020-12-15

[6]
Innovative Solutions for the Control of Leishmaniases: Nanoscale Drug Delivery Systems.

Curr Pharm Des. 2019

[7]
Visceral Leishmaniasis: Recent Advances in Diagnostics and Treatment Regimens.

Infect Dis Clin North Am. 2019-3

[8]
Assessing Knowledge, Attitudes, and Preventive Practices Related to Kala-A: A Study of Rural Madhepura, Bihar, India.

Am J Trop Med Hyg. 2017-12-21

[9]
Knowledge of the population about visceral leishmaniasis transmission in endemic areas near the banks of the Mossoró River in northeastern Brazil.

Int J Environ Res Public Health. 2015-3-19

[10]
Knowledge, attitude, and practices related to cutaneous leishmaniasis in an endemic focus of cutaneous leishmaniasis, Southern Iran.

Asian Pac J Trop Biomed. 2014-7

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