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首页> 外文期刊>The East African medical journal >Pica practices of pregnant women in Nairobi, Kenya.
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Pica practices of pregnant women in Nairobi, Kenya.

机译:肯尼亚内罗毕孕妇的皮卡行为。

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OBJECTIVES: To establish the prevalence of pica behaviour during pregnancy; to identify the substances commonly ingested and their prevalence; and to determine the characteristics of women who reported practising pica. DESIGN: Descriptive, cross sectional study involving use of questionnaire administered in interview format. SETTING: Pumwani Maternity Hospital, Nairobi, Kenya. SUBJECTS: One hundred and seventy one antenatal women with a mean age of 28.1 (+/-7.3) years. Subjects were selected based on availability; accessibility and willingness to participate in the study. RESULTS: Seven hundred and ninety three (74.0%) participants reported practising pica regularly on daily basis. Pica prevalence categorised by substances ingested was as follows: soft stones (odowa); 89.8%; soil, 61.2%; and others, 9.6% and no pica, 26.0%. Majority of women who reported practising pica (62.5%) ingested more than one substance. Most women who practised pica reported having experienced strong cravings prior to ingestionof pica items, childhood pica, pica before pregnancy, pica in previous pregnancy and a history of pica in family members and significant others in the community. CONCLUSIONS: Pica prevalence was significantly high among the subjects indicating that pica in pregnancy might be more common and independent in Kenya than health care providers assume or observe. There is need to routinely screen pregnant women for pica during antenatal visits as this will provide a more systematic and a less expensive way of establishing its epidemiological status. A nation-wide investigation of pica prevalence is also recommended in order to establish pica prevalence at national level and among different socio-economic groups. Further studies are also needed to establish possible health consequences of pica on mother and child.
机译:目的:确定怀孕期间异食癖行为的发生率;识别通常摄入的物质及其流行程度;并确定举报练习异食癖的女性的特征。设计:描述性,横断面研究,涉及使用以访谈形式管理的问卷。地点:肯尼亚内罗毕Pumwani妇产医院。受试者:171名产前女性,平均年龄28.1(+/- 7.3)岁。根据可用性选择受试者;参与研究的可及性和意愿。结果:793名(74.0%)参与者报告每天定期练习异食癖。皮卡的流行程度按摄入的物质分类如下:软结石(odowa); 89.8%;土壤,61.2%;其他人为9.6%,无异食癖者为26.0%。多数报告练习异食癖的女性(62.5%)摄入一种以上的物质。多数练习过异食癖的妇女报告说,他们在摄取异食癖之前有强烈的渴望,童年异食癖,怀孕前异食癖,以前怀孕的异食癖以及家庭成员和社区其他重要成员的异食癖史。结论:受试者中的皮卡患病率显着较高,这表明在肯尼亚,皮卡的流行可能比卫生保健提供者所设想或观察到的更为普遍和独立。有必要在产前检查期间定期对孕妇进行异食癖筛查,因为这将为建立流行病学状况提供更系统,更便宜的方法。还建议在全国范围内对皮卡患病率进行调查,以便在国家一级以及不同的社会经济群体之间确定皮卡患病率。还需要进一步研究来确定异食癖对母亲和儿童可能造成的健康后果。

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