Text box 1. Contributions to the literature
1. Research has found knowledge gap to be a hindrance to public health interventional strategies aimed at addressing sickle cell disease (SCD).
2. In spite of higher education, misconceptions were a major concern regarding SCD; whereas 30% of participants believed fate decides having a SCD child, others consider curses to cause of SCD.
3. Participants’ knowledge about SCD prevention is significantly positively associated with relationship decisions.
4. Beliefs about SCD negatively mediate application of relationship choice as a SCD prevention strategy.