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Psychosocial impact of scars due to cutaneous leishmaniasis on high school students in Errachidia province,Morocco

Infectious Diseases of Poverty 2017年第1期6卷 410-417页

作者： Issam Bennis Severine Thys Hind Filali Vincent De Brouwere hamid sahibi Marleen Boelaert National School of Public Health Ministry of HealthRabatMorocco Department of Public Health Institute of Tropical MedicineAntwerpBelgium Department of Biomedical Sciences Faculty of PharmaceuticalBiomedical and Veterinary SciencesUniversity of AntwerpAntwerpBelgium Hassan II Institute of Agronomy and Veterinary RabatMorocco Ecole Nationale de SantePublique Rue Lemfedel CherkaouiMadinat Al Irfane 10000RabatMorocco

Background:In Morocco,cutaneous leishmaniasis(CL)is usually known to be a slowly healing localized skin disease,but in some cases,it can lead to mutilating *** outbreak of CL due to Leishmania major in the Errachidia province in southeastern Morocco between 2008 and 2010 left many adolescents with permanent scar tissue on the face or other exposed body *** studied the psychosocial impact of CL on these young ***:In 2015 we conducted a cross-sectional survey among high-school students living in boarding schools in two CL-endemic areas of Errachidia:Rissani and Tinejdad.A self-administered questionnaire elicited responses about general knowledge of CL and related *** open-ended question focused on the possible psychosocial effects associated with these *** quantitative data were analyzed with Epi Info^(TM)and the text data with NVivo ***:Almost 20%of 448 respondents reported they had experienced a CL lesion and 87%said it could possibly or definitely lead to psychological *** text analysis showed that girls more often than boys expanded on the negative psychological effects of *** students considered CL as“dangerous”,“serious”,and“deathly”,and said it sometimes led to extreme suicidal ***:The burden of CL in this age group is not *** indelible CL scars lead to self-stigma and social stigma,and the emergence of negative psychological effects in this age *** some students accepted their CL scars and related suffering as their“destiny”,others were eagerly demanding protective measures against CL and treatment for the scars.

关键词： Belief Body image Cutaneous leishmaniasis Leishmania major Scars Self-concept Self-stigma Social stigma Students Adolescents Errachidia Morocco

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