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Socioeconomic, demographic and landscape factors associated with cutaneous leishmaniasis in Kurunegala District, Sri Lanka.

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dc.contributor.author Wijerathna, T
dc.contributor.author Gunathilaka, N.
dc.contributor.author Gunawardena, K.
dc.contributor.author Rodrigo, W.
dc.date.accessioned 2020-05-19T08:23:26Z
dc.date.available 2020-05-19T08:23:26Z
dc.date.issued 2020
dc.identifier.citation Parasit Vectors. 2020 May 12;13(1):244 en_US
dc.identifier.issn 1756-3305 (Electronic)
dc.identifier.issn 1756-3305 (Linking)
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/21081
dc.description Indexed in MEDLINE. en_US
dc.description.abstract BACKGROUND: Leishmaniasis is a neglected tropical disease that affects countries in the developing world. In Sri Lanka, cutaneous leishmaniasis is the most common form of the disease. It is prevalent in dry and intermediate zones, mostly associated with rural settings. Understanding basic risk factors is critical in the management of the disease with effective interventions. This study is focused on assessing the demographic, socioeconomic and landscape factors associated with leishmaniasis in Kurunegala District, Sri Lanka. METHODS: A descriptive cross-sectional study was conducted. Households of the past patients and randomly selected households, which had no history of leishmaniasis cases were interviewed. The clinical, socioeconomic, demographic, landscape and awareness-related data were obtained using a pre-tested, interviewer-administered questionnaire. RESULTS: A total of 101 patients and a similar number of controls were included in the study. All the patients had the cutaneous form of the disease. Housewives and personnel with monthly incomes less than Rs. 10,000 (56.76 USD) were 3.9- and 9.5-times more prone to the disease, respectively, according to multivariate analysis. Presence of decaying garbage, termite hills, unclear areas, wet soil and gardening areas were always associated with the increased odds of acquiring the disease. CONCLUSIONS: Demographic factors do not play a pivotal role in the prevalence of leishmaniasis in the area. Housewives, inhabitants with low incomes and individuals who live in areas with conditions suitable for sand fly breeding and resting are major groups with a higher risk of infection. Special attention must be given in raising awareness and environmental management in control activities. KEYWORDS: Leishmaniasis; Risk factors; Sand fly; Socioeconomic en_US
dc.language.iso en_US en_US
dc.publisher BioMed Central en_US
dc.subject Socioeconomics en_US
dc.title Socioeconomic, demographic and landscape factors associated with cutaneous leishmaniasis in Kurunegala District, Sri Lanka. en_US
dc.type Article en_US


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