Abstract

Hand, eye and foot preferences in Tunisia were examined in relation to age, gender and geographic location. We analyzed 1291 questionnaires from 653 men and 638 women, aged 8 to 74 years. Despite the cultural pressure against the use of the left hand for food-related activities, the overall frequency of left-hand writers (10.9%) was comparable to that found in the Western world. The frequency of left-hand writers was higher for subjects with one left-handed parent, and even higher for subjects with two left-handed parents than for subjects whose parents were right handed. The frequency of left-hand writers dropped to 5.9% in the older age-group; it was found to be higher in Tunis, the largest and most Occidental city, than in other cities, while left-hand eating was lower in the South than in the Center or in the North. The frequency of left-footers also dropped in the older age groups and was higher in Tunis than in other cities. Eye preference, consistency of preferred-hand use, crossed hand-eye laterality, crossed hand-foot laterality and gender-related differences in lateral preferences were all comparable to Western results. These data suggest that lateral preferences are partly influenced by a genetic factor, but that handedness (and to a lesser degree footedness) emerges from the intricate interaction of several factors including genetic and cultural influences.

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