Acharya T, Daar A, Thorsteinsdottir H, Dowdeswell E, Singer P, 2004. Strengthening the role of genomics in global health. PLoS Med 1: e40.
Williams T, 2010. Genomics offers new possibilities for global health through international collaboration. Dis Model Mech 3: 131– 133.
Smith RD, Thorsteinsdottir H, Daar AS, Gold ER, Singers PA, 2004. Genomics knowledge and equity: a global public goods perspective of the patent system. Bull World Health Organ 82: 385– 389.
Daar AS, Thorsteinsdottir H, Martin DK, Smith AC, Nast S, Singer PA, 2002. Top ten biotechnologies for improving health in developing countries. Nat Genet 32: 229– 232.
Seib KL, Dougan G, Rappuoli R, 2009. The key role of genomics in modern vaccine and drug design for emerging infectious diseases. PLoS Genet 5: 26.
Khoury MJ, Gwinn M, Bowen MS, Dotson WD, 2012. Beyond base pairs to bedside: a population perspective on how genomics can improve health. Am J Public Health 102: 34– 37.
Condit CM, Shen L, 2011. Public understanding of risks from gene-environment interaction in common diseases: implications for public communications. Public Health Genomics 14: 115– 124.
Leventhal H, Breland JY, Mora PA, Leventhal EA, 2010. Lay representations of illness and treatment. Steptoe A, Freeland K, Jennings R, Llabre M, Manuck S, Susman E, eds. Handbook of Behavioral Medicine: Methods and Applications. New York, NY: Springer.
Bandura A, 1977. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 84: 191– 215.
Janz NK, Becker MH, 1984. The Health Belief Model: a decade later. Health Educ Q 11: 1– 47.
Landrine H, Klonoff EA, 1992. Culture and health-related schemas: a review and proposal for interdisciplinary integration. Health Psychol 11: 267– 276.
Decruyenaere M, Evers-Kiebooms G, Welkenhuysen M, Denayer L, Claes E, 2000. Cognitive representations of breast cancer, emotional distress and preventive health behaviour: a theoretical perspective. Psychooncology 9: 528– 536.
Abraham C, Sheeran P, Johnston M, 1998. From health beliefs to self-regulation: theoretical advances in the psychology of action control. Psychol Health 13: 569– 591.
Shiloh S, Rashuk-Rosenthal D, Benyamini Y, 2002. Illness causal attributions: an exploratory study of their structure and associations with other illness cognitions and perceptions of control. J Behav Med 25: 373– 394.
Marteau TM, Weinman J, 2006. Self-regulation and the behavioural response to DNA risk information: a theoretical analysis and framework for future research. Soc Sci Med 62: 1360– 1368.
Klonoff EA, Landrine H, 1994. Culture and gender diversity in commonsense beliefs about the causes of six illnesses. J Behav Med 17: 407– 418.
Marteau TM, Senior V, 1997. Illness representations after the human genome project: the perceived role of genes in causing illness. Petrie KJ, Weinman JA, eds. Perceptions of Illness and Treatment: Current Psychological Research and Implications. Amsterdam, The Netherlands: Harwood Academic, 241– 266.
van Oostrom I, Meijers-Heijboer H, Duivenvoorden HJ, Brocker-Vriends AH, van Asperen CJ, Sijmons RH, Seynaeve C, Van Gool AR, Klijn JG, Tibben A, 2007. The common sense model of self-regulation and psychological adjustment to predictive genetic testing: a prospective study. Psychooncology 16: 1121– 1129.
Marteau TM, French DP, Griffin SJ, Prevost AT, Sutton S, Watkinson C, Attwood S, Hollands GJ, 2010. Effects of communicating DNA-based disease risk estimates on risk-reducing behaviours. Cochrane Database Syst Rev 10: CD007275.
McBride CM, Koehly LM, Sanderson SC, Kaphingst KA, 2010. The behavioral response to personalized genetic information: will genetic risk profiles motivate individuals and families to choose more healthful behaviors? Annu Rev Public Health 31: 89– 103.
Angermeyer MC, Holzinger A, Carta MG, Schomerus G, 2011. Biogenetic explanations and public acceptance of mental illness: systematic review of population studies. Br J Psychiatry 199: 367– 372.
Sobel SK, Cowan DB, 2000. Impact of genetic testing for Huntington disease on the family system. Am J Med Genet 90: 49– 59.
Chao S, Roberts JS, Marteau TM, Silliman R, Cupples LA, Green RC, 2008. Health behavior changes after genetic risk assessment for Alzheimer disease: the REVEAL Study. Alzheimer Dis Assoc Disord 22: 94– 97.
Wade CH, Wilfond BS, McBride CM, 2010. Effects of genetic risk information on children's psychosocial wellbeing: a systematic review of the literature. Genet Med 12: 317– 326.
Pang T, 2009. Germs, genomics and global public health: how can advances in genomic sciences be integrated into public health in the developing world to deal with infectious diseases? Hugo J 3: 5– 9.
Price EW, 1988. Non-filarial elephantiasis—confirmed as a geochemical disease, and renamed podoconiosis. Ethiop Med J 26: 151– 153.
Davey G, Gebrehanna E, Adeyemo A, Rotimi C, Newport M, Desta K, 2007. Podoconiosis: a tropical model for gene-environment interactions? Trans R Soc Trop Med Hyg 101: 91– 96.
Davey G, Tekola F, Newport MJ, 2007. Podoconiosis: non-infectious geochemical elephantiasis. Trans R Soc Trop Med Hyg 101: 1175– 1180.
Yakob B, Deribe K, Davey G, 2008. High levels of misconceptions and stigma in a community highly endemic for podoconiosis in southern Ethiopia. Trans R Soc Trop Med Hyg 102: 439– 444.
Tadesse G, 2005. The prevalence of intestinal helminthic infections and associated risk factors among school children in Babile town, eastern Ethiopia. Ethiop J Health Dev 19: 140– 147.
Tekola F, Bull S, Farsides B, Newport MJ, Adeyemo A, Rotimi CN, Davey G, 2009. Impact of social stigma on the process of obtaining informed consent for genetic research on podoconiosis: a qualitative study. BMC Med Ethics 10: 13.
Tora A, Davey G, Tadele G, 2011. A qualitative study on stigma and coping strategies of patients with podoconiosis in Wolaita zone, Southern Ethiopia. In Health 3: 176– 181.
International Human Development Indicators. Ethiopia Country Profile: Human Development Indicators. Available at: http://hdrstats.undp.org/en/countries/profiles/ETH.html. Accessed March 26, 2012.
Ethiopia World Bank Data. Available at: http://www.tradingeconomics.com/ethiopia/indicators. Accessed June 19, 2012.
Central Statistical Agency of Ethiopia. Available at: http://www.csa.gov.et/. Accessed March 26, 2012.
Destas K, Ashine M, Davey G, 2003. Prevalence of podoconiosis (endemic non-filarial elephantiasis) in Wolaitta, Southern Ethiopia. Trop Doct 33: 217– 220.
Davey G, Burridge E, 2009. Community-based control of a neglected tropical disease: the mossy foot treatment and prevention association. PLoS Negl Trop Dis 3: e424.
Sikorski C, Ashine M, Zeleke Z, Davey G, 2010. Effectiveness of a simple lymphoedema treatment regimen in podoconiosis management in southern ethiopia: one year follow-up. PLoS Negl Trop Dis 4: e902.
Peay HL, Austin JC, 2011. How to Talk with Families About Genetics and Psychiatric Illness. W. W. Norton & Company, 87.
Gyapong M, Gyapong JO, Adjei S, Vlassoff C, Weiss M, 1996. Filariasis in northern Ghana: some cultural beliefs and practices and their implications for disease control. Soc Sci Med 43: 235– 242.
Tekola Ayele F, Adeyemo A, Finan C, Hailu E, Sinnott P, Burlinson ND, Aseffa A, Rotimi CN, Newport MJ, Davey G, 2012. HLA class II locus and susceptibility to podoconiosis. N Engl J Med 366: 1200– 1208.
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Little is known about how beliefs about heredity as a cause of health conditions might influence preventive and interpersonal behaviors among those individuals with low genetic and health literacy. We explored causal beliefs about podoconiosis, a neglected tropical disease (NTD) endemic in Ethiopia. Podoconiosis clusters in families but can be prevented if individuals at genetically high risk wear shoes consistently. Adults (N = 242) from four rural Ethiopian communities participated in qualitative assessments of beliefs about the causes of podoconiosis. Heredity was commonly mentioned, with heredity being perceived as (1) the sole cause of podoconiosis, (2) not a causal factor, or (3) one of multiple causes. These beliefs influenced the perceived controllability of podoconiosis and in turn, whether individuals endorsed preventive and interpersonal stigmatizing behaviors. Culturally informed education programs that increase the perceived controllability of stigmatized hereditary health conditions like podoconiosis have promise for increasing preventive behaviors and reducing interpersonal stigma.
Financial support: This project was supported by the Intramural Research Program of the Social & Behavioral Science Branch (SBRB). The SBRB is supported by the National Human Genome Research Institutes, National Institutes of Health.
Authors' addresses: Desta Ayode and Getnet Tadele, College of Social Sciences, Addis Ababa University, Addis Ababa, Ethiopia, E-mails: destaayode@yahoo.com and getnett2001@yahoo.com. Colleen M. McBride and Emi Watanabe, Social & Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, E-mails: cmcbride@mail.nih.gov and watanabee@mail.nih.gov. Hendrik de Heer, Department of Physical Therapy and Athletic Training, College of Health and Human Services, Northern Arizona University, Flagstaff, AZ, E-mail: hendrik.deheer@nau.edu. Tsega Gebreyesus, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, E-mail: tgebreye@jhsph.edu. Abebayehu Tora, Department of Sociology, Wolaita Sodo University, Sodo, Ethiopia, E-mail: abezed@yahoo.com. Gail Davey, Brighton and Sussex Medical School, Falmer, Brighton, United Kingdom, E-mail: G.Davey@bsms.ac.uk.
Acharya T, Daar A, Thorsteinsdottir H, Dowdeswell E, Singer P, 2004. Strengthening the role of genomics in global health. PLoS Med 1: e40.
Williams T, 2010. Genomics offers new possibilities for global health through international collaboration. Dis Model Mech 3: 131– 133.
Smith RD, Thorsteinsdottir H, Daar AS, Gold ER, Singers PA, 2004. Genomics knowledge and equity: a global public goods perspective of the patent system. Bull World Health Organ 82: 385– 389.
Daar AS, Thorsteinsdottir H, Martin DK, Smith AC, Nast S, Singer PA, 2002. Top ten biotechnologies for improving health in developing countries. Nat Genet 32: 229– 232.
Seib KL, Dougan G, Rappuoli R, 2009. The key role of genomics in modern vaccine and drug design for emerging infectious diseases. PLoS Genet 5: 26.
Khoury MJ, Gwinn M, Bowen MS, Dotson WD, 2012. Beyond base pairs to bedside: a population perspective on how genomics can improve health. Am J Public Health 102: 34– 37.
Condit CM, Shen L, 2011. Public understanding of risks from gene-environment interaction in common diseases: implications for public communications. Public Health Genomics 14: 115– 124.
Leventhal H, Breland JY, Mora PA, Leventhal EA, 2010. Lay representations of illness and treatment. Steptoe A, Freeland K, Jennings R, Llabre M, Manuck S, Susman E, eds. Handbook of Behavioral Medicine: Methods and Applications. New York, NY: Springer.
Bandura A, 1977. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 84: 191– 215.
Janz NK, Becker MH, 1984. The Health Belief Model: a decade later. Health Educ Q 11: 1– 47.
Landrine H, Klonoff EA, 1992. Culture and health-related schemas: a review and proposal for interdisciplinary integration. Health Psychol 11: 267– 276.
Decruyenaere M, Evers-Kiebooms G, Welkenhuysen M, Denayer L, Claes E, 2000. Cognitive representations of breast cancer, emotional distress and preventive health behaviour: a theoretical perspective. Psychooncology 9: 528– 536.
Abraham C, Sheeran P, Johnston M, 1998. From health beliefs to self-regulation: theoretical advances in the psychology of action control. Psychol Health 13: 569– 591.
Shiloh S, Rashuk-Rosenthal D, Benyamini Y, 2002. Illness causal attributions: an exploratory study of their structure and associations with other illness cognitions and perceptions of control. J Behav Med 25: 373– 394.
Marteau TM, Weinman J, 2006. Self-regulation and the behavioural response to DNA risk information: a theoretical analysis and framework for future research. Soc Sci Med 62: 1360– 1368.
Klonoff EA, Landrine H, 1994. Culture and gender diversity in commonsense beliefs about the causes of six illnesses. J Behav Med 17: 407– 418.
Marteau TM, Senior V, 1997. Illness representations after the human genome project: the perceived role of genes in causing illness. Petrie KJ, Weinman JA, eds. Perceptions of Illness and Treatment: Current Psychological Research and Implications. Amsterdam, The Netherlands: Harwood Academic, 241– 266.
van Oostrom I, Meijers-Heijboer H, Duivenvoorden HJ, Brocker-Vriends AH, van Asperen CJ, Sijmons RH, Seynaeve C, Van Gool AR, Klijn JG, Tibben A, 2007. The common sense model of self-regulation and psychological adjustment to predictive genetic testing: a prospective study. Psychooncology 16: 1121– 1129.
Marteau TM, French DP, Griffin SJ, Prevost AT, Sutton S, Watkinson C, Attwood S, Hollands GJ, 2010. Effects of communicating DNA-based disease risk estimates on risk-reducing behaviours. Cochrane Database Syst Rev 10: CD007275.
McBride CM, Koehly LM, Sanderson SC, Kaphingst KA, 2010. The behavioral response to personalized genetic information: will genetic risk profiles motivate individuals and families to choose more healthful behaviors? Annu Rev Public Health 31: 89– 103.
Angermeyer MC, Holzinger A, Carta MG, Schomerus G, 2011. Biogenetic explanations and public acceptance of mental illness: systematic review of population studies. Br J Psychiatry 199: 367– 372.
Sobel SK, Cowan DB, 2000. Impact of genetic testing for Huntington disease on the family system. Am J Med Genet 90: 49– 59.
Chao S, Roberts JS, Marteau TM, Silliman R, Cupples LA, Green RC, 2008. Health behavior changes after genetic risk assessment for Alzheimer disease: the REVEAL Study. Alzheimer Dis Assoc Disord 22: 94– 97.
Wade CH, Wilfond BS, McBride CM, 2010. Effects of genetic risk information on children's psychosocial wellbeing: a systematic review of the literature. Genet Med 12: 317– 326.
Pang T, 2009. Germs, genomics and global public health: how can advances in genomic sciences be integrated into public health in the developing world to deal with infectious diseases? Hugo J 3: 5– 9.
Price EW, 1988. Non-filarial elephantiasis—confirmed as a geochemical disease, and renamed podoconiosis. Ethiop Med J 26: 151– 153.
Davey G, Gebrehanna E, Adeyemo A, Rotimi C, Newport M, Desta K, 2007. Podoconiosis: a tropical model for gene-environment interactions? Trans R Soc Trop Med Hyg 101: 91– 96.
Davey G, Tekola F, Newport MJ, 2007. Podoconiosis: non-infectious geochemical elephantiasis. Trans R Soc Trop Med Hyg 101: 1175– 1180.
Yakob B, Deribe K, Davey G, 2008. High levels of misconceptions and stigma in a community highly endemic for podoconiosis in southern Ethiopia. Trans R Soc Trop Med Hyg 102: 439– 444.
Tadesse G, 2005. The prevalence of intestinal helminthic infections and associated risk factors among school children in Babile town, eastern Ethiopia. Ethiop J Health Dev 19: 140– 147.
Tekola F, Bull S, Farsides B, Newport MJ, Adeyemo A, Rotimi CN, Davey G, 2009. Impact of social stigma on the process of obtaining informed consent for genetic research on podoconiosis: a qualitative study. BMC Med Ethics 10: 13.
Tora A, Davey G, Tadele G, 2011. A qualitative study on stigma and coping strategies of patients with podoconiosis in Wolaita zone, Southern Ethiopia. In Health 3: 176– 181.
International Human Development Indicators. Ethiopia Country Profile: Human Development Indicators. Available at: http://hdrstats.undp.org/en/countries/profiles/ETH.html. Accessed March 26, 2012.
Ethiopia World Bank Data. Available at: http://www.tradingeconomics.com/ethiopia/indicators. Accessed June 19, 2012.
Central Statistical Agency of Ethiopia. Available at: http://www.csa.gov.et/. Accessed March 26, 2012.
Destas K, Ashine M, Davey G, 2003. Prevalence of podoconiosis (endemic non-filarial elephantiasis) in Wolaitta, Southern Ethiopia. Trop Doct 33: 217– 220.
Davey G, Burridge E, 2009. Community-based control of a neglected tropical disease: the mossy foot treatment and prevention association. PLoS Negl Trop Dis 3: e424.
Sikorski C, Ashine M, Zeleke Z, Davey G, 2010. Effectiveness of a simple lymphoedema treatment regimen in podoconiosis management in southern ethiopia: one year follow-up. PLoS Negl Trop Dis 4: e902.
Peay HL, Austin JC, 2011. How to Talk with Families About Genetics and Psychiatric Illness. W. W. Norton & Company, 87.
Gyapong M, Gyapong JO, Adjei S, Vlassoff C, Weiss M, 1996. Filariasis in northern Ghana: some cultural beliefs and practices and their implications for disease control. Soc Sci Med 43: 235– 242.
Tekola Ayele F, Adeyemo A, Finan C, Hailu E, Sinnott P, Burlinson ND, Aseffa A, Rotimi CN, Newport MJ, Davey G, 2012. HLA class II locus and susceptibility to podoconiosis. N Engl J Med 366: 1200– 1208.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 878 | 644 | 28 |
Full Text Views | 417 | 1 | 0 |
PDF Downloads | 70 | 2 | 0 |