02278nas a2200253 4500000000100000008004100001260004400042653002900086653000900115653002500124653002400149653001700173100001700190700001300207700001600220700002600236700001300262245013700275856005900412300000800471490000700479520152400486022001402010 2024 d bSpringer Science and Business Media LLC10aLeishmaniasis, Cutaneous10aIran10aBehavioral intention10aPreventive behavior10aBASNEF model1 aMoradi-Asl E1 aLatifi A1 aRashtbari M1 aAbbasi-Ghahramanloo A1 aRahimi S00aPrediction of preventive behaviors of cutaneous leishmaniasis in the endemic areas of northwest Iran: an application of BASNEF model uhttps://www.nature.com/articles/s41598-024-64600-9.pdf a1-60 v143 a

Cutaneous leishmaniasis (CL) is a disease transmitted by mosquitoes and is endemic in many regions of the world and Iran, and annually imposes a large burden on the health system. This study was conducted to identify the effective factors in the preventive behaviors of CL based on the BASNEF model in endemic areas in the northwest of Iran. This cross-sectional study was conducted in Bileh-Savar, ‘endemic areas of Ardabil Province, Iran’, from June 2022 to October 2022. 200 non-patients were included in the study by a multi-stage sampling method. A standard questionnaire based on the BASNEF model was applied for data collection. The data were analyzed using SPSS version 25. Means and standard deviations were calculated to describe the continuous variables, and multivariate linear regression analysis was used to determine the prediction of intention and behavior by the model structures. The BASNEF constructs predict 27% of behavioral intention changes. Among the constructs, attitude has a greater contribution in predicting changes (R2 = 0.27, p < 0.01). Also, the results showed that the BASNEF constructs predict 23% of behavior changes. Among the constructs, enabling factors have a greater contribution to predicting changes (R2 = 0.23, p < 0.01). This finding shows that behavior is more influenced by environmental factors, and educational interventions based on behavior change models, along with providing environmental conditions, can facilitate behavior change.

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