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A case-control study was carried out during 1990-1994 to identify risk factors associated with American cutaneous leishmaniasis (ACL) in Santiago del Estero, Argentina. The study subjects consisted of 171 cases and 308 controls matched by age, sex, and place of residence. The analysis was performed by conditional logistic regression. Risk factors found to be significantly associated with ACL were related to indoor transmission (few rooms in the house, dirt floor, and a permanent opening in lieu of a window); peridomestic transmission (presence of a pond or woodland within 150 m of the house and an agricultural area within 200 m of the house); and human behavior (sleeping in the backyard, collecting water, bathing, and performing agricultural activities). Most transmission appears to have occurred indoors and in the peridomicile. These environments should be included in further research and control policies.

Type

Journal article

Journal

Am J Trop Med Hyg

Publication Date

05/2003

Volume

68

Pages

519 - 526

Keywords

Adolescent, Adult, Animals, Argentina, Armadillos, Behavior, Case-Control Studies, Child, Child, Preschool, Female, Geography, Housing, Humans, Infant, Insects, Interviews as Topic, Leishmaniasis, Cutaneous, Logistic Models, Male, Middle Aged, Multivariate Analysis, Odds Ratio, Psychodidae, Retrospective Studies, Risk Factors