Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: 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.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
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
_version_ 1783441318133891072
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
work_keys_str_mv AT chungesthero characteristicsofpicabehavioramongmothersaroundlakevictoriakenyaacrosssectionalstudy
AT mattahbrian characteristicsofpicabehavioramongmothersaroundlakevictoriakenyaacrosssectionalstudy
AT hickeymatthewd characteristicsofpicabehavioramongmothersaroundlakevictoriakenyaacrosssectionalstudy
AT salmencharlesr characteristicsofpicabehavioramongmothersaroundlakevictoriakenyaacrosssectionalstudy
AT milnererinm characteristicsofpicabehavioramongmothersaroundlakevictoriakenyaacrosssectionalstudy
AT bukusielizabetha characteristicsofpicabehavioramongmothersaroundlakevictoriakenyaacrosssectionalstudy
AT brasharesjustins characteristicsofpicabehavioramongmothersaroundlakevictoriakenyaacrosssectionalstudy
AT youngseral characteristicsofpicabehavioramongmothersaroundlakevictoriakenyaacrosssectionalstudy
AT fernaldliach characteristicsofpicabehavioramongmothersaroundlakevictoriakenyaacrosssectionalstudy
AT fiorellakathrynj characteristicsofpicabehavioramongmothersaroundlakevictoriakenyaacrosssectionalstudy