Causal attributions of cleft lip and palate across cultures

Lauren Mednick*, Julie Snyder, Carolyn Schook, Emily A. Blood, Shan Estelle Brown, R. C.A. Weatherley-White

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: To describe and compare the causal beliefs associated with cleft lips and/or palates across several different countries. Design: Cross-sectional survey. Setting: Operation Smile surgery screenings in six developing countries. Participants: Two hundred seventy-nine adult patients and parents of children with cleft lips and/or palates in Kenya, Russia, Cambodia, India, Egypt, and Peru. Interventions: In person interviews were conducted with interpreters. Main Outcome Measure: As part of a larger study, a semistructured questionnaire was created to explore cleft perceptions, belief systems that affect these perceptions, and social reactions to individuals with clefts. Results: Causal attributions were grouped by category (enviro nment, self-blame, supernatural, chance, unknown, or other) and type of locus of control (external, internal, or unknown). Results indicate significant difference by country for both causal attribution category (P ,<.001) and type (P <.001). This difference was maintained in multivariate analyses, which controlled for differences by demographic variables between countries. Conclusions: This study provides evidence that causal attributions for clefts are influenced by culture. As harmful beliefs about cause may continue to impact affected individuals and their families even after a repair, it is insufficient to provide surgical care alone. Care of the entire person must include attempts to change misinformed cultural beliefs through educating the broader community.

Original languageEnglish (US)
Pages (from-to)655-661
Number of pages7
JournalCleft Palate-Craniofacial Journal
Volume50
Issue number6
DOIs
StatePublished - Nov 2013

Fingerprint

Cleft Lip
Cleft Palate
Cambodia
Social Perception
Peru
Internal-External Control
Egypt
Kenya
Russia
Developing Countries
India
Multivariate Analysis
Cross-Sectional Studies
Parents
Demography
Outcome Assessment (Health Care)
Interviews

Keywords

  • Causal attributions
  • Cleft lip and/or palate
  • Cultural beliefs

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology

Cite this

Mednick, L., Snyder, J., Schook, C., Blood, E. A., Brown, S. E., & Weatherley-White, R. C. A. (2013). Causal attributions of cleft lip and palate across cultures. Cleft Palate-Craniofacial Journal, 50(6), 655-661. https://doi.org/10.1597/11-300R1
Mednick, Lauren ; Snyder, Julie ; Schook, Carolyn ; Blood, Emily A. ; Brown, Shan Estelle ; Weatherley-White, R. C.A. / Causal attributions of cleft lip and palate across cultures. In: Cleft Palate-Craniofacial Journal. 2013 ; Vol. 50, No. 6. pp. 655-661.
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Mednick, L, Snyder, J, Schook, C, Blood, EA, Brown, SE & Weatherley-White, RCA 2013, 'Causal attributions of cleft lip and palate across cultures', Cleft Palate-Craniofacial Journal, vol. 50, no. 6, pp. 655-661. https://doi.org/10.1597/11-300R1

Causal attributions of cleft lip and palate across cultures. / Mednick, Lauren; Snyder, Julie; Schook, Carolyn; Blood, Emily A.; Brown, Shan Estelle; Weatherley-White, R. C.A.

In: Cleft Palate-Craniofacial Journal, Vol. 50, No. 6, 11.2013, p. 655-661.

Research output: Contribution to journalArticle

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Mednick L, Snyder J, Schook C, Blood EA, Brown SE, Weatherley-White RCA. Causal attributions of cleft lip and palate across cultures. Cleft Palate-Craniofacial Journal. 2013 Nov;50(6):655-661. https://doi.org/10.1597/11-300R1