Evidence map›Paper›PMID 27114426›Full record

ArticleInternational health2016

Interpretations of education about gene-environment influences on health in rural Ethiopia: the context of a neglected tropical disease.

Abebayehu Tora, Desta Ayode, Getnet Tadele, David Farrell, Gail Davey, Colleen M McBride

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In one paragraph

Article in International health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Abebayehu ToraAddis Ababa University, College of Social Sciences, P.O. Box 180505, Addis Ababa, Ethiopia.
Desta AyodeAddis Ababa University, College of Social Sciences, P.O. Box 180505, Addis Ababa, Ethiopia.
Getnet TadeleAddis Ababa University, College of Social Sciences, P.O. Box 180505, Addis Ababa, Ethiopia.
David FarrellPeople Designs Inc., 1304 Broad St, Durham NC, 27705, USA.
Gail DaveyWellcome Trust Centre for Global Health Research, Brighton and Sussex Medical School, Falmer, Brighton BN19PX, UK.
Colleen M McBrideEmory Rollins School of Public Health, 1518 Clifton Rd NE, GCR 564, Atlanta GA 30322, USA cmmcbri@emory.edu.

Funding

Wellcome Trust 091956
6 · The paper itself

Abstract

backgroundMisunderstandings of the role of genetics in disease development are associated with stigmatizing behaviors and fatalistic attitudes about prevention. This report describes an evaluation of community understanding of an educational module about genetic and environmental influences on the development of podoconiosis, a neglected tropical disease endemic in highland Ethiopia.

methodsA qualitative process assessment was conducted as part of a large prospective intervention trial in August 2013, in Wolaita Zone, southern Ethiopia. Sixty five participants were purposively selected from 600 households randomized to receive the inherited susceptibility module. The educational module used pictorial representations and oral explanations of the interaction of inherited sensitivity and soil exposure and was delivered by lay health educators in participants' homes. Data were collected using semi-structured individual interviews (IDIs) or focus group discussions (FGDs).

resultsQualitative analyses showed that most participants improved their understanding of inherited soil sensitivity and susceptibility to podoconiosis. Participants linked their new understanding to decreased stigma-related attitudes. The module also corrected misconceptions that the condition was contagious, again diminishing stigmatizing attitudes. Lastly, these improvements in understanding increased the perceived value of foot protection.

conclusionsTaken together, these improvements support the acceptability, feasibility and potential benefits of implementing gene-environment education in low and middle income countries.

Indexed as

Gene-Environment InteractionAdultElephantiasisEthiopiaFemaleFocus GroupsHealth EducationHumansMaleMiddle AgedNeglected DiseasesProspective StudiesRural PopulationTropical MedicineEthiopiaGene-environmentHealth educationPodoconiosis

Identifiers

PMID27114426
PMCPMC4967847

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.