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dc.contributor.authorRomay-Barja, Maria 
dc.contributor.authorIglesias-Rus, Laura 
dc.contributor.authorBoquete Blanco, Maria Teresa 
dc.contributor.authorBenito, Agustin 
dc.contributor.authorBlasco-Hernandez, Teresa
dc.identifier.citationInfect Dis Poverty. 2021 Apr 23;10(1):55.es_ES
dc.description.abstractChagas disease is endemic in Latin America and, over the last few decades, due to population movements, the disease has spread to other continents. Early diagnosis and treatment are critical in terms of improving outcomes for those living with Chagas disease. However, poor knowledge and awareness is one of barriers that affects access to Chagas disease diagnosis and treatment for the population at risk. Information regarding immigrants' knowledge concerning Chagas disease control and prevention is insufficient in non-endemic countries and, therefore, this study sought to assess Chagas disease knowledge and awareness within the Bolivian community residing in Madrid. This cross-sectional study was carried out in March-August 2017. A total of 376 Bolivians answered a structured questionnaire. A knowledge index was created based on respondents' knowledge about transmission, symptoms, diagnosis, and place to seek treatment. Multivariate logistic regressions analyses were performed to assess the factors associated with respondents' knowledge of Chagas disease. A total 159 (42.4%) of Bolivians interviewed about their knowledge of Chagas disease were men and 217 (57.6%) were women. Vinchuca was mentioned as mode of transmission by 71% of the Bolivians surveyed, while only 9% mentioned vertical transmission. Almost half of the Bolivians did not know any symptom of Chagas disease and only 47% knew that a specific blood test is necessary for diagnosis. Most of Bolivians were aware of the severity of Chagas disease, but 45% of Bolivians said that there is no cure for Chagas and 96% did not know any treatment. Based on the index of knowledge generated, only 34% of Bolivians had a good knowledge about Chagas disease transmission, symptoms, diagnosis and treatment. According to the multiple logistic regression analysis, knowledge regarding Chagas disease, diagnosis and treatment was significantly higher amongst older Bolivians who had secondary education at least, as well as amongst those who had already been tested for Chagas disease. This study found that most of the Bolivian population living in Spain had poor knowledge about Chagas disease transmission, symptoms, diagnostic methods and treatment. A poor understanding of the disease transmission and management is one of the most important barriers when it comes to searching for early diagnosis and appropriate care.es_ES
dc.description.sponsorshipThis study was funded by the Instituto de Salud Carlos III ( PI15CIII/00047 to TBH and the Tropical Diseases Research Network RD16CIII/003/001RICET ( The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.es_ES
dc.relation.isversionofPublisher's versiones_ES
dc.subjectChagas diseasees_ES
dc.subjectNon-endemic countryes_ES
dc.titleKey Chagas disease missing knowledge among at-risk population in Spain affecting diagnosis and treatment.es_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderInstituto de Salud Carlos III - ISCIIIes_ES
dc.contributor.funderRed de Investigación Cooperativa en Enfermedades Tropicales (España)es_ES
dc.identifier.journalInfectious Diseases of Povertyes_ES
dc.repisalud.centroISCIII::Centro Nacional de Medicina Tropicales_ES

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