Estudio de los conocimientos, actitudes y prácticas de la leishmaniasis: evidencias del olvido estatal en el Darién Colombiano

Carrillo-Bonilla, Lina María; Trujillo, J.; Álvarez-Salas, Lizeth; Vélez-Bernal, Iván Darío

doi:10.1590/0102-311x00139713

Cited by 21 publications

(25 citation statements)

References 9 publications

(6 reference statements)

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“… 30 Furthermore, a 2014 Colombian study stated that perceived severity of CL was associated with lesion type, body location and the length of time someone had lived with a manifestation. 31 The latter factor might partly explain the relatively low scores observed in both questionnaires. Perceived stigma was encountered in 18% of our CL patients.…”

Section: Discussionmentioning

confidence: 99%

Stigma, participation restriction and mental distress in patients affected by leprosy, cutaneous leishmaniasis and Chagas disease: a pilot study in two co-endemic regions of eastern Colombia

Gomez¹,

Wijk

Selm

et al. 2020

Transactions of the Royal Society of Tropical Medicine and Hygiene

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Abstract Background Leprosy, cutaneous leishmaniasis (CL) and Chagas disease (CD) are neglected tropical diseases with a high psychosocial burden (PSB). These conditions are endemic in Norte de Santander and Arauca in Colombia, but data on the related PSB are scarce. Therefore, we assessed mental distress, participation restriction and stigma among CD, CL and leprosy patients. Methods In 2018, 305 leprosy, CD or CL patients were interviewed using a self-report questionnaire to assess mental distress, participation scale for participation restriction and explanatory model interview catalogue (EMIC) for stigma. Descriptive statistics and the significance of median score differences were compared. Results Fifty percent of CD patients and 49% of leprosy patients exhibited mental distress, percentages which were significantly higher than that of CL (26%). Twenty-seven percent of leprosy patients experienced participation restriction, which was lower for CL (6%) and CD (12%). Median EMIC scores were significantly higher for leprosy patients than for CD (27%) and CL (17%) patients. Conclusions We found high levels of PSB among leprosy, CD and CL patients. Mental distress was highest among CD patients. Participation restriction and stigma were more prevalent in leprosy patients. Rural residence or lower educational status may impact PSB. Further investigation is needed to formulate evidence-based, holistic interventions.

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Section: Discussionmentioning

confidence: 99%

Stigma, participation restriction and mental distress in patients affected by leprosy, cutaneous leishmaniasis and Chagas disease: a pilot study in two co-endemic regions of eastern Colombia

Gomez¹,

Wijk

Selm

et al. 2020

Transactions of the Royal Society of Tropical Medicine and Hygiene

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“…Even though there is a health post in most of the endemic communities, the conventional treatment and the equipment for laboratory diagnosis are often unavailable. The inability of primary care centres in remote endemic areas to manage diseases has been shown to be a common problem in several Latin American countries with diseases such as Chagas [30, 31], malaria and leishmaniasis [20–23, 32, 33].…”

Section: Discussionmentioning

confidence: 99%

Leishmaniasis patients' pilgrimage to access health care in rural Bolivia: a qualitative study using human rights to health approach

Eid

Sebastián

Hurtig

et al. 2019

BMC Int Health Hum Rights

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Background Leishmaniasis is a neglected tropical disease endemic in Bolivia that disproportionately affects people with little social and political capital. Although the treatment is provided free of charge by the Bolivian government, there is an under-utilization of treatments in relation to the estimated affected population. This study explores the experiences of patients with leishmaniasis and the challenges faced when searching for diagnosis and treatment in Bolivia using a human rights approach. Methods We conducted open-ended interviews with 14 participants diagnosed with leishmaniasis. The qualitative data were analysed using thematic analysis and were interpreted under a human rights approach to health care. Results Four themes emerged during data analysis: (1) the decision for seeking a cure takes time; (2) the severity of symptoms and disruption of functioning drives the search for Western medicine; (3) the therapeutic journey between Western and traditional medicine; and (4) accessibility barriers to receive adequate medical treatment. This study showed that access to health care limitations were the most important factors that prevented patients from receiving timely diagnosis and treatment. Cultural factors played a secondary role in their decision to seek medical care. Conclusions Accessibility barriers resulted in a large pilgrimage between public health care and traditional medicinal treatments for patients with leishmaniasis. This pilgrimage and the related costs are important factors that determine the decision to seek health care. This study contributes to the understanding of the under-utilisation problems of medical services in leishmaniasis and other similar diseases in remote and poor populations. Electronic supplementary material The online version of this article (10.1186/s12914-019-0196-4) contains supplementary material, which is available to authorized users.

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“…2,19,22 A alta taxa de transmissão da LCA em alguns municípios, pode ser associada à intradomicliar ou peridomiciliar, em função das condições socioeconômicas desfavoráveis como desnutrição, condições de moradia e saneamento como casas de madeira, com frestas que permitem à entrada do vetor; a presença de animais domésticos, a proximidade das residências dos fragmentos florestais, abastecimento de água, eletricidade, destinação de lixo e os conhecimentos e atitudes da população que em algumas localidades desconhecem aspectos fundamentais da epidemiologia da LCA. 14,[23][24][25] Esses fatores têm levado a uma maior proporção de LCA, em relação a outras localidades, de indivíduos do sexo feminino de idade até 20 anos, acometidas pela forma clínica mucosa. Esses achados são relevantes à medida que revelam a condição de vulnerabilidade nessas localidades.…”

Section: Discussionunclassified

Perfil da leishmaniose cutânea americana na Amazônia Sul-Ocidental brasileira: uma abordagem multivariada

Ribeiro

Ferraudo

Andrade

2018

Rev Epidemiol Control Infect

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Justificativa e Objetivos: A Leishmaniose Cutânea Americana (LCA) é uma doença de cadeia de transmissão complexa sujeita a diversos determinantes, em uma mesma região. Este estudo teve como objetivo analisar o comportamento e determinar o perfil epidemiológico da LCA em uma região da Amazônia Sul-ocidental utilizando técnicas de análises multivariadas. Métodos: Utilizou-se as informações do Sistema de Informação de Agravos de Notificação (Sinan), 2001 a 2010,para o estado do Acre e técnicas de análises de agrupamento hierárquico e de componentes principais.Resultados: Foram analisados um total de 10.984 casos de LCA e discriminados três grupos. O primeiro grupo se destacou por apresentar maior porcentagem de indivíduos do sexo feminino, com predominância da forma clínica mucosa, idade até 20 anos, que residiam e trabalhavam em áreas rurais e florestais; o segundo grupo foi discriminado por agrupar indivíduos do sexo masculino, com forma clínica cutânea, idade superior a 40 anos de idade, que residiam e trabalhavam em áreas urbanas; o terceiro grupo foi constituído por indivíduos do sexo masculino, forma clínica cutânea, idades entre 20 e 40 anos, que residiam e trabalhavam em áreas rurais. Conclusão: Há evidências que para cada tipo de transmissão de LCA florestal, urbano e rural, exista um perfil epidemiológico correspondente e as técnicas de análises multivariadas foram eficientes em destacar o comportamento da LCA relacionando-os ao perfil dos indivíduos acometidos.

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Estudio de los conocimientos, actitudes y prácticas de la leishmaniasis: evidencias del olvido estatal en el Darién Colombiano

Cited by 21 publications

References 9 publications

Stigma, participation restriction and mental distress in patients affected by leprosy, cutaneous leishmaniasis and Chagas disease: a pilot study in two co-endemic regions of eastern Colombia

Stigma, participation restriction and mental distress in patients affected by leprosy, cutaneous leishmaniasis and Chagas disease: a pilot study in two co-endemic regions of eastern Colombia

Leishmaniasis patients' pilgrimage to access health care in rural Bolivia: a qualitative study using human rights to health approach

Perfil da leishmaniose cutânea americana na Amazônia Sul-Ocidental brasileira: uma abordagem multivariada

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