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It is ironic that despite the strong epidemiological evidence demonstrating an association between reduced lung function and important clinical outcomes as well as the role of spirometry in early detection of some respiratory diseases [ 5, 19- 21]; it lacks acceptability in clinical practice.
In the South African Eastern Cape region, medical circumcision followed by traditional initiation into manhood still lacks acceptability as 70% of initiates feared being stigmatised if they are circumcised in the medical setting [ 23] This study has also shown that prepubertal circumcision in the medical setting was acceptable in this population.
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However, our cost analysis was not able to model how many tests could be done and how many more HIV diagnoses could be made with OraQuick® testing because we lacked acceptability data regarding the OraQuick® tests.
In addition to lacking acceptability data, this study was also limited by partial verification bias; our gold standard for the diagnosis of HIV infection was two rapid tests, based upon how HIV is diagnosed in Zambia.
However, information is lacking on the acceptability of substituting brown rice for white rice.
Very few respondents indicated negative factors that could potentially be associated with lack of acceptability.
Under either system, however, it remained true that there had to be explicit statements to support lack of acceptability.
Predictably, therefore, there was a high level of lack of acceptability at the CDR (77% of recommendations).
While a main deterrent cited by clinicians is women's lack of acceptability of perinatal mental health screening [ 25], these findings did not support that concern.
Despite this lack of acceptability literature in oral health education specifically, promotora-based education is well-received in similar populations on other health-focused topics [ 20– 23].
When explaining lack of acceptability, patient views fell into four broad categories: dislike treatment modality, do not perceive benefit, general barriers and insufficient knowledge.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com