Evidence map›Paper›PMID 35592895›Full record

ArticleThe American surgeon2023

Perceptions of Gender Disparities in Access to Surgical Care in Malawi: A Community Based Survey.

Trista Reid, Jennifer Kincaid, Riju Shrestha, Paula D Strassle, Rebecca Maine, Anthony Charles, Jared Gallaher, Mphatso Manjolo, Jotham Gondwe, Sherry M Wren

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The American surgeon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
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

4 citing papers in PubMed, 3 citations in OpenAlex.

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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

10 authors at 4 institutions in 2 countries.

Trista ReidDepartment of Surgery, The University of North Carolina- Chapel Hill, Chapel Hill, NC, USA.
Jennifer KincaidDepartment of Surgery, Jefferson University, Philadelphia, PA, USA.
Riju ShresthaGillings School of Global Public Health, The University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.
Paula D StrassleDivision of Intramural Research, National Institutes of Health, National Institute on Minority Health and Health Disparities, Bethesda, MD, USA.
Rebecca MaineDepartment of Surgery, The University of North Carolina- Chapel Hill, Chapel Hill, NC, USA.
Anthony CharlesDepartment of Surgery, The University of North Carolina- Chapel Hill, Chapel Hill, NC, USA.
Jared GallaherDepartment of Surgery, The University of North Carolina- Chapel Hill, Chapel Hill, NC, USA.
Mphatso ManjoloDepartment of Surgery, Kamuzu Central Hospital, Lilongwe, Malawi.
Jotham GondweDepartment of Surgery, Kamuzu Central Hospital, Lilongwe, Malawi.
Sherry M WrenDepartment of Surgery, Stanford University, Stanford, CA, USA.
University of North Carolina at Chapel Hill · USKamuzu Central Hospital · MWNational Institute on Minority Health and Health Disparities · USStanford University · US

Funding

Translating Behavioral Interventions for Health Disparity PopulationsZIAMD000014 · NIMHD · NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES · PI CHOI, KELVIN · 2018 to 2023
$4.8M
Intramural NIH HHS Z99 MD999999
6 · The paper itself

Abstract

backgroundGender disparities in surgical care exist but have been minimally studied, particularly in low- and middle-income countries. This study explored perceptions and gender differences in health-seeking behavior and attitudes toward surgical care in Malawi among community members.

methodsA survey tool was administered to adults ≥18 years old at a central hospital, district hospital, and two marketplaces in Malawi from June 2018 to December 2018. Responses from men and women were compared using chi-squared tests.

resultsFour hundred eighty-five adults participated in the survey, 244 (50.3%) men and 241 (49.7%) women. Women were more likely to state that fear of surgery might prevent them from seeking surgical care (29.1% of men, 43.6% of women, P = .0009). Both genders reported long wait times, medicine/physician shortages, and lack of information about when surgery is needed as potential barriers to seeking surgical care. More men stated that medical preference should be given to sons (17.1% of men, 9.3% of women, P = .01). Men were more likely to report that men should have the final word about household decisions (28.7% of men vs 19.5% of women, P < .0001) and were more likely to spend money independently (68.7% of married men, 37.5% of married women, P < .0001). Few participants reported believing gender equality had been achieved (61% of men and 66.8% of women).

conclusionsA multi-pronged approach is needed to reduce gender disparities in surgical care in Malawi, including addressing paternalistic societal norms, education, and improving health infrastructure.

Indexed as

Health BehaviorMedicineAdolescentAdultFemaleHumansMalawiMaleSex FactorsSurveys and Questionnairesgender disparitiesMalawisurgical caresurvey

Identifiers

PMID35592895
PMCPMC9743135
OpenAlexW4280524336

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.