Jorvand Reza, Chateripour Rahmat, Akbari Morteza, Panahi Rahman, Dayer Mohammad Saaid
Department of Public Health, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran.
Department of Biology and Vector Control, School of Health, Ilam University of Medical sciences, Ilam, Iran.
J Community Health. 2025 Sep 17. doi: 10.1007/s10900-025-01516-z.
Cutaneous leishmaniasis (CL) is an endemic disease prevalent in many parts of Iran, including Ilam Province. Conducted in Dehloran City from April 12 to 24, 2025, this study aimed to assess the determinants of the disease, particularly among schoolchildren, as the most vulnerable societal stratum. This descriptive-analytical study included 1,302 schoolchildren selected using a random cluster sampling method. Data was collected based on self-reporting using a validated (by an expert panel) and reliable (with a Cronbach's alpha of 78%) questionnaire. The data was analysed using SPSS version 22 software. Approximately 85% of participants had weak to average knowledge scores, with a mean of 1.88 ± 5.46. The average attitudes score of participants was 5.77 ± 20.97, with only 9.52% exhibiting positive preventive attitudes. More than 95% of participants had poor preventive behaviours. Most participants had weak or average knowledge, attitudes, and behaviours towards CL. There is an obvious shortcoming in health education in the elementary education system. Elementary schools should adopt CL educational intervention to control disease. This may be achieved by applying the theory and models of behaviour change.
皮肤利什曼病（CL）是一种在伊朗许多地区流行的地方病，包括伊拉姆省。这项于2025年4月12日至24日在德洛兰市开展的研究旨在评估该病的决定因素，特别是在作为最脆弱社会阶层的学童中。这项描述性分析研究纳入了1302名采用随机整群抽样方法选取的学童。数据通过使用经专家小组验证且可靠（克朗巴哈系数为78%）的问卷进行自我报告收集。数据使用SPSS 22版软件进行分析。约85%的参与者知识得分较弱至中等，平均分为1.88±5.46。参与者的平均态度得分为5.77±20.97，只有9.52%表现出积极的预防态度。超过95%的参与者预防行为较差。大多数参与者对CL的知识、态度和行为较弱或中等。基础教育系统中的健康教育存在明显不足。小学应采取CL教育干预措施来控制疾病。这可以通过应用行为改变理论和模型来实现。
