Practices of pica among pregnant women in a tertiary healthcare facility in Ghana

Konlan, Kennedy Diema; Abdulai, Juliana Asibi; Konlan, Kennedy Dodam; Amoah, Roberta Mensima; Doat, Abdul Razak

doi:10.1002/nop2.451

Cited by 19 publications

(16 citation statements)

References 16 publications

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“…Food aversion prevalence (45%) was comparable to findings which were also conducted in Ghana (44.8%) by [ 55 ] and in Kenya [ 58 ] but lower than those reported by [ 19 ] and [ 59 ] in Tanzania and Ecuador respectively. Current findings show the practice of pica during pregnancy (39%) was slightly lower than studies conducted in Ghana by [ 42 , 55 , 60 ] which were between 47–48% but higher than those conducted in Kenya [ 58 ] and Ethiopia [ 61 ] which were 27% and 30% respectively. Regression analysis showed that participants who practiced food craving had higher odds for inadequate DD.…”

Section: Discussioncontrasting

confidence: 64%

Dietary diversity and its correlates among pregnant adolescent girls in Ghana

et al. 2021

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Background Dietary diversity, a qualitative measure of dietary intake, which reflects the variety of foods consumed has been recommended to assuage nutritional problems related to insufficient micronutrients, and food insecurity. To better understand the underlying factors for poor birth outcomes in Ghana, we assessed factors associated with dietary diversity among rural and urban pregnant adolescents in the Ashanti Region of Ghana. Methods As part of a larger longitudinal cohort of 416 pregnant adolescents, the FAO minimum dietary diversity for women index was used to determine the dietary diversity score (DDS) of the participants from a previous days’ 24-hour dietary recall data. The household hunger scale (HHS) and lived poverty index (LPI) were used to determine hunger and socioeconomic status. Eating behavior and socio-demographic data were gathered using interviewer-administered questionnaires. Results The mean age of the participants was 17.5 (±1.4) years with an MDD-W of 4.4 and 56% recording inadequate MDD score. More rural (63.6%) than urban dwellers (50.6%) had inadequate DDS (p = 0.008). Among all the multiple variables tests of associations on dietary diversity, only hunger status (p = 0.028) and both food aversion and poverty status (p = 0.003) had a significant effect on the adolescents’ dietary diversity. Rural dwelling adolescents (AOR = 1.7, p = 0.035, 95% CI = 1.0–2.6) recorded higher odds for inadequate DD compared with the urban respondents. Pregnant adolescents with severe hunger had higher odds (Unadjusted OR = 1.9, p = 0.053, 95% CI 1.1–3.8) for inadequate dietary diversity compared with those with no hunger. Conclusions Inadequate DD is common among pregnant adolescents in this study and is associated with rural living, food insecurity, poverty, and food craving. Livelihood support for pregnant teenagers and nutrition education are recommended interventions to improve dietary quality and limit the consequences of poor dietary diversity.

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Section: Discussioncontrasting

confidence: 64%

Dietary diversity and its correlates among pregnant adolescent girls in Ghana

et al. 2021

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“…Food aversion prevalence (45%) was comparable to findings which were also conducted in Ghana (44.8%) by (52) and in Kenya (49%) by (57) but lower than those reported by (18) and (56) in Tanzania (70%) and Ecuador (74%) respectively. Current findings show practice of pica during pregnancy (39%) was slightly lower than studies conducted in Ghana by (46,52,58) which were between 47 – 48% but higher than those conducted in Kenya (57) and Ethiopia (59) which were 27% and 30% respectively. Regression analysis showed that participants who did not practice pica and food aversion had higher odds for adequate DD.…”

Section: Discussioncontrasting

confidence: 64%

Dietary diversity and its correlates among pregnant adolescent girls in Ghana

Gyimah

Annan

Apprey

et al. 2020

Preprint

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Introduction Dietary diversity, a qualitative measure of dietary intake, which reflects the variety of foods consumed has been recommended to assuage nutritional problems related to insufficient micronutrients and food insecurity. To better understand the underlying factors for poor birth outcomes in Ghana, we assessed factors associated with dietary diversity among rural and urban pregnant adolescents in the Ashanti Region of Ghana. Methods As part of a larger longitudinal cohort of 416 pregnant adolescents, the FAO womens dietary diversity index was used to determine dietary diversity score (DDS) of the participants from a 3-day repeated 24-hour dietary recall data. The household hunger scale (HHS) and lived poverty index (LPI) were used to determine hunger and socioeconomic status. Eating behavior and socio-demographic data were gathered using interviewer-administered questionnaires. Results The mean DDS for participants was 4.3 but 59.7% of participants were below the minimum DD. More rural (67.1%) than urban dwellers (53.9%) had inadequate DDS (p=0.008). Urban dwelling adolescents recorded higher odds for adequate DD (OR=1.8 CI =1.0-2.8, p=0.034) compared to the rural respondents. Other factors associated with higher odds for adequate DD are income (OR=12.1, p = 0.043, 95%CI= 1.1-136.8), moderate (OR=2.1, p = 0.019, 95%CI=1.1-3.8) and high LPI (OR=2.2, p=0.007, 95%CI=1.2-3.9), practicing food aversion (OR=1.6, p = 0.046, 95%CI= 1.0-2.4), and pica (OR 1.6, p =0.043, 95%CI= 1.0-2.5). Conclusions Low DD is common among pregnant adolescents in this study and associated with poverty, food insecurity, rural living, pica practice, and food aversions. Livelihood support for pregnant teenagers and nutrition education are recommended interventions to improve dietary quality and limit the consequences of poor dietary diversity.

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“…Similarly, (Salih et al, 2015) study which done in Jizan and showed 67.3%. In the same line, two studies conducted in Ghana (Konlan et al, 2020) and (Hommey, 2016) reported that pica was more than three-quarters among participants of pregnant women. Moreover, studies conducted in Tanzania by (Nyanza et al, 2014) and in Nigeria by (Ekwenchi et al, 2015) which reported that about half of pregnant 53% of women have the urge to eat non-food items or pica.…”

Section: Discussionmentioning

confidence: 83%

“…These alternatives may include eating dry bread, biscuits, or sweets to reduce the effects of pregnancy nausea and vomiting. Health workers should increase health education on pica and its adverse impact on mothers and fetus health (Doyle & Spallek, 2016;Konlan et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Pica and Iron Deficiency Anemia among Pregnant Women in East Jeddah Hospital

Zaki¹,

Fouly²,

Elkafafi³

2021

Preprint

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INTRODUCTION. The most common cause of eating non-food items (pica) is specific deficiencies of minerals, such as iron. This study aimed to assess the relationship between Pica and Iron deficiency anemia among pregnant women. METHODS. The study was conducted in the out-patient department, antenatal Clinic at East Jeddah Hospital from July to September 2020. Design: A quantitative descriptive correlation design. Sample size: A total of 400 pregnant women, included anemic pregnant women, ≥ 18 years old, with singleton fetus and iron deficiency anemia. RESULTS. The mean age was 32.2 ± 6.6, half of the participants reported food cravings. Ice was the main item in pica followed by clay and chalk. Two-thirds had pica, more than half during the 1st trimester. There is a statistically significant relationship between pica and the history of a family member, parity, and gravidity at (P< 0,001, P <0,001, P <0,005) respectively. Hb and hematocrit in relation to pica reflected a statistically significant relationship (P< 0,001) and (P< 0,001), respectively. The symptoms attributed to iron deficiency were significantly associated with pica (P< 0,006). CONCLUSION. The pica and iron deficiency anemia had a significant association with pregnant women in EJH. RECOMMENDATION. The follow-up visits should integrate the food behavior inquiry to check if the pica existing with anemic or non-anemic pregnant women. Also, increase the awareness among midwives-nurses about the prevalence of pica and iron deficiency anemia among pregnant women.

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Practices of pica among pregnant women in a tertiary healthcare facility in Ghana

Cited by 19 publications

References 16 publications

Dietary diversity and its correlates among pregnant adolescent girls in Ghana

Dietary diversity and its correlates among pregnant adolescent girls in Ghana

Dietary diversity and its correlates among pregnant adolescent girls in Ghana

The Relationship between Pica and Iron Deficiency Anemia among Pregnant Women in East Jeddah Hospital

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