Rajabi N, Fadaei R, Khazeni A, Ramezanpour J, Nasiri Esfahani S, Yadegarfar G. Evaluation of Community Interventions in Changes in Incidence of Cutaneous Leishmaniasis in Isfahan Province from 2002 to 2018: An Interrupted Time Series Regression Analysis. irje 2021; 17 (3) :292-301
URL:
http://irje.tums.ac.ir/article-1-7040-en.html
1- Master of Epidemiology, Student Research Committee, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
2- PhD of Infectious Diseases, Head of the Department of Disease Control, Isfahan Province, Isfahan University of Medical Sciences, Isfahan, Iran
3- PhD in Entomology, Isfahan Province Diseases Control Unit, Isfahan University of Medical Sciences, Isfahan, Iran
4- Zoonotic Expert of Isfahan Province Disease Control Unit, Isfahan University of Medical Sciences, Isfahan, Iran
5- Master of Health Education, Shahid Beheshti University of Science, Tehran, Iran
6- Associate Professor, PhD in Epidemiology, Department of Epidemiology and Biostatistics, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran, & University of Central Lancashire, Preston, UK, PR1 2HE , gh_yadegarfar@hlth.mui.ac.ir, gyadegarfar@uclan.ac.uk
Abstract: (1989 Views)
Background and Objectives: Due to the importance of cutaneous leishmaniasis, the national leishmaniasis project began in 2007 in Iran. The aim of the present study was to evaluate community interventions in changes in the incidence of cutaneous leishmaniasis in Isfahan Province from 2002 to 2018: an Interrupted time series regression analysis.
Materials and Methods: The present study was a repeated cross-sectional study. The incidence and 95% confidence interval were used to describe the disease trend. Data were entered into the Excel and analyzed using STATA14 software at a significance level of 5%. Intermittent time series regression analysis was used to evaluate community interventions in changes of leishmaniasis incidence.
Results: from 2002 to 2018, the data of 43,904 patients with leishmaniasis was registered in Isfahan Health Centers. The mean (standard deviation) age of the patients was 23.99 (19.03) years. The incidence had a decreasing trend after the interventions in all affiliated cities and the whole province.
Conclusion: The preventive intervention programs of the provincial health center have been rather successful and have reduced the incidence of the disease in the years after the intervention, so that despite the large number of confounding and influential factors regarding this disease, preventive intervention programs have led to disease control according to the reported annual incidence.
Type of Study:
Research |
Subject:
Epidemiology Received: 2022/01/18 | Accepted: 2021/12/1 | Published: 2021/12/1
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