原创力文档risk factors for anthroponotic cutaneous leishmaniasis at the household level in kabul, afghanistananthroponotic皮肤利什曼病在家庭层面的风险因素在喀布尔,阿富汗.pdfVIP
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risk factors for anthroponotic cutaneous leishmaniasis at the household level in kabul, afghanistananthroponotic皮肤利什曼病在家庭层面的风险因素在喀布尔,阿富汗
Risk Factors for Anthroponotic Cutaneous Leishmaniasis
at the Household Level in Kabul, Afghanistan
Richard Reithinger*, Mohammad Mohsen, Toby Leslie
HealthNet TPO, Kabul, Afghanistan
Abstract
Background: Kabul, Afghanistan, is the largest focus of anthroponotic cutaneous leishmaniasis (ACL) in the world. ACL is a
protozoan disease transmitted to humans by the bite of phlebotomine sand flies. Although not fatal, ACL can lead to
considerable stigmatization of affected populations.
Methods: Using data from a standardized survey of 872 households in 4 wards of Kabul, Afghanistan, univariate and
multivariate logistic regression analyses tested associations between presence of active ACL and ACL scars with 15
household-level variables.
Findings: Univariate analyses showed that active ACL was positively associated with household member’s age, ACL
prevalence, and brick wall type, but negatively associated with household number of rooms, bednet use, and proportion of
windows with screens. Multivariate analysis showed a positive association between active ACL and household member’s
age, ACL prevalence, and brick wall type, and a negative association with household proportion of windows with screens.
Conclusion: Household-level charateristics were shown to be risk factors for ACL. Monitoring a selected number of
household characteristics could assist in rapid assessments of household-level variation in risk of ACL. ACL prevention and
control programs should consider improving house construction, including smoothing of walls and screening of windows.
Citation: Reithinger R, Mohsen M, Leslie T (2010) Risk Factors for Anthroponotic Cutaneous Leishmaniasis at the Household Level in Kabul, Afghanistan. PLoS
Negl Trop Dis 4(3): e0000639.
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