Trends and consequences of consumption of food and non-food items (pica) by pregnant women in Western Kenya

Kariuki, Lucy; Lambert, Christine; Purwestri, Ratna Chrismiari; Biesalski, Hans Konrad

doi:10.1016/j.nfs.2016.09.001

Cited by 25 publications

(35 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

Section: Discussionsupporting

confidence: 85%

“…Prevalence of food cravings in this study (64%) was similar to findings conducted in Ghana (52), Nigeria (53) and Iran (54) which were 67.7%, 61.3% and 60% respectively but was slightly lower than findings from Kenya (55) and Ecuador (56) which were 74% and 69% respectively. 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.…”

Section: Discussionsupporting

confidence: 84%

“…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: Discussionsupporting

confidence: 73%

See 2 more Smart Citations

Dietary diversity and its correlates among pregnant adolescent girls in Ghana

Gyimah

Annan

Apprey

et al. 2020

Preprint

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 73%

See 1 more Smart Citation

Dietary diversity and its correlates among pregnant adolescent girls in Ghana

Gyimah

Annan

Apprey

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Interestingly, pica practice in various classes of the society, particularly educated and non‐educated ( p = .59), rural and urban residents ( p = .31), was not statistically significant, suggesting that the practice of pica in this population is not essentially influenced by the social status of the individual. In Kenya, pica practice was significantly associated with level of education ( p = .02) and history of child death/stillbirth ( p = .01) (Kariuki, Lambert, Purwestri, & Biesalski, ). In Ghana, certain perceptions in the communities that fuel the believes that pica use cure ailments or provides some form of spiritual protection, may be a contributing factor to pica use (Mensah et al, ).…”

Section: Discussionmentioning

confidence: 99%

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

Konlan

Abdulai

Konlan³

et al. 2020

Nursing Open

View full text Add to dashboard Cite

Aim This study assessed the practice of pica among pregnant women in the Ho Teaching Hospital. Design Descriptive cross‐sectional. Methods Systematic sampling technique was used to recruit 286 pregnant women. Questionnaire was used to collect data. Data entered into Statistical Package for Social Sciences for analysis. Result Of the 286 pregnant women, 21.2% and 17.8% considered white clay and ice respectively as nutritious. Prevalence of pica was 47.5%, while 44.9% of pregnant women who practised pica reported they feel uncomfortable when they do not eat pica as 63.3% considered intake of pica as harmful. Among women who received education against pica practice, 49.4% have ever taken pica as 50.9% of them with education on effects of pica were currently engaged in the activity (χ2 = 1.93 p = .17). Conclusion Health professionals, especially midwives must intensify education on effects of pica among pregnant women.

show abstract

“…However, Khousabi et al [40] found that pica has adverse effects on pregnancy outcomes in Iran. Kariuki et al [41] among the Western Kenyan pregnant women, observed pica prevalence at 27.4%, with consumption of soil and soft stones being frequently reported. Apart from these, a number of studies on pica practice were prevalent among pregnant women across sub-Saharan countries such as Kenya, Ghana, Rwanda, Nigeria, Tanzania and South Africa [37,38].…”

Section: Discussionmentioning

confidence: 99%