{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T14:15:37Z","timestamp":1777644937049,"version":"3.51.4"},"reference-count":31,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"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":[[2025,7,2]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>Understanding the at-risk population\u2019s perception of Chagas disease is essential for its effective prevention and control. A cross-sectional survey of knowledge, attitudes, and practices toward Chagas disease was conducted with Bolivians in a highly endemic region of Bolivia and Latin American migrants in London. In total, 175 participants completed the survey: 100 Bolivians in a highly endemic village in Santa Cruz, Bolivia and 75 Latin American migrants in London (of whom 31 were from Bolivia). All participants from the endemic village and all Bolivian migrants in London knew of Chagas disease, whereas only 25% of other Latin American migrants had heard of it (<jats:italic>P<\/jats:italic> &lt;0.001). In London, Bolivians had more knowledge of Chagas disease than those from other Chagas-endemic countries. In Bolivia only, better understanding of Chagas disease was associated with educational attainment. Only 4% of participants overall were aware of the risk of vertical transmission. Few Latin American migrants in London had previously been tested for Chagas disease, and most were not aware of how to access testing. Migration and level of endemicity may shape individuals\u2019 understanding of as well as attitudes and practices toward Chagas disease. A better understanding of these factors can guide effective prevention and control program development in both endemic and non-endemic settings.<\/jats:p>","DOI":"10.4269\/ajtmh.24-0516","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T20:33:42Z","timestamp":1746563622000},"page":"25-31","source":"Crossref","is-referenced-by-count":4,"title":["Knowledge, Attitudes, and Practices toward Chagas Disease: A Cross-Sectional Survey of Bolivians in the Gran Chaco and Latin American Migrants in London"],"prefix":"10.4269","volume":"113","author":[{"given":"Mar\u00eda","family":"del Carmen D\u00edez Hern\u00e1ndez","sequence":"first","affiliation":[{"name":"M\u00e9dicos del Mundo, Madrid, Spain;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Elkheir","sequence":"additional","affiliation":[{"name":"London School of Hygiene and Tropical Medicine, London, United Kingdom;"},{"name":"Hospital for Tropical Diseases, University College London Hospitals NHS Trust, London, United Kingdom;"},{"name":"United Kingdom Chagas Hub, London, United Kingdom;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Temitope","family":"Fisayo","sequence":"additional","affiliation":[{"name":"United Kingdom Chagas Hub, London, United Kingdom;"},{"name":"King\u2019s College London, London, United Kingdom;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"University of Warwick, Coventry, United Kingdom;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edson","family":"Grover Sa\u00f1er Liendo","sequence":"additional","affiliation":[{"name":"Hospital Japon\u00e9s, Santa Cruz de la Sierra, Bolivia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caryn","family":"Bern","sequence":"additional","affiliation":[{"name":"University of California, San Francisco School of Medicine, San Francisco, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A. J.","family":"Moore","sequence":"additional","affiliation":[{"name":"London School of Hygiene and Tropical Medicine, London, United Kingdom;"},{"name":"Hospital for Tropical Diseases, University College London Hospitals NHS Trust, London, United Kingdom;"},{"name":"United Kingdom Chagas Hub, London, United Kingdom;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Chagas Disease (Also Known as American trypanosomiasis)","year":"2023"},{"key":"b2","series-title":"Mem Inst Oswaldo Cruz","first-page":"856","article-title":"Ecoepidemiology, short history and control of Chagas disease in the endemic countries and the new challenge for non-endemic countries","volume":"109","author":"Coura","year":"2014"},{"key":"b3","series-title":"Control and Prevention of Chagas Disease in Europe. Report of a WHO Informal Consultation, Geneva","year":"2009"},{"key":"b4","series-title":"Chagas Disease: Migrant Health Guide. 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Estado Plurinacional de Bolivia. Ejercemos un periodismo comprometido con la verdad, la justicia y la raz\u00f3n. LA VERDAD SIEMPRE ES REVOLUCIONARIA","year":"2015"},{"key":"b20","series-title":"Rural Remote Health","first-page":"2845","article-title":"Knowledge and perceptions of Chagas disease in a rural Honduran community","volume":"14","author":"Donovan","year":"2014"},{"key":"b21","series-title":"Am J Trop Med Hyg","first-page":"915","article-title":"Chagas disease awareness among Latin American immigrants living in Los Angeles, California","volume":"91","author":"Sanchez","year":"2014"},{"key":"b22","series-title":"Am J Trop Med Hyg","first-page":"1350","article-title":"Congenital Chagas disease in the Ecuadorian Amazon: Maternal screening at delivery and evaluation of risk factors associated with vector exposure","volume":"101","author":"Restrepo Zambrano","year":"2019"},{"key":"b23","series-title":"PLoS One","first-page":"e0132830","article-title":"Social representations and practices towards triatomines and Chagas disease in Calakmul, M\u00e9xico","volume":"10","author":"Valdez-Tah","year":"2015"},{"key":"b24","series-title":"J Trop Med","first-page":"4561951","article-title":"Health care seeking behavior of persons with acute Chagas disease in rural Argentina: A qualitative view","volume":"2016","author":"Llovet","year":"2016"},{"key":"b25","series-title":"BMJ Open","first-page":"e013960","article-title":"Cross-sectional, descriptive study of Chagas disease among citizens of Bolivian origin living in Munich, Germany","volume":"7","author":"Navarro","year":"2017"},{"key":"b26","series-title":"BMJ Open","first-page":"e032546","article-title":"Knowledge, behaviour and attitudes towards Chagas disease among the Bolivian migrant population living in Japan: A cross-sectional study","volume":"10","author":"Iglesias Rodr\u00edguez","year":"2020"},{"key":"b27","series-title":"One in Five Positive: Community Screening for Chagas Disease in London, UK","author":"Elkheir","year":"2022"},{"key":"b28","series-title":"Am J Trop Med Hyg","first-page":"380","article-title":"Improving clinician awareness of and screening for Chagas disease with an educational intervention","volume":"111","author":"Wheelock","year":"2024"},{"key":"b29","series-title":"Towards Visibility: The Latin American Community in London","author":"McIlwaine","year":"2016"},{"key":"b30","series-title":"Trop Med Int Health","first-page":"1127","article-title":"Improving houses in the Bolivian Chaco increases effectiveness of residual insecticide spraying against infestation with Triatoma infestans, vector of Chagas disease","volume":"26","author":"Gon\u00e7alves","year":"2021"},{"key":"b31","series-title":"Parasit Vectors","first-page":"327","article-title":"Indoor residual spraying practices against Triatoma infestans in the Bolivian Chaco: Contributing factors to suboptimal insecticide delivery to treated households","volume":"14","author":"Gon\u00e7alves","year":"2021"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/113\/1\/article-p25.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/113\/1\/article-p25.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/113\/1\/article-p25.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T13:55:07Z","timestamp":1751464507000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/113\/1\/article-p25.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,2]]},"references-count":31,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.24-0516","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,2]]}}}