title: Domestic and peridomestic risk factors associated with transmission of cutaneous leishmaniasis in three hypo endemic, endemic, and hyper endemic areas: A randomized epidemiological study.
abstract: BACKGROUND
  Leishmaniasis is an infection caused by leishmania protozoa. Knowledge about health effects associated with environment situation and human behavior in national and local levels seems to be very necessary.
  
  
  METHODS
  This cross-sectional case-control study was carried out in three adjacent counties of Isfahan province in Iran. Data were collected by face-to-face interviewing and recorded structured questionnaire. Statistical analysis was performed using Chi-square test and logistic. P < 0.05 was considered as significant.
  
  
  RESULTS
  The economic level had significant association with cutaneous leishmaniasis (CL) transmission (P < 0.05). However, there was no significant association between existence of food storage and transmission of CL. We, however, found significant reduction of CL transmission following use of insect control measures (P < 0.05). The odds ratio for peridomestic transmission was 0.420 for houses that weren't round with any old or ruined houses.
  
  
  CONCLUSIONS
  We conclude that among aforementioned risk factors, the impact of peridomestic factors is stronger in CL transmission when compared with domestic and behavioral factors.
authors.affiliation: Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran, Iran ; Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Mohammad Ali
authors.initials: MA
authors.lastname: Nilforoushzadeh
authors.affiliation: Skin Diseases and Leishmaniasis Research Center, Department of Biostatical and Epidemiologic, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Seyed Mohsen
authors.initials: SM
authors.lastname: Hosseini
authors.affiliation: Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Asieh
authors.initials: A
authors.lastname: Heidari
authors.affiliation: Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Leila Shirani
authors.initials: LS
authors.lastname: Bidabadi
authors.affiliation: Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Amir Hossein
authors.initials: AH
authors.lastname: Siadat
keywords: Cutaneous leishmaniasis; domestic; human behavior; peridomestic; risk factors