In:
PLOS Neglected Tropical Diseases, Public Library of Science (PLoS), Vol. 18, No. 5 ( 2024-5-31), p. e0012182-
Abstract:
To understand the epidemiological distribution characteristics of mountain-type zoonotic visceral leishmaniasis (MT-ZVL) in Yangquan City, Shanxi Province, China, from 2006 to 2021, to explore the influencing factors leading to the re-emergence of the epidemic, and to provide a basis for the formulation of targeted control strategies. Methods Case information spanning from 2006 to 2021 in Yangquan City was collected for a retrospective case-control study conducted from June to September 2022. A 1:3 matched ratio was employed. A questionnaire was utilized to gather data on basic information, demographic characteristics, awareness of MT-ZVL knowledge, residence, and dog breeding and living habits. The study employed a multifactorial conditional stepwise logistic regression model to analyze the influencing factors. Results A total of 508 subjects was analyzed. Risk factors for MT-ZVL included the use of soil/stone/concrete as building materials ( OR = 3.932), presence of nearby empty/stone stack houses ( OR = 2.515), dog breeding ( OR = 4.215), presence of stray dogs ( OR = 2.767), and neighbor’s dog breeding ( OR = 1.953). Protective factors comprised knowledge of MT-ZVL ( OR = 0.113) and using mosquito repellents ( OR = 0.388). The findings indicate significant associations between environmental and behavioral factors and MT-ZVL incidence in Yangquan City, Shanxi Province, China, from 2006 to 2021. These results underscore the importance of public awareness campaigns and targeted interventions aimed at reducing exposure to risk factors and promoting protective measures to mitigate the re-emergence of MT-ZVL outbreaks. Conclusion House building materials, presence of neighboring empty houses, breeding domestic dogs and distribution of stray dogs surrounding the home are risk factors for MT-ZVL. Awareness of MT-ZVL and implementation of preventive measures during outdoor activities in summer and autumn are protective and may reduce the risk of MT-ZVL.
Type of Medium:
Online Resource
ISSN:
1935-2735
DOI:
10.1371/journal.pntd.0012182
DOI:
10.1371/journal.pntd.0012182.g001
DOI:
10.1371/journal.pntd.0012182.g002
DOI:
10.1371/journal.pntd.0012182.g003
DOI:
10.1371/journal.pntd.0012182.t001
DOI:
10.1371/journal.pntd.0012182.t002
DOI:
10.1371/journal.pntd.0012182.s001
DOI:
10.1371/journal.pntd.0012182.s002
DOI:
10.1371/journal.pntd.0012182.s003
DOI:
10.1371/journal.pntd.0012182.s004
DOI:
10.1371/journal.pntd.0012182.r001
DOI:
10.1371/journal.pntd.0012182.r002
DOI:
10.1371/journal.pntd.0012182.r003
DOI:
10.1371/journal.pntd.0012182.r004
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2024
detail.hit.zdb_id:
2429704-5
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