PubTransformer

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PMID- 29261762
OWN - NLM
STAT- MEDLINE
DCOM- 20180108
LR  - 20180108
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 12
DP  - 2017
TI  - "The mosquitoes that destroy your face". Social impact of Cutaneous Leishmaniasis
      in South-eastern Morocco, A qualitative study.
PG  - e0189906
LID - 10.1371/journal.pone.0189906 [doi]
AB  - OBJECTIVE: To document the psychosocial burden of Cutaneous Leishmaniasis (CL) in
      rural communities in Southeastern Morocco. METHOD: Between March and April 2015, 
      we conducted qualitative research in communities exposed to Leishmania major or
      L. tropica in Errachidia and Tinghir provinces. Twenty-eight focus groups
      discussions (FGDs) were realized, with a stratification by gender and tradition
      of medicine (users of folk versus professional medicine). Data were analyzed
      using content analysis. RESULTS: This rural population most exposed to CL in
      Morocco lacks access to health care in general and clearly points out there are
      other major public health issues that need to be resolved. Nonetheless,
      respondents consider the impact of CL lesions and scars as important and similar 
      to that of burn scar tissue. Young women with CL scars in the face are
      stigmatized and will often be rejected for marriage in these communities. People 
      usually try a long list of folk remedies on the active lesions, but none was felt
      adequate. There was a clear demand for better treatment as well as for treatment 
      of the scars. CONCLUSIONS: The psycho-social impact of CL due to L.major and
      L.tropica is substantial, especially for young single women with facial scars.
      These generate social and self-stigma and diminish their marriage prospects. CL
      is well known, but not considered as a major health priority by these poor rural 
      communities in South-eastern Morocco where gender discrimination is still an
      issue and access to basic health care is as neglected as CL. Early CL diagnosis
      and new treatment options with better skin outcomes are urgently needed.
FAU - Bennis, Issam
AU  - Bennis I
AD  - National School of Public Health-Ministry of Health, Rabat, Morocco.
AD  - Department of Public Health-Institute of Tropical Medicine, Antwerp, Belgium.
AD  - Department of Biomedical Sciences-Faculty of Pharmaceutical, Biomedical and
      Veterinary Sciences- University of Antwerp, Antwerp, Belgium.
FAU - Belaid, Loubna
AU  - Belaid L
AD  - CRCHUM, Ecole de Sante Publique de l'Universite de Montreal, Montreal, Canada.
FAU - De Brouwere, Vincent
AU  - De Brouwere V
AD  - Department of Public Health-Institute of Tropical Medicine, Antwerp, Belgium.
FAU - Filali, Hind
AU  - Filali H
AD  - National School of Public Health-Ministry of Health, Rabat, Morocco.
FAU - Sahibi, Hamid
AU  - Sahibi H
AD  - Agronomy and Veterinary Institute Hassan II, Rabat, Morocco.
FAU - Boelaert, Marleen
AU  - Boelaert M
AUID- ORCID: http://orcid.org/0000-0001-8051-6776
AD  - Department of Public Health-Institute of Tropical Medicine, Antwerp, Belgium.
LA  - eng
PT  - Journal Article
DEP - 20171220
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Animals
MH  - Cicatrix/pathology
MH  - Culicidae/*physiology
MH  - Female
MH  - Geography
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Leishmaniasis, Cutaneous/*epidemiology/*psychology
MH  - Male
MH  - Middle Aged
MH  - Morocco/epidemiology
MH  - Patient Acceptance of Health Care
MH  - Perception
MH  - *Qualitative Research
MH  - Sexism
MH  - Young Adult
PMC - PMC5738074
EDAT- 2017/12/21 06:00
MHDA- 2018/01/09 06:00
CRDT- 2017/12/21 06:00
PHST- 2017/09/25 00:00 [received]
PHST- 2017/12/04 00:00 [accepted]
PHST- 2017/12/21 06:00 [entrez]
PHST- 2017/12/21 06:00 [pubmed]
PHST- 2018/01/09 06:00 [medline]
AID - 10.1371/journal.pone.0189906 [doi]
AID - PONE-D-17-30446 [pii]
PST - epublish
SO  - PLoS One. 2017 Dec 20;12(12):e0189906. doi: 10.1371/journal.pone.0189906.
      eCollection 2017.