{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:55:33Z","timestamp":1777589733200,"version":"3.51.4"},"reference-count":32,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"6","license":[{"start":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T00:00:00Z","timestamp":1701820800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,6]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>Vector-borne diseases continue to impose a major health burden on Peru and neighboring countries. The challenge of addressing vector-borne disease is compounded by changing social, economic, and climatic conditions. Peri-urban Arequipa is an important region to study insect infestations because of ongoing challenges with disease vectors such as triatomines and a variety of other insects. We conducted surveys (<jats:italic>N<\/jats:italic> = 1,182) and seven focus groups (average seven participants) in peri-urban Arequipa to explore knowledge of and perception toward various insects that infest the region. Focus group participants reported the presence of a wide variety of insects in and around the home, including disease vectors such as triatomines (also identified by 27.2% of survey households), mosquitoes, spiders, and bed bugs, as well as nuisance insects. Health concerns related to insects included vector-borne diseases, spider bites, allergies, and sequelae from bed bug bites, and hygiene concerns. A majority of participants in the quantitative surveys identified triatomines as the insect they were most worried about (69.9%) and could identify Chagas disease as a health risk associated with triatomines (54.9%). Insect infestations in peri-urban Arequipa present multiple burdens to residents, including injury and illness from triatomines and other insects, as well as potential mental and economic concerns related to insects such as bed bugs. Future initiatives should continue to address triatomine infestations through educational outreach and implement a more holistic approach to address the burden of both disease and nuisance insects.<\/jats:p>","DOI":"10.4269\/ajtmh.23-0266","type":"journal-article","created":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T18:57:47Z","timestamp":1699297067000},"page":"1372-1379","source":"Crossref","is-referenced-by-count":2,"title":["Perceptions of Problems with Household Insects: Qualitative and Quantitative Findings from Peri-Urban Communities in Arequipa, Peru"],"prefix":"10.4269","volume":"109","author":[{"given":"Ricardo","family":"Castillo-Neyra","sequence":"first","affiliation":[{"name":"Zoonotic Disease Research Lab, One Health Unit, School of Public Health and Administration, Universidad Peruana Cayetano Heredia, San Mart\u00edn de Porres, Lima, Peru;"},{"name":"Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine at University of Pennsylvania, Philadelphia, Pennsylvania;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anika J.","family":"Larson","sequence":"additional","affiliation":[{"name":"University of Washington, School of Medicine, Seattle, Washington;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura D.","family":"Tamayo","sequence":"additional","affiliation":[{"name":"Zoonotic Disease Research Lab, One Health Unit, School of Public Health and Administration, Universidad Peruana Cayetano Heredia, San Mart\u00edn de Porres, Lima, Peru;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Arevalo-Nieto","sequence":"additional","affiliation":[{"name":"Zoonotic Disease Research Lab, One Health Unit, School of Public Health and Administration, Universidad Peruana Cayetano Heredia, San Mart\u00edn de Porres, Lima, Peru;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Brown","sequence":"additional","affiliation":[{"name":"Asociacion Benefica Prisma, Lima, Peru;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Condori-Pino","sequence":"additional","affiliation":[{"name":"Zoonotic Disease Research Lab, One Health Unit, School of Public Health and Administration, Universidad Peruana Cayetano Heredia, San Mart\u00edn de Porres, Lima, Peru;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Ortega","sequence":"additional","affiliation":[{"name":"Department of Tropical Medicine, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael Z.","family":"Levy","sequence":"additional","affiliation":[{"name":"Zoonotic Disease Research Lab, One Health Unit, School of Public Health and Administration, Universidad Peruana Cayetano Heredia, San Mart\u00edn de Porres, Lima, Peru;"},{"name":"Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine at University of Pennsylvania, Philadelphia, Pennsylvania;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerie A.","family":"Paz-Soldan","sequence":"additional","affiliation":[{"name":"Zoonotic Disease Research Lab, One Health Unit, School of Public Health and Administration, Universidad Peruana Cayetano Heredia, San Mart\u00edn de Porres, Lima, Peru;"},{"name":"Department of Tropical Medicine, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","year":"2017"},{"key":"b2","series-title":"Clin Infect Dis","first-page":"1822","article-title":"Chagas disease transmission in periurban communities of Arequipa, Peru","volume":"46","author":"Bowman","year":"2008"},{"key":"b3","series-title":"PLoS Negl Trop Dis","first-page":"e567","article-title":"Chagas disease, migration and community settlement patterns in Arequipa, Peru","volume":"3","author":"Bayer","year":"2009"},{"key":"b4","series-title":"PLoS Negl Trop Dis","first-page":"e970","article-title":"A history of Chagas disease transmission, control, and re-emergence in peri-rural La Joya, Peru","volume":"5","author":"Delgado","year":"2011"},{"key":"b5","series-title":"Glob Public Health","first-page":"65","article-title":"To spray or not to spray? 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