title: Genetics and congenital malformations: interpretations, attitudes and practices in suburban communities and the shamans of ecuador.
abstract: OBJECTIVE
  The purpose of the present article was to evaluate how shamans and the suburban communities of Quito interpret the terminology used in genetics.
  
  
  METHODS
  One hundred people living in 5 suburban districts of Quito were surveyed as well as 19 shamans of the Salasaca community.
  
  
  RESULTS
  The results show that members of both groups are little informed about genetics. As knowledge about genetics is correlated to educational level, which is very poor in both groups, knowledge and understanding of genetics are either very basic or nonexistent. As for the medical practices in treating genetic alterations, the surveys show that while in very severe cases scientific medicine is sought, in most cases explanations and a cure are given by shamanic medicine.
  
  
  CONCLUSIONS
  There is limited knowledge of genetics and its terminology in the study population. Shamanic and marginal health practices seem to remain prevalent in these communities due to their low costs, the personal attention the individuals receive, and the holistic point of view employed. It is important that the community councils, the medical doctors and the shamans work together to set up community programs on medical education, particularly on genetics.
authors.affiliation: Genetics Unit, Medical Faculty and Molecular Genetics and Human Cytogenetic Laboratory, Pontifical Catholic University of Ecuador, Quito, Ecuador. cpazymino@puce.edu.ec
authors.forename: César
authors.initials: C
authors.lastname: Paz-Y-Miño
authors.forename: María Eugenia
authors.initials: ME
authors.lastname: Sánchez
authors.forename: Isabel
authors.initials: I
authors.lastname: Sarmiento
authors.forename: Paola E
authors.initials: PE
authors.lastname: Leone
mesh_terms: D000293:Adolescent; D000328:Adult; D000013:Congenital Abnormalities / Q000523:psychology* / Q000628:therapy; D004484:Ecuador; D005260:Female; D030342:Genetic Diseases, Inborn / Q000523:psychology* / Q000628:therapy; D005826:Genetics, Medical / Q000193:education*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D019423:Shamanism; D013383:Suburban Population; D011795:Surveys and Questionnaires