Determinants of dietary practices during pregnancy: A longitudinal qualitative study in <scp>N</scp>iger

Rosen, Joseph G.; Clermont, Adrienne; Kodish, Stephen; Seck, Amadou; Salifou, Aichatou; Grais, Rebecca F.; Isanaka, Sheila

doi:10.1111/mcn.12629

Cited by 18 publications

(22 citation statements)

References 45 publications

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“…Additional nonmodifiable factors associated with dietary diversity included caste, education, and economic status. Our results are consistent with previous literature wherein maternal knowledge and socio‐economic status were found to be associated with dietary diversity (de Castro et al, ; Doyle, Borrmann, Grosser, Razum, & Spallek, ; Rosen et al, ; Shamim et al, ). Women belonging to higher caste and income groups were more likely to have a diverse diet, suggesting a resource constraint in adoption of diet recommendations beyond improved knowledge and counselling services.…”

Section: Discussionsupporting

confidence: 93%

Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors

Nguyen

Kachwaha

Avula

et al. 2019

Maternal & Child Nutrition

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Despite strong policy and program commitment, essential maternal nutrition services are not reaching enough women in many countries. This paper examined multifactorial determinants (personal, family, community, and health services) associated with maternal nutrition practices in Uttar Pradesh, India. Data were from a household survey of pregnant (n = 667) and recently delivered women (n = 1,835). Multivariable regression analyses were conducted to examine the determinants of four outcomes: consumption of diverse diets, consumption of iron folic acid (IFA) and calcium tablets, and weight monitoring during pregnancy. Population attributable risk analysis was used to estimate how much the outcomes can be improved under optimal program implementation. During pregnancy, women consumed 28 IFA and 8 calcium tablets, 18% consumed diverse diet, and 17% were weighed ≥3 times. Nutrition knowledge was associated with consumption of diverse diet (odds ratio [OR] = 2.2 times), IFA (2.3 times), calcium (11.7 times), and weight monitoring (1.3 times). Beliefs and self‐efficacy were associated with IFA (OR = 2.0) and calcium consumption (OR = 4.6). Family support and adequate health services were also associated with better nutrition practices. Under optimal program implementation, we estimate that 51% of women would have adequate diet diversity, an average consumption of 98 IFA, and 106 calcium tablets, and women would be weighed 4.9 times during pregnancy. Strengthening existing program operations and increasing demand for services has the potential to result in large improvements in maternal nutrition practices from current baseline levels but may not be sufficient to meet World Health Organization‐recommended levels without creating an enabling environment including improvements in education and income levels to support behaviour change.

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Section: Discussionsupporting

confidence: 93%

Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors

Nguyen

Kachwaha

Avula

et al. 2019

Maternal & Child Nutrition

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“…Previous studies in some developing countries have often shown a link between the level of education of women and the quality of their diet (Huybregts et al, 2009, Mayén, Marques-Vidal, Paccaud, Bovet, & Stringhini, 2014. Rosen et al, 2018). In our study, we did observe small variations in some food group consumption.…”

Section: Discussionsupporting

confidence: 42%

“…In the multivariate analysis, parity and household wealth index were both associated with a higher WDDS at preconception and with a positive change in the WDDS throughout follow‐up. The socioeconomic level of the household is a well‐known determinant of women's dietary diversity in African contexts (Doyle, Borrmann, Grosser, Razum, & Spallek, ; Huybregts et al, ; Krige et al, ; Rosen et al, ). Here, we showed that women with less economic constraints had better access to varied foods and were able to increase their dietary diversity during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…Strong socio‐cultural beliefs can lead to diet restrictions and contribute to either an absence of change or a decrease in WDDS before and during pregnancy. Studies in Burkina Faso, Kenya, Niger, and Nepal have shown that the factors that can be responsible for the change in food‐consumption patterns during pregnancy were the fear of having a large baby and beliefs held about certain foods (Christian et al, ; Huybregts et al, ; Riang'a, Nangulu, & Broerse, ; Rosen et al, ). In our study, we did observe small variations in some food group consumption.…”

Section: Discussionmentioning

confidence: 99%

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Changes in women's dietary diversity before and during pregnancy in Southern Benin

Djossinou

Savy

Fanou‐Fogny

et al. 2019

Maternal & Child Nutrition

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Dietary diversity before and during pregnancy is crucial to ensure optimal foetal health and development. We carried out a cohort study of women of reproductive age living in the Sô‐Ava and Abomey‐Calavi districts (Southern Benin) to investigate women's changes in dietary diversity and identify their determinants both before and during pregnancy. Nonpregnant women were enrolled (n = 1214) and followed up monthly until they became pregnant (n = 316), then every 3 months during pregnancy. One 24‐hr dietary recall was administered before conception and during each trimester of pregnancy. Women's dietary diversity scores (WDDS) were computed, defined as the number of food groups out of a list of 10 consumed by the women during the past 24 hr. The analysis included 234 women who had complete data. Mixed‐effects linear regression models were used to examine changes in the WDDS over the entire follow‐up, while controlling for the season, subdistrict, socio‐demographic, and economic factors. At preconception, the mean WDDS was low (4.3 ± 1.1 food groups), and the diet was mainly composed of cereals, oils, vegetables, and fish. The mean WDDS did not change during pregnancy and was equally low at all trimesters. Parity and household wealth index were positively associated with the WDDS before and during pregnancy in the multivariate analysis. Additional research is needed to better understand perceptions of food consumption among populations, and more importantly, efforts must be made to encourage women and communities in Benin to improve the diversity of their diets before and during pregnancy.

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“…Kurang gizi berkaitan dengan morbiditas ibu dan kondisi kehamilan yang buruk (Alemu et al, 2019 (Rosen et al, 2018).…”

Section: Pendahuluanunclassified

Food taboos with socioeconomic status during pregnancy in West Kalimantan, Indonesia

2020

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Each region in Indonesia has diversity in terms of food consumption patterns, especially for pregnant women, which is accompanied by beliefs about taboos from certain types of food. This study aimed to determine the relationship between age, education level, employment status, and the culture of food taboos in pregnant women. This was an observational analytic study with a cross-sectional approach. The study was conducted in the working area of the Bengkayang Health Center, West Kalimantan, Indonesia. A sample of 30 pregnant women selected by purposive sampling. The dependent variable is the culture of food taboos in pregnancy. The independent variables include age, education, and employment status. The data were collected by a questionnaire and analyzed using multiple linear regression. Education (b = 0.48; 95% CI = 0.10 to 0.85; p = 0.015) and employment status (b = 0.51; 95% CI = 0.19 to 0.84; p = 0.003) had a relationship with the culture of food taboos in pregnancy and were statistically significant. This study also found a relationship between education and employment status with the culture of food taboos in pregnancy.

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Determinants of dietary practices during pregnancy: A longitudinal qualitative study in Niger

Cited by 18 publications

References 45 publications

Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors

Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors

Changes in women's dietary diversity before and during pregnancy in Southern Benin

Food taboos with socioeconomic status during pregnancy in West Kalimantan, Indonesia

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