{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T16:37:08Z","timestamp":1774543028279,"version":"3.50.1"},"reference-count":29,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,5,4]]},"abstract":"<jats:p>Podoconiosis is a neglected tropical disease caused by long-term barefoot exposure to volcanic clay soil. Our previous qualitative research identified various domains of beliefs about the causes of podoconiosis held by members of the community. This cross-sectional survey, conducted in southern Ethiopia, aimed to quantitatively evaluate the prevalence of these beliefs and to assess their association with observed shoe-wearing behavior. A total of 1,800 adult respondents (600 from affected families and 1,200 from unaffected families of an index child aged between 3 and 6 years) took part in the survey. Two standardized versions of an enumerator-administered survey were created, with \u201call day, everyday\u201d shoe-wearing status of the index child assessed in parallel for the affected and unaffected household respondents. Associations between measures were assessed using logistic regression. Accuracy of understanding about podoconiosis was significantly lower among respondents from unaffected than affected households (<jats:italic>P<\/jats:italic> &lt; 0.001). Among affected respondents, beliefs about heredity were negatively associated with reported shoe wearing of the index child (odds ratio = 0.67, 95% confidence interval = 0.55\u20130.83). In both groups, associations of causal beliefs with shoe wearing were moderated by risk perceptions. Interventions aimed at preventing podoconiosis and improving shoe wearing should consider family-oriented education on hereditary susceptibility that targets affected and unaffected families in resource-limited settings.<\/jats:p>","DOI":"10.4269\/ajtmh.15-0342","type":"journal-article","created":{"date-parts":[[2016,3,1]],"date-time":"2016-03-01T03:34:11Z","timestamp":1456803251000},"page":"1123-1128","source":"Crossref","is-referenced-by-count":10,"title":["Association Between Causal Beliefs and Shoe Wearing to Prevent Podoconiosis: A Baseline Study"],"prefix":"10.4269","volume":"94","author":[{"given":"Desta","family":"Ayode","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abebayehu","family":"Tora","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Farrell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Getnet","family":"Tadele","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gail","family":"Davey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen M.","family":"McBride","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"Am J Prev Med","first-page":"5","article-title":"Toward a better understanding of the influences on physical activity: the role of determinants, correlates, causal variables, mediators, moderators, and confounders","volume":"23","author":"Bauman","year":"2002"},{"key":"ref2","series-title":"European Health Psychologist","first-page":"2","article-title":"Facilitating health behaviour change and its maintenance: interventions based on self-determination theory","volume":"10","author":"Ryan","year":"2008"},{"key":"ref3","series-title":"BMC Public Health","first-page":"319","article-title":"Knowledge and reported practices of men and women on maternal and child health in rural Guinea Bissau: a cross sectional survey","volume":"10","author":"King","year":"2010"},{"key":"ref4","series-title":"Malar J","first-page":"345","article-title":"\u201cBefore we used to get sick all the time\u201d: perceptions of malaria and use of long-lasting insecticide-treated bed nets (LLINs) in a rural Kenyan community","volume":"9","author":"Dye","year":"2010"},{"key":"ref5","series-title":"Am J Trop Med Hyg","first-page":"646","article-title":"Community knowledge, attitudes and practices on schistosomiasis in western Kenya: the SCORE project","volume":"90","author":"Musuva","year":"2014"},{"key":"ref6","series-title":"Malar J","first-page":"64","article-title":"Bed net use and associated factors in a rice farming community in central Kenya","volume":"8","author":"Ng'ang'a","year":"2009"},{"key":"ref7","series-title":"Sci Educ","first-page":"564","article-title":"From \u201cnew genetics\u201d to everyday knowledge: ideas about how genetic diseases are transmitted in two large Brazilian families","volume":"89","author":"Santos","year":"2005"},{"key":"ref8","series-title":"Public Underst Sci","first-page":"277","article-title":"When it runs in the family: putting susceptibility genes in perspective","volume":"15","author":"Lock","year":"2006"},{"key":"ref9","series-title":"Ann Fam Med","first-page":"583","article-title":"Lay understanding of familial risk of common chronic diseases: a systematic review and synthesis of qualitative research","volume":"2","author":"Walter","year":"2004"},{"key":"ref10","series-title":"Med Decis Making","first-page":"271","article-title":"\u201cDon't know\u201d responses to risk perception measures: implications for underserved populations","volume":"33","author":"Waters","year":"2013"},{"key":"ref11","series-title":"BioMed Res Int","first-page":"232451","article-title":"HIV risk perception among HIV negative or status-unknown men who have sex with men in China","volume":"2014","author":"Fan","year":"2014"},{"key":"ref12","series-title":"Trop Med Int Health","first-page":"659","article-title":"Predictors of compliance with community-directed ivermectin treatment in Uganda: quantitative results","volume":"10","author":"Nuwaha","year":"2005"},{"key":"ref13","series-title":"BMC Fam Pract","first-page":"108","article-title":"The predictors of glucose screening: the contribution of risk perception","volume":"15","author":"Lavielle","year":"2014"},{"key":"ref14","series-title":"Parasit Vectors","first-page":"48","article-title":"Factors associated with compliance with community directed treatment with ivermectin for onchocerciasis control in southwestern Ethiopia","volume":"3","author":"Yirga","year":"2010"},{"key":"ref15","series-title":"Int J Womens Health","first-page":"53","article-title":"HIV knowledge, risk perception, and safer sex practices among female sex workers in Port Moresby, Papua New Guinea","volume":"3","author":"Bruce","year":"2011"},{"key":"ref16","series-title":"Hered Cancer Clin Pract","first-page":"4","article-title":"Risk perception among Brazilian individuals with high risk for colorectal cancer and colonoscopy","volume":"9","author":"Santos","year":"2011"},{"key":"ref17","series-title":"Ethiop Med J","first-page":"151","article-title":"Non-filarial elephantiasis: confirmed as a geochemical disease, and renamed podoconiosis","volume":"26","author":"Price","year":"1988"},{"key":"ref18","series-title":"Lancet","first-page":"888","article-title":"Podoconiosis: the most neglected tropical disease?","volume":"369","author":"Davey","year":"2007"},{"key":"ref19","series-title":"Trans R Soc Trop Med Hyg","first-page":"91","article-title":"Podoconiosis: a tropical model for gene-environment interactions?","volume":"101","author":"Davey","year":"2007"},{"key":"ref20","series-title":"Neth J Med","first-page":"210","article-title":"Podoconiosis, a neglected tropical disease","volume":"70","author":"Korevaar","year":"2012"},{"key":"ref21","series-title":"Lymphology","first-page":"168","article-title":"Podoconiosis, non-filarial elephantiasis and lymphology","volume":"43","author":"Davey","year":"2010"},{"key":"ref22","series-title":"PLoS Negl Trop Dis","first-page":"e1184","article-title":"Burden of podoconiosis in poor rural communities in Gulliso woreda, west Ethiopia","volume":"5","author":"Alemu","year":"2011"},{"key":"ref23","series-title":"N Engl J Med","first-page":"1200","article-title":"HLA class II locus and susceptibility to podoconiosis","volume":"366","author":"Tekola Ayele","year":"2012"},{"key":"ref24","series-title":"Am J Trop Med Hyg","first-page":"148","article-title":"Epidemiology and individual, household and geographical risk factors of podoconiosis in Ethiopia: results from the first nationwide mapping","volume":"92","author":"Deribe","year":"2015"},{"key":"ref25","series-title":"Am J Trop Med Hyg","first-page":"623","article-title":"The association of beliefs about heredity with preventive and interpersonal behaviors in communities affected by podoconiosis in rural Ethiopia","volume":"87","author":"Ayode","year":"2012"},{"key":"ref26","series-title":"PLoS Negl Trop Dis","first-page":"e2554","article-title":"Individual correlates of podoconiosis in areas of varying endemicity: a case-control study","volume":"7","author":"Molla","year":"2013"},{"key":"ref27","series-title":"Int Health","first-page":"119","article-title":"Community-based survey of podoconiosis in Bedele Zuria woreda, west Ethiopia","volume":"5","author":"Tekola Ayele","year":"2013"},{"key":"ref28","series-title":"J Community Genet","first-page":"303","article-title":"Using a \u201cgenomics tool\u201d to develop disease prevention strategy in a low-income setting: lessons from the podoconiosis research project","volume":"3","author":"Tekola Ayele","year":"2012"},{"key":"ref29","series-title":"J Natl Cancer Inst Monogr","first-page":"15","article-title":"What does it mean to understand a risk? Evaluating risk comprehension","volume":"25","author":"Weinstein","year":"1999"}],"container-title":["The American Society of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/94\/5\/article-p1123.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/94\/5\/article-p1123.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/94\/5\/article-p1123.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T22:07:33Z","timestamp":1723068453000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/94\/5\/article-p1123.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5,4]]},"references-count":29,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.15-0342","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,5,4]]}}}