Abstract
Thalassemia is the leading haemoglobinopathy after sickle cell anemia that accounts for 1.5 % of the global population. In Pakistan, every 1–4 per 1000 infants suffers from Thalassemia. Regardless of being a population “at high risk” for Thalassemia major, evidence suggest that Pakistanis possess poor knowledge of the disease. The present study aimed to assess parents’ accurate knowledge about Thalassemia disease at Afzaal Memorial Thalassemia Foundation in Karachi, Pakistan. A total of 172 parents of existing patients who were receiving regular blood transfusion from the center were included in the study. Parents’ knowledge was assessed via a pre-tested and validated Thalassemia knowledge questionnaire. Findings show that 40 % of the sample showed lower knowledge scores about Thalassemia. Among different ethnic origins, Urdu speaking respondents showed a higher average score of correct knowledge about Thalassemia major (21.6 ± 4.41) as compared to the Siraiki (17.9 ± 4.48) and the Pathans (17.2 ± 4.34). These latter two ethnic groups also showed poor knowledge about Thalassemia minor. Generally parents provided correct answers about treatment of Thalassemia major. The findings suggest targeted interventions are required for high risk ethnic groups. Thalassemia education programs should be offered to extended family members of existing patients by all Thalassemia centers. High risk ethnic groups (Siraiki and Pathan) need rigorous interventions, and Thalassemia worker program should be introduced nationwide.
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Abdullah, K. N., Azim, W., & Liaqat, J. (2011). Beta Thalassemia institution based analysis of ethnic and geographic distribution, effect of consanguinity and safety of chorionic villus sampling as a diagnostic, tool for pre-natal diagnosis in selected patients. Pakistan Armed Forces Medical Journal, 60(4), 624–628.
Ahmed, S. (1998). An approach for the prevention of Thalassemia in Pakistan. (PhD). London: University of London.
Ahmed, S., Saleem, M., Sultana, N., Raashid, Y., Waqar, A., Anwar, M., & Petrou, M. (2000). Prenatal diagnosis of beta-thalassaemia in Pakistan: experience in a Muslim country. Prenatal Diagnosis, 20(5), 378–383.
Ahmed, S., Saleem, M., Modell, B., & Petrou, M. (2002). Screening extended families for genetic hemoglobin disorders in Pakistan. New England Journal of Medicine, 347(15), 1162–1168. doi:10.1056/NEJMsa013234.
Ahmed, S., Green, J. M., & Hewison, J. (2006). Attitudes towards prenatal diagnosis and termination of pregnancy for thalassaemia in pregnant Pakistani women in the North of England. Prenatal Diagnosis, 26(3), 248–257. doi:10.1002/pd.1391.
Alkuraya, F. S., & Kilani, R. A. (2001). Attitude of Saudi families affected with hemoglobinopathies towards prenatal screening and abortion and the influence of religious ruling (Fatwa). Prenatal Diagnosis, 21(6), 448–451. doi:10.1002/pd.76.
Alwan, A., & Modell, B. (1997). Community control of genetic and congenital disorders. Alexandria: WHO Regional Office for the Eastern Meditarranean. EMRO Technical Publications Series.
Ansari, S., H., & Shamsi, T., S. (2010). Thalassaemia prevention programme. Hematology Updates, 23–28.
Ansari, S. H., Shamsi, T. S., Ashraf, M., Bohray, M., Farzana, T., Khan, M. T., & Raza, F. (2011). Molecular epidemiology of beta-thalassemia in Pakistan: far reaching implications. Internstional Journal Molecular Epidemiology Genetics, 2(4), 403–408.
Arif, F., Fayyaz, J., & Hamid, A. (2008). Awareness among parents of children with thalassemia major. Journal of the Pakistan Medical Association, 58(11), 621–624.
Armeli, C., Robbins, S. J., & Eunpu, D. (2005). Comparing knowledge of beta-thalassemia in samples of Italians, Italian-Americans, and non-Italian-Americans. Journal of Genetic Counseling, 14(5), 365–376. doi:10.1007/s10897-005-1123-5.
Atkin, K., Ahmad, W. I., & Anionwu, E. N. (1998). Screening and counselling for sickle cell disorders and thalassaemia: the experience of parents and health professionals. Social Science and Medicine, 47(11), 1639–1651.
Chattopadhyay, S. (2006). ‘Rakter dosh’–corrupting blood: the challenges of preventing thalassemia in Bengal, India. Social Science and Medicine, 63(10), 2661–2673. doi:10.1016/j.socscimed.2006.06.031.
Fung, E. B. (2010). Nutritional deficiencies in patients with thalassemia. Annals of the New York Academy of Sciences, 1202, 188–196. doi:10.1111/j.1749-6632.2010.05578.x.
Genetics in Family Medicine. (2007). The Australian handbook for general practitioners. (pp. 1–15).
Gill, P. S., & Modell, B. (1998). Thalassaemia in Britain: a tale of two communities. Births are rising among British Asians but falling in Cypriots. BMJ, 317(7161), 761–762.
Hafeez, M., Aslam, M., Ali, A., Rashid, Y., & Jafri, H. (2007). Regional and ethnic distribution of beta thalassemia mutations and effect of consanguinity in patients referred for prenatal diagnosis. Journal of the College of Physicians and Surgeons–Pakistan, 17(3), 144–147. 03.2007/JCPSP.144147.
Ishaq, F., Abid, H., Kokab, F., Akhtar, A., & Mahmood, S. (2012). Awareness among parents of β-thalassemia major patients, regarding prenatal diagnosis and premarital screening. Journal of the College of Physicians and Surgeons Pakistan, 22(4), 218–221.
Khan, S. N., Zafar, A. U., & Riazuddin, S. (1995). Molecular genetic diagnosis of beta thalassemia in Pakistan. Journal of the Pakistan Medical Association, 45(3), 66–70.
Khateeb, B., Moatter, T., Shaghil, M., A., Haroon, S., Kakepoto, G., N.(2000). Genetic Diversity of 3-thalassemia Mutations in Pakistani Population. Journal of Pakistan Medical Association.
Langlois, S., Ford, J. C., Chitayat, D., Desilets, V. A., Farrell, S. A., Geraghty, M., & Committee, S. G. (2008). Carrier screening for thalassemia and hemoglobinopathies in Canada. Journal of Obstetrics and Gynaecology Canada Journal d’Obstétrique et Gynécologie du Canada, 30(10), 950–971.
Samavat, A., & Modell, B. (2004). Iranian national thalassaemia screening programme. BMJ, 329(7475), 1134–1137. doi:10.1136/bmj.329.7475.1134.
Saxena, A., & Phadke, S. R. (2002). Thalassemia control by carrier screening Indian case study. European Journal of Human Genetics, 10(1), 203.
Shukr, F., Yasmeen, A., & Ali, S. (2011). Attitude and knowledge of mothers with Thalassemia major children. The Professional Medical Journal, 18, 703–708.
Usman, M., Moinuddin, M., Ghani, R., & Usman, S. (2009). Screening of five common beta thalassemia mutations in the Pakistani population: a basis for prenatal diagnosis. Sultan Qaboos University Medical Journal, 9(3), 305–310.
Vichinsky, E. P. (2005). Changing patterns of thalassemia worldwide. Annals of the New York Academy of Sciences, 1054, 18–24. doi:10.1196/annals.1345.003.
Weatherall, D. J. (2005). Keynote address: the challenge of thalassemia for the developing countries. Annals of the New York Academy of Sciences, 1054, 11–17. doi:10.1196/annals.1345.002.
Zahed, L., & Bou-Dames, J. (1997). Acceptance of first-trimester prenatal diagnosis for the haemoglobinopathies in Lebanon. Prenatal Diagnosis, 17(5), 423–428.
Conflict of Interest
All authors: Humaira Maheen, Farrukh Malick, Barera Siddique and Dr. Asim Qidwai have no conflict of interest.
Disclosure of Human Rights and Informed Consent
All procedures performed in study involving human participants were in accordance with the ethical standards of the institutional research ethics committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Also informed consent was obtained from all individual participants included in the study
Animal Studies
No animal studies were carried out by the authors for this article.
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Maheen, H., Malik, F., Siddique, B. et al. Assessing Parental Knowledge About Thalassemia in a Thalassemia Center of Karachi, Pakistan. J Genet Counsel 24, 945–951 (2015). https://doi.org/10.1007/s10897-015-9830-z
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DOI: https://doi.org/10.1007/s10897-015-9830-z