Evidence map›Paper›PMID 39780197›Full record

ArticleGlobalization and health2025

Awareness and knowledge regarding female genital schistosomiasis among European healthcare workers: a cross-sectional online survey.

Valentina Marchese, Aaron Remkes, Irina Kislaya, Pia Rausche, André Brito, Jana Christina Hey, Tahinamandranto Rasamoelina, Rivo Andry Rakotoarivelo, Jürgen May, Daniela Fusco

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Article in Globalization and health, 2025. 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

10 authors.

Valentina Marchese *Research Group: Implementation Research, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Aaron Remkes *Research Group: Implementation Research, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Irina Kislaya *German Center for Infection Research (DZIF), Hamburg-Borstel-Lübeck-Riems, Germany.
Pia RauscheResearch Group: Implementation Research, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
André BritoResearch Group: Implementation Research, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Jana Christina HeyResearch Group: Implementation Research, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Tahinamandranto RasamoelinaCentre d'Infectiologie Charles Mérieux (CICM), University of Antananarivo, Antananarivo, 101, Madagascar.
Rivo Andry RakotoariveloDepartment of Infectious Diseases, University of Fianarantsoa Andrainjato, Fianarantsoa, 301, Madagascar.
Jürgen MayGerman Center for Infection Research (DZIF), Hamburg-Borstel-Lübeck-Riems, Germany.
Daniela FuscoResearch Group: Implementation Research, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany. fusco@bnitm.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdequate knowledge and awareness regarding diseases are essential for appropriate, high-quality healthcare. Female Genital Schistosomiasis (FGS) is a non-sexually transmitted gynaecological disease that is caused by the presence of Schistosoma haematobium eggs in the female genital tract and the resulting immune response that causes tissue damage. It is estimated to affect 56 million women, mostly in sub-Saharan Africa (SSA), where healthcare workers (HCWs) have limited awareness and knowledge of FGS. Most migrants in Europe are female, often from SSA and therefore at risk of FGS. This study investigated awareness and knowledge of FGS among European HCWs with the aim of informing strategies to improve the management of migrant health.

methodsWe conducted a cross-sectional survey using a self-administered, closed, multilingual, anonymous online questionnaire between 1st June 2023 to 31st January 2024. Medical doctors (MDs) (n = 581) and nurses or midwives (NMs) (n = 341) working in infectiology, gynaecology, urology and general, travel, internal or occupational medicine in European countries were enrolled in the survey. A Poisson regression was used to identify factors associated with MDs' knowledge and awareness of FGS and adjusted prevalence ratios (aPR) were estimated. Practices related to FGS were described using counts and proportions for a subsample of MDs aware of FGS.

resultsAmong the 922 eligible participants, FGS awareness was 43.7% (CI95%: 39.6; 47.9) for MDs and 12.0% (CI95%: 8.8; 16.0) for NMs. FGS awareness among MDs was higher among men (50.0%; CI95%: 43.7; 56.3), working in clinics for migrants (72.0%, CI95%: 63.2; 79.7) and among infectiologists/travel medicine specialists (68.9%, CI95%: 62.2; 75.0). No knowledge was reported by 67.6% (95% CI 63.7-71.4) of MDs, while 25.3% (CI95%: 21.8; 29.0) had low and 7.1% (CI95%: 5.1; 9.5) medium knowledge. Working in healthcare for migrants was positively associated with medium knowledge (aPR = 3.49; CI95% 1.67;7.28), which was lower for general practitioners (aPR = 0.23, CI95%:0.07;0.81).

conclusionsOur study highlights that HCWs in Europe might not be adequately prepared to manage FGS patients, resulting in a high risk of neglect. We believe that the promotion of existing medical networks could improve knowledge about FGS and thus the health of migrant women.

Indexed as

Health Knowledge, Attitudes, PracticeHealth PersonnelSchistosomiasis haematobiaAdultCross-Sectional StudiesEuropeFemaleHumansMaleMiddle AgedSurveys and QuestionnairesYoung AdultEuropeFemale genital SchistosomiasisHealth literacyMigrant healthPublic HealthWomen’s health

Identifiers

PMID39780197
PMCPMC11715917

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.