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Anthroponotic Cutaneous Leishmaniasis: Knowledge, Attitudes, Practices, and Risk Factors among residents in endemic Communities in Kerman City in the Southeast of Iran
  • Alizadeh

Abstract

Anthroponotic cutaneous leishmaniasis (A.C.L) is a vector-borne protozoan disease transmitted to humans by the bite of blood-feeding female phlebotomine sand flies. In this study, we aimed to assess and compare the levels of knowledge, attitudes, and practices (KAP) towards A.C.L among residents in three endemic areas in the suburb of Kerman city. This study also aimed to identify the risk factors associated with the incidence of A.C.L in these endemic areas in the southeast of Iran. A descriptive cross-sectional study was conducted from January to March 2019 in three endemic areas in Kerman city; Allahabad, Shahrak Sanati, and Sarasiab. Overall, a structured questionnaire was used for data collection. A total of 195 residents who agreed to participate and complete the questionnaire were enrolled in this survey. Also, in this study, the risk factors for A.C.L in these areas were investigated, and the data were recorded with a checklist. Collected data were analyzed by using SPSS version 22. A total of 195 individuals responded to the questionnaire in this study. Among the respondents, 41.5 % were males and 58.5 % were females. Majority of the respondents (61%) claimed they have heard about A.C.L and are familiar with this infectious disease. Only 25%, 66.7% and 32% of the respondents had good knowledge, attitudes and practices, respectively towards A.C.L. The main risk factors for ACL identified in the study areas included construction waste, presence of old and dilapidated houses, poor sanitary conditions, refugee and immigration, and the presence of domestic animals in close physical proximity to humans. In general, the participants in this survey had a weak knowledge towards A.C.L. It is recommended that educational programs be implemented in order to improve the level of knowledge towards ACL among the residents in the endemic areas.