Factors associated with the expansion of leishmaniasis in urban areas: a systematic and bibliometric review (1959-2021).

Abstract

This work describes a systematic and bibliometric review of the factors that contribute to the expansion of leishmaniasis in urban areas. Three scientific databases were used: Scientific Electronic Library (SciELO), Scopus and Web of Science, encompassing all original and review articles between 1959 and 2021. Three descriptors were used: “leishmaniasis” AND “urban” AND “rural.” Planning, execution, summarization, and selection processes were performed using StArt (State of the Art through Systematic Review) software. We obtained a total of 304 articles, 60 of which concerned canine leishmaniasis. The factors associated with the expansion of leishmaniasis in urban areas are interrelated, including socioenvironmental and economic complexity, the type of leishmaniasis, the reservoirs, vectors, deforestation, disorderly occupation of space, poor sanitary conditions, and human migration trends. A lack of diagnosis and underreporting of cases in some regions may reflect the increase of cases seen in urban areas. A majority (n = 121) of studies were conducted in Brazil, followed by Iran (n = 43). In relation to publications; in general, output has increased over the years, particularly in 2021. The majority of published studies were in the area of epidemiology (n = 158).