Department of Nursing and Midwifery, Dessie Health Science College, Dessie, Ethiopia.
Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
PLoS Negl Trop Dis. 2024 Aug 22;18(8):e0012427. doi: 10.1371/journal.pntd.0012427. eCollection 2024 Aug.
Cutaneous leishmaniasis is a widespread parasitic infection in Ethiopia. Few studies have been conducted on knowledge, attitudes, and prevention practice related to cutaneous leishmaniasis, and the existing studies have been mainly without qualitative support. This study aimed to assess the knowledge, attitude, prevention practice and lived experience towards cutaneous leishmaniasis and associated factors among residents of the Kutaber district, Northeast Ethiopia.
A convergent parallel mixed method was conducted among 636 residents (for quantitative) and 20 in-depth interview participants (for qualitative) of the Kutaber district from July 1 to August 15, 2022. Quantitative data were entered into Epi-Data version 4.6 and exported to SPSS version 25 for cleaning and analysis. ATLAS.ti software version 8.0 was used for the analysis of qualitative data.
The survey respondents in Kutaber district showed good knowledge (47.5%), a positive attitude towards (54.1%) and a good prevention practice (35.3%) regarding cutaneous leishmaniasis. Residents who were unable to read and write [AOR = 0.15] had lower odds to have good knowledge about cutaneous leishmaniasis. Residents aged >54.5 years [AOR = 0.33] had lower odds to have a positive attitude towards cutaneous leishmaniasis. Males [AOR = 1.76] had a good prevention practice towards cutaneous leishmaniasis. Five main study themes were formed following the qualitative analysis of the data.
Residents of Kutaber district have a poor overall knowledge and prevention practice towards cutaneous leishmaniasis, despite having a positive attitude. The educational status of residents and years of residence were factors significantly associated with knowledge about cutaneous leishmaniasis. Age and years of residence were factors significantly associated with attitude towards cutaneous leishmaniasis. Gender, age, and household wealth were factors significantly associated with prevention practice towards cutaneous leishmaniasis. Cutaneous leishmaniasis in Kutaber is a true health problem.
皮肤利什曼病是埃塞俄比亚一种广泛流行的寄生虫感染。关于皮肤利什曼病的知识、态度和预防实践的研究很少，现有的研究主要没有定性支持。本研究旨在评估东北埃塞俄比亚库塔伯区居民对皮肤利什曼病的知识、态度、预防实践和生活体验及其相关因素。
2022 年 7 月 1 日至 8 月 15 日，在库塔伯区进行了一项汇聚平行混合方法研究，共有 636 名居民（定量）和 20 名深入访谈参与者（定性）参与。定量数据输入 Epi-Data 版本 4.6 并导出到 SPSS 版本 25 进行清理和分析。ATLAS.ti 软件版本 8.0 用于分析定性数据。
库塔伯区的调查对象对皮肤利什曼病表现出良好的知识（47.5%）、积极的态度（54.1%）和良好的预防实践（35.3%）。无法读写的居民[比值比（AOR）=0.15]对皮肤利什曼病的知识较低。年龄>54.5 岁的居民[AOR=0.33]对皮肤利什曼病的态度较低。男性[AOR=1.76]对皮肤利什曼病有良好的预防实践。对数据进行定性分析后形成了五个主要研究主题。
库塔伯区居民对皮肤利什曼病的总体知识和预防实践较差，尽管态度积极。居民的教育程度和居住年限是与皮肤利什曼病知识相关的重要因素。年龄和居住年限是与皮肤利什曼病态度相关的重要因素。性别、年龄和家庭财富是与皮肤利什曼病预防实践相关的重要因素。库塔伯的皮肤利什曼病是一个真正的健康问题。
