Salāmat-i ijtimā̒ī (Jan 2021)
Factors Affecting the Follow-up Delay among Cases with Cutaneous Leishmaniosis in Sistan and Baluchestan Province from 2009 to 2014
Abstract
Background and Objective: In despite of the advancements and achievements regarding the control of the diseases, Leishmaniosis is still known as one of the basic health concerns. The objective of this study was to determine the effective factors in the follow-up delay among registered cases infected with Cutaneous Leishmaniosis from 2009 to 2014 in Sistan and Baluchestan province, Iran. Materials and Methods: Participants of this analytic descriptive study included 2410 people infected with Cutaneous Leishmaniosis from cities covered by Zahedan and Iran-Shahr Medical Universities from 2009 to 2014. Census sampling method was conducted and data were collected through the two-part questionnaire which included demographic variables and disease information. SPSS software version 20 was used for statistical analysis in order to determine the most important effective factors in patients’ follow-up delay by implementing logistic regression. Results: The mean (SD) patients’ age was 19.3 (16.4) years, the size of the wounds were identified as 2.7 (1.5) centimeter, and patients follow-up delay was 59.7 (52.5) days. As many as 1502 of patients (62.6%) were male, and 2014 (83.6%) were female. 730 patients (30.3%) were kids. Pakis compared with Iranians 70% (P<0.01), nomads compared with urban citizens 83% (P=0.02), and patients with the history of simultaneous infection of other family members compared with the opposite group 39% (P=0.02) had the less possibility of follow-up delay. Patients who were referred from the private centers had 126% higher possibility of follow-up delay than those referred by the state health centers (P=0.02). Patients with the dry wound compared with those with wet wound had higher rate of follow-up (P< 0.01). Conclusion: The study showed that the delay in follow-up among patients infected by the Cutaneous Leishmaniosis in cities of Sistan and Baluchestan province was relatively high. The effective factors in decreasing the follow-up delays of the patients and treatment seeker included being Paki, nomads’ life place, referral from the state health centers, wet wound, and history of the simultaneous infection of the family members.
