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

Overview of attention for article published in Infectious Diseases of Poverty, April 2017
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Title
Psychosocial impact of scars due to cutaneous leishmaniasis on high school students in Errachidia province, Morocco
Published in
Infectious Diseases of Poverty, April 2017
DOI 10.1186/s40249-017-0267-5
Pubmed ID
Authors

Issam Bennis, Séverine Thys, Hind Filali, Vincent De Brouwere, Hamid Sahibi, Marleen Boelaert

Abstract

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 scars. The 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 parts. We studied the psychosocial impact of CL on these young people. 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 scars. An open-ended question focused on the possible psychosocial effects associated with these scars. The quantitative data were analyzed with Epi Info™ and the text data with NVivo software. Almost 20% of 448 respondents reported they had experienced a CL lesion and 87% said it could possibly or definitely lead to psychological consequences. The text analysis showed that girls more often than boys expanded on the negative psychological effects of CL. The students considered CL as "dangerous", "serious", and "deathly", and said it sometimes led to extreme suicidal ideations. The burden of CL in this age group is not negligible. The indelible CL scars lead to self-stigma and social stigma, and the emergence of negative psychological effects in this age group. While 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.

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Geographical breakdown

Country Count As %
Unknown 160 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 22 14%
Student > Bachelor 19 12%
Researcher 18 11%
Student > Doctoral Student 12 8%
Student > Ph. D. Student 11 7%
Other 21 13%
Unknown 57 36%
Readers by discipline Count As %
Medicine and Dentistry 29 18%
Psychology 14 9%
Biochemistry, Genetics and Molecular Biology 12 8%
Nursing and Health Professions 8 5%
Agricultural and Biological Sciences 7 4%
Other 31 19%
Unknown 59 37%