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Characteristics of Pica Behavior among Mothers around Lake Victoria, Kenya: A Cross-Sectional Study
Background: Pica, the craving and purposeful consumption of nonfoods, is poorly understood. We described the prevalence of pica among women on Mfangano Island, Kenya, and examined sociodemographic and health correlates. Methods: Our cross-sectional study included 299 pregnant or postpartum women in...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6679355/ https://www.ncbi.nlm.nih.gov/pubmed/31337101 http://dx.doi.org/10.3390/ijerph16142510 |
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author | Chung, Esther O. Mattah, Brian Hickey, Matthew D. Salmen, Charles R. Milner, Erin M. Bukusi, Elizabeth A. Brashares, Justin S. Young, Sera L. Fernald, Lia C.H. Fiorella, Kathryn J. |
author_facet | Chung, Esther O. Mattah, Brian Hickey, Matthew D. Salmen, Charles R. Milner, Erin M. Bukusi, Elizabeth A. Brashares, Justin S. Young, Sera L. Fernald, Lia C.H. Fiorella, Kathryn J. |
author_sort | Chung, Esther O. |
collection | PubMed |
description | Background: Pica, the craving and purposeful consumption of nonfoods, is poorly understood. We described the prevalence of pica among women on Mfangano Island, Kenya, and examined sociodemographic and health correlates. Methods: Our cross-sectional study included 299 pregnant or postpartum women in 2012. We used a 24-h recall to assess pica, defined as consumption of earth (geophagy), charcoal/ash, or raw starches (amylophagy) and built multivariable logistic regression models to examine sociodemographic and health correlates of pica. Results: Eighty-one women (27.1%) engaged in pica in the previous 24 h, with 59.3% reporting amylophagy and 56.8% reporting geophagy, charcoal, and/or ash consumption. The most common substances consumed were raw cassava (n = 30, 36.6%), odowa, a chalky, soft rock-like earth (n = 21, 25.6%), and soil (n = 17, 20.7%). Geophagy, charcoal, and/or ash consumption was negatively associated with breastfeeding (OR = 0.38, 95% CI: 0.18–0.81), and amylophagy was associated with pregnancy (OR = 4.31, 95% CI: 1.24–14.96). Pica was more common within one of six study regions (OR = 3.64, 95% CI: 1.39–9.51). We found no evidence of an association between food insecurity and pica. Conclusion: Pica was a common behavior among women, and the prevalence underscores the need to uncover its dietary, environmental, and cultural etiologies. |
format | Online Article Text |
id | pubmed-6679355 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-66793552019-08-19 Characteristics of Pica Behavior among Mothers around Lake Victoria, Kenya: A Cross-Sectional Study Chung, Esther O. Mattah, Brian Hickey, Matthew D. Salmen, Charles R. Milner, Erin M. Bukusi, Elizabeth A. Brashares, Justin S. Young, Sera L. Fernald, Lia C.H. Fiorella, Kathryn J. Int J Environ Res Public Health Article Background: Pica, the craving and purposeful consumption of nonfoods, is poorly understood. We described the prevalence of pica among women on Mfangano Island, Kenya, and examined sociodemographic and health correlates. Methods: Our cross-sectional study included 299 pregnant or postpartum women in 2012. We used a 24-h recall to assess pica, defined as consumption of earth (geophagy), charcoal/ash, or raw starches (amylophagy) and built multivariable logistic regression models to examine sociodemographic and health correlates of pica. Results: Eighty-one women (27.1%) engaged in pica in the previous 24 h, with 59.3% reporting amylophagy and 56.8% reporting geophagy, charcoal, and/or ash consumption. The most common substances consumed were raw cassava (n = 30, 36.6%), odowa, a chalky, soft rock-like earth (n = 21, 25.6%), and soil (n = 17, 20.7%). Geophagy, charcoal, and/or ash consumption was negatively associated with breastfeeding (OR = 0.38, 95% CI: 0.18–0.81), and amylophagy was associated with pregnancy (OR = 4.31, 95% CI: 1.24–14.96). Pica was more common within one of six study regions (OR = 3.64, 95% CI: 1.39–9.51). We found no evidence of an association between food insecurity and pica. Conclusion: Pica was a common behavior among women, and the prevalence underscores the need to uncover its dietary, environmental, and cultural etiologies. MDPI 2019-07-14 2019-07 /pmc/articles/PMC6679355/ /pubmed/31337101 http://dx.doi.org/10.3390/ijerph16142510 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Chung, Esther O. Mattah, Brian Hickey, Matthew D. Salmen, Charles R. Milner, Erin M. Bukusi, Elizabeth A. Brashares, Justin S. Young, Sera L. Fernald, Lia C.H. Fiorella, Kathryn J. Characteristics of Pica Behavior among Mothers around Lake Victoria, Kenya: A Cross-Sectional Study |
title | Characteristics of Pica Behavior among Mothers around Lake Victoria, Kenya: A Cross-Sectional Study |
title_full | Characteristics of Pica Behavior among Mothers around Lake Victoria, Kenya: A Cross-Sectional Study |
title_fullStr | Characteristics of Pica Behavior among Mothers around Lake Victoria, Kenya: A Cross-Sectional Study |
title_full_unstemmed | Characteristics of Pica Behavior among Mothers around Lake Victoria, Kenya: A Cross-Sectional Study |
title_short | Characteristics of Pica Behavior among Mothers around Lake Victoria, Kenya: A Cross-Sectional Study |
title_sort | characteristics of pica behavior among mothers around lake victoria, kenya: a cross-sectional study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6679355/ https://www.ncbi.nlm.nih.gov/pubmed/31337101 http://dx.doi.org/10.3390/ijerph16142510 |
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