Evidence map›Paper›PMID 35468233›Full record

ArticleJournal of genetic counseling2022

Mental models about heredity among immigrant Latinx adults with limited education from Mexico and Central America.

Joanne C Sandberg, Grisel Trejo, Timothy D Howard, DaKysha Moore, Thomas A Arcury, Sara A Quandt, Paul Kortenaar, Edward H Ip

Abstract read
In one paragraph

Article in Journal of genetic counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Joanne C SandbergDepartment of Family & Community Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0001-6056-6186
Grisel TrejoDepartment of Family & Community Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0002-0203-5114
Timothy D HowardDepartment of Biochemistry, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0003-2518-4902
DaKysha MooreDepartment of Visual, Performing & Communication Arts, Johnson C. Smith University, Charlotte, North Carolina, USA.ORCID 0000-0001-7008-6899
Thomas A ArcuryDepartment of Family & Community Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0001-9523-9492
Sara A QuandtDivision of Public Health Sciences, Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0002-2968-5459
Paul KortenaarKaleideum, Winston-Salem, North Carolina, USA.
Edward H IpDivision of Public Health Sciences, Department Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0002-4811-4205

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An understanding of genetics is becoming increasingly relevant to receiving medical care. It is important for health care providers and educators, including genetic counselors, to understand patients' perceptions about trait transmission and their interpretation of terms used in biomedicine. Knowledge about the patient perspective about trait transmission is important when health care providers are not fluent in the patient's language. Sixty Latinx immigrant adults (30 men and 30 women) who were born in Mexico or Central America (MCA) and living in North Carolina were interviewed about their heredity beliefs. By design, most participants had limited education. Eight percent had a least a high school education; 45% had less than a seventh grade education. Semi-structured, in-depth interviews were conducted to examine how participants think and discuss trait transmission. The translated transcripts were systematically analyzed using a case-based approach, supplemented by theme-based coding. Five lay mental models of heredity were identified that varied in terms of involvement of genes. Four of the five heredity mental models encompass genes; four out of five mental models do not link DNA to heredity. The centrality of blood, whether used metaphorically or literally, varies widely across the models. One model references God and depicts that heredity involves blood and/or genes, but not DNA. The mental models of heredity for most adult immigrants with limited education do not include DNA. Trait transmission by blood appears to have a more prominent role in lay mental models held by Mexicans than Central Americans. Increased patient knowledge about genetics can facilitate shared decision-making as genetics becomes increasingly relevant to medical care. Efforts to educate people can be most effective when we first understand the layperson's conceptions or mental models. Health care providers and educators should be aware that MCA adults with limited formal education hold diverse mental models about heredity.

Indexed as

Emigrants and ImmigrantsHeredityAdultFemaleHispanic or LatinoHumansMaleMexicoModels, Psychologicalgenetic counselinggeneticsgenomic literacyhealth communicationHispanicLatino

Identifiers

PMID35468233
PMCPMC9790731

What OpenQuestion holds

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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.