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POSTER PRESENTATION Open Access Beta thalassemia prevention in India: evaluation of socio- cultural factors Swati Chawla * , Rajnish Singh, VR Rao From International Conference on Human Genetics and 39th Annual Meeting of the Indian Society of Human Genetics (ISHG) Ahmadabad, India. 23-25 January 2013 Aim and background There are approximately 240 million people across the world who are heterozygous for Beta thalassemia and 200,000 affected homozygous are born annually. Prevention is a big challenge. But the situation in India is different. Social, cultural, and religious issues are found to be closely intertwined with Beta thalassemia prevention. In spite of 10,000 annual Beta thalassemic births, the situation here is not well combated. Social stigma and negative attitude are largely understood to be the bounding factors. The present study examines the prevention issue in the high risk community of India, analyzing their knowledge and perceptions in the light of available health models. Methods A semi structured interview schedule was framed and implemented in the rural and urban (Delhi) population of a high risk community i.e. ARORAS and compared with the cosmopolitans (not at high risk). Results Correct knowledge of carriers is a very important criteria, which is a major factor for the prevention of Beta thalas- semia in a multi ethnic country like in India. Participants were found to carry positive attitude towards the public perception of Beta thalassemia. In general, social discomfort were not a serious issue, but acceptance of life partner with Beta thalassemia trait was unacceptable among all the three populations but more among the rural Aroras which showed, lack of knowledge among them. The acceptability for prevention strategies and its implication was high among all the three populations but rural Arora was found to be more proficient towards premarital screening(80.8%) and prenatal diag- nosis(98.0%). Conclusion A lack of knowledge about the disorder, its manifestations, survival rate, treatment availability, and psychosocial and cultural issues have created barriers to optimal health care including disclosure of Beta thalassemia status as well as to carrier testing. To overcome the problem there is an urgent need to have knowledge about peoples perception to find a common platform to harmonize various approaches for prevention. Published: 21 January 2014 doi:10.1186/1755-8166-7-S1-P123 Cite this article as: Chawla et al.: Beta thalassemia prevention in India: evaluation of socio- cultural factors. Molecular Cytogenetics 2014 7(Suppl 1):P123. Submit your next manuscript to BioMed Central and take full advantage of: Convenient online submission Thorough peer review No space constraints or color figure charges Immediate publication on acceptance Inclusion in PubMed, CAS, Scopus and Google Scholar Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit * Correspondence: [email protected] Department of Anthropology , University of Delhi, India Chawla et al. Molecular Cytogenetics 2014, 7(Suppl 1):P123 http://www.molecularcytogenetics.org/content/7/S1/P123 © 2014 Chawla et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http:// creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Page 1: Beta thalassemia prevention in India: evaluation of socio- cultural factors

POSTER PRESENTATION Open Access

Beta thalassemia prevention in India: evaluationof socio- cultural factorsSwati Chawla*, Rajnish Singh, VR Rao

From International Conference on Human Genetics and 39th Annual Meeting of the Indian Society ofHuman Genetics (ISHG)Ahmadabad, India. 23-25 January 2013

Aim and backgroundThere are approximately 240 million people across theworld who are heterozygous for Beta thalassemia and200,000 affected homozygous are born annually.Prevention is a big challenge.But the situation in India is different. Social, cultural,

and religious issues are found to be closely intertwinedwith Beta thalassemia prevention. In spite of 10,000annual Beta thalassemic births, the situation here is notwell combated. Social stigma and negative attitude arelargely understood to be the bounding factors.The present study examines the prevention issue in the

high risk community of India, analyzing their knowledgeand perceptions in the light of available health models.

MethodsA semi structured interview schedule was framed andimplemented in the rural and urban (Delhi) populationof a high risk community i.e. ARORAS and comparedwith the cosmopolitans (not at high risk).

ResultsCorrect knowledge of carriers is a very important criteria,which is a major factor for the prevention of Beta thalas-semia in a multi ethnic country like in India.Participants were found to carry positive attitude

towards the public perception of Beta thalassemia. Ingeneral, social discomfort were not a serious issue, butacceptance of life partner with Beta thalassemia traitwas unacceptable among all the three populations butmore among the rural Aroras which showed, lack ofknowledge among them.The acceptability for prevention strategies and its

implication was high among all the three populations

but rural Arora was found to be more proficienttowards premarital screening(80.8%) and prenatal diag-nosis(98.0%).

ConclusionA lack of knowledge about the disorder, its manifestations,survival rate, treatment availability, and psychosocial andcultural issues have created barriers to optimal health careincluding disclosure of Beta thalassemia status as well asto carrier testing. To overcome the problem there is anurgent need to have knowledge about people’s perceptionto find a common platform to harmonize variousapproaches for prevention.

Published: 21 January 2014

doi:10.1186/1755-8166-7-S1-P123Cite this article as: Chawla et al.: Beta thalassemia prevention in India:evaluation of socio- cultural factors. Molecular Cytogenetics 20147(Suppl 1):P123.

Submit your next manuscript to BioMed Centraland take full advantage of:

• Convenient online submission

• Thorough peer review

• No space constraints or color figure charges

• Immediate publication on acceptance

• Inclusion in PubMed, CAS, Scopus and Google Scholar

• Research which is freely available for redistribution

Submit your manuscript at www.biomedcentral.com/submit* Correspondence: [email protected]

Department of Anthropology , University of Delhi, India

Chawla et al. Molecular Cytogenetics 2014, 7(Suppl 1):P123http://www.molecularcytogenetics.org/content/7/S1/P123

© 2014 Chawla et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction inany medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.