Evidence map›Paper›PMID 41988568›Full record

ArticleFrontiers in public health2026

Public knowledge of thyroid disorders in the West Bank, Palestine: pregnancy and medication-related safety gaps in a cross-sectional study.

Amani B Ahmed, Amal Obeid, Abdullah Abukeshek, Mohammad Hakam Shehadeh, Mohammed M Salahaldin, Hamza Karmi, Haitham Suwan, Ahmed Salama, Sohaib Dwaik, Hobab Odeh and 4 more

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Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Amani B AhmedDepartment of General Surgery, Al-Makassed Islamic Charitable Hospital, East Jerusalem, Palestine.
Amal ObeidDepartment of General Surgery, Al-Makassed Islamic Charitable Hospital, East Jerusalem, Palestine.
Abdullah AbukeshekFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Mohammad Hakam ShehadehFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Mohammed M SalahaldinFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Hamza KarmiFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Haitham SuwanFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Ahmed SalamaFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Sohaib DwaikDepartment of Urology, Hebron Governmental Hospital, Hebron, Palestine.
Hobab OdehGeneral Medicine, Al-Istishari Arab Hospital, Ramallah, Palestine.
Nuha RiyadDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Osama EwidatDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Ameer B AhmedFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Mohammed MareeDepartment of General Surgery, Al-Makassed Islamic Charitable Hospital, East Jerusalem, Palestine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Thyroid disorders are common and often under-recognized. Evidence on public thyroid health literacy in Palestine is limited. This study assessed public knowledge of thyroid disorders among adults in the West Bank, Palestine. Methods: A cross-sectional online survey was conducted from May 1 to August 1, 2025, among adults (≥18 years) residing in the West Bank. Participants with current or prior health-professional training or employment in healthcare were excluded. Non-probability convenience sampling was used through social media distribution (Facebook, WhatsApp, Telegram). Knowledge was assessed using a 17-item multiple-choice instrument covering risk factors (7 items), clinical manifestations (7 items), and preventive behaviors (3 items). Correct responses were scored as 1 and incorrect/"I don't know" as 0; knowledge levels were categorized as low (<50%), moderate (50-75%), and high (>75%). Data were analyzed using descriptive statistics, chi-square tests, and ordinal logistic regression. Results: A total of 1,119 participants were included (71.3% women, 75.0% university-educated). Mean knowledge score was 8.60/17 (50.6%); 56.7% had low knowledge, 26.3% moderate, and 17.1% high. Risk-factor knowledge was lowest (mean 2.97/7; 42.4%), while prevention-related knowledge was comparatively higher (mean 2.03/3; 67.7%). Notable gaps were observed for medication-related risks (amiodarone 9.7%; lithium 11.0%) and pregnancy/postpartum risk (41.7%). In adjusted analyses, higher knowledge was associated with age >50 years (aOR 1.71), while lower knowledge was associated with male sex (aOR 0.70) and no formal education versus university education (aOR 0.26). Conclusion: Public knowledge of thyroid disorders in the West Bank was generally low, with the most pronounced deficits related to pregnancy and the postpartum period and to medication associated thyroid dysfunction. These findings support targeted, low cost health education integrated into routine primary care, maternal and reproductive health services, and community pharmacy counseling, with future studies needed to evaluate effects on timely care seeking and safer medication practices.

Indexed as

Health Knowledge, Attitudes, PracticeHealth LiteracyPregnancy ComplicationsThyroid DiseasesAdolescentAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedMiddle EastPregnancySurveys and QuestionnairesYoung Adultmedication safetyPalestinepregnancy and postpartumpublic knowledgethyroid disorders

Identifiers

PMID41988568
PMCPMC13076517

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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.