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Even though several epidemiological studies have been conducted on leptospirosis in the Asia-Pacific region, the sociocultural background of this disease has not received sufficient attention. Therefore, through a qualitative study involving nine public health officials and 25 infected patients in five selected health administrative divisions, we demonstrate that a set of certain sociocultural determinants influence leptospirosis incidence and its prevalence. The thematic analysis generated six themes: a lack of knowledge of the causes and consequences of leptospirosis, false illness interpretations, a lack of readiness for the disease, poor economic conditions, social capital failure, and issues within the health system at the community level. Overall, results suggest that awareness programs aimed at demystifying false interpretations of leptospirosis lie at the center of any health promotion interventions at the community level.<\/jats:p>","DOI":"10.1177\/10105395241265259","type":"journal-article","created":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T03:00:34Z","timestamp":1721962834000},"page":"565-573","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Unraveling Sociocultural Influences on Leptospirosis Incidence and Prevalence: A Qualitative Study in Sri Lanka"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9826-691X","authenticated-orcid":false,"given":"Samitha","family":"Udayanga","sequence":"first","affiliation":[{"name":"Department of Sociology, University of Ruhuna, Matara, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesha","family":"Kankanamge","sequence":"additional","affiliation":[{"name":"School of Humanities, Social Sciences and Law, University of Dundee, Dundee, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thilini","family":"Gamage","sequence":"additional","affiliation":[{"name":"Department of Sociology, University of Stockholm, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4046-315X","authenticated-orcid":false,"given":"Lahiru","family":"Suresh De Zoysa","sequence":"additional","affiliation":[{"name":"Department of Sociology, University of Ruhuna, Matara, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasasi","family":"Chamathya","sequence":"additional","affiliation":[{"name":"Department of Sociology, University of Ruhuna, Matara, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BKA","family":"Bellanthudawa","sequence":"additional","affiliation":[{"name":"Department of Agricultural Engineering and Environmental Technology, University of Ruhuna, Matara, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samadara","family":"Batuwanthudawa","sequence":"additional","affiliation":[{"name":"Department of Sociology, University of Ruhuna, Matara, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirosha","family":"Ruwanpathirana","sequence":"additional","affiliation":[{"name":"Department of Sociology, University of Ruhuna, Matara, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nimantha","family":"Gayashan","sequence":"additional","affiliation":[{"name":"Department of Sociology, University of Ruhuna, Matara, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suranjith","family":"Gunasekara","sequence":"additional","affiliation":[{"name":"Department of Sociology, University of Ruhuna, Matara, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"EPS","family":"Chandana","sequence":"additional","affiliation":[{"name":"Department of Biosystem Technology, University of Ruhuna, Matara, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,7,26]]},"reference":[{"key":"bibr1-10105395241265259","unstructured":"European Climate and Health Observatory. 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