In order to examine further the role of cultural and environmental fac
tors in human manual preference, two surveys were undertaken in studen
ts from Ivory Coast and Sudan. In the first study (Abidjan, Ivory Coas
t) 382 secondary students, ages 12 to 22, answered a 20-item manual pr
eference questionnaire. The observed frequency of left-hand preference
was 7.9%, with very low left-hand use among the 18-22 age group (1%)
and high among the 12-15 age group (14%). In the second study (Khartou
m, Sudan) 759 undergraduates, ages 18 to 33, answered a 25-item questi
onnaire. The observed frequency of left manual preference was 5%. Subj
ects were also asked to indicate any pressure to change hand for writi
ng, eating, or other manual activities and, in the second study, any u
pper limb injury which temporarily rendered the subject unable to use
his (her) preferred hand. Report of an upper Limb injury in the past w
as related to mixed (or inconsistent) hand preference. In both studies
, the target activity against left-hand use was eating. These results
show that cultural and environmental factors could change ''natural''
hand preference in three ways: (i) by changing the hand used for only
one activity (e.g., eating), with no change far other familiar unimanu
al activities; (ii) by reducing the degree of hand preference; (iii) b
y changing the overall preferred hand, generally reducing the prevalen
ce of left-handedness. The design of handedness studies should allow t
hese possibilities to be distinguished. (C) 1997 Academic Press.