{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T12:28:27Z","timestamp":1782563307618,"version":"3.54.5"},"reference-count":40,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,5]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>Leishmaniasis in Sri Lanka was first reported in the early 1990s. Cutaneous leishmaniasis (CL) cases have markedly increased in recent years, demanding due attention from health authorities. The spatial distribution of CL is not homogeneous. This case-control study investigated factors that may contribute to this heterogeneous distribution through a nationwide study. Information on sociodemographic, economic, and environmental characteristics was collected from study participants (cases, <jats:italic>n<\/jats:italic> = 303; controls, <jats:italic>n<\/jats:italic> = 2,762). All individuals were followed up for 3\u2009years, and signs of CL or associated complications were recorded. Differences in possible risk factors between cases and controls were analyzed. Individuals &lt;18\u2009years old, electricity supply, spending &gt;2\u2009hours outdoors, visiting jungles\/water bodies, and living near CL patients were identified as risk factors. Household members of 1.3% of cases, 2.3% of controls residing within a perimeter of 500\u2009m from a patient, and 0.8% of controls living beyond 2\u2009km from a case developed CL. Thus, CL in Sri Lanka appears intertwined with living environment and host behavior. Common environmental factors may be responsible for the higher risk of CL in individuals living in close proximity to CL patients. This may at least partly explain the clustering of CL cases in selected areas of the country.<\/jats:p>","DOI":"10.4269\/ajtmh.23-0623","type":"journal-article","created":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T17:47:31Z","timestamp":1712684851000},"page":"1110-1116","source":"Crossref","is-referenced-by-count":5,"title":["Risk Factor Analysis of Cutaneous Leishmaniasis in Sri Lanka through a Nationwide Survey"],"prefix":"10.4269","volume":"110","author":[{"given":"Rajika","family":"Dewasurendra","sequence":"first","affiliation":[{"name":"Department of Parasitology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilakshi","family":"Samaranayake","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Faculty of Medicine, University of Colombo, Colombo, Sri 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