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