Characteristics of Pica Behavior among Mothers around Lake Victoria, Kenya: A Cross-Sectional Study
<i>Background</i>: 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. <i>Methods</i>: Our cross-sectional study include...
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doaj-866ffebc84e8420180bd87fc65ceb32c2020-11-24T22:11:20ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012019-07-011614251010.3390/ijerph16142510ijerph16142510Characteristics of Pica Behavior among Mothers around Lake Victoria, Kenya: A Cross-Sectional StudyEsther O. Chung0Brian Mattah1Matthew D. Hickey2Charles R. Salmen3Erin M. Milner4Elizabeth A. Bukusi5Justin S. Brashares6Sera L. Young7Lia C.H. Fernald8Kathryn J. Fiorella9Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, McGavran-Greenberg Hall, CB #7435, Chapel Hill, NC 27599-7435, USAEkialo Kiona Research Dept, Organic Health Response, Mbita, P.O. Box 224-40305, KenyaDivision of HIV, Infectious Disease, and Global Medicine, Department of Medicine, UCSF, 1001 Potrero Ave, San Francisco, CA 94110, USAEkialo Kiona Research Dept, Organic Health Response, Mbita, P.O. Box 224-40305, KenyaBureau for Global Health, USAID, Washington, DC 20001, USACentre for Microbiology Research, Kenya Medical Research Institute, Hospital Road, Nairobi 00100, KenyaDepartment of Environmental Science, Policy, and Management, University of California, Berkeley, 130 Mulford Hall #3114, Berkeley, CA 94720, USADepartment of Anthropology, Northwestern University, 1810 Hinman Avenue, Evanston, IL 60208, USADivision of Community Health Sciences, School of Public Health, University of California, Berkeley, 2121 Berkeley Way, Room 5302, Berkeley, CA 94720-7360, USAMaster of Public Health Program, Department of Population Medicine and Diagnostic Sciences, Cornell University, S2-004 Shurman Hall, Ithaca, NY 14853, USA<i>Background</i>: 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. <i>Methods</i>: 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. <i>Results</i>: 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 (<i>n</i> = 30, 36.6%), odowa, a chalky, soft rock-like earth (<i>n</i> = 21, 25.6%), and soil (<i>n</i> = 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. <i>Conclusion</i>: Pica was a common behavior among women, and the prevalence underscores the need to uncover its dietary, environmental, and cultural etiologies.https://www.mdpi.com/1660-4601/16/14/2510picageophagyamylophagypregnancybreastfeedingKenya |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Esther O. Chung Brian Mattah Matthew D. Hickey Charles R. Salmen Erin M. Milner Elizabeth A. Bukusi Justin S. Brashares Sera L. Young Lia C.H. Fernald Kathryn J. Fiorella |
spellingShingle |
Esther O. Chung Brian Mattah Matthew D. Hickey Charles R. Salmen Erin M. Milner Elizabeth A. Bukusi Justin S. Brashares Sera L. Young Lia C.H. Fernald Kathryn J. Fiorella Characteristics of Pica Behavior among Mothers around Lake Victoria, Kenya: A Cross-Sectional Study International Journal of Environmental Research and Public Health pica geophagy amylophagy pregnancy breastfeeding Kenya |
author_facet |
Esther O. Chung Brian Mattah Matthew D. Hickey Charles R. Salmen Erin M. Milner Elizabeth A. Bukusi Justin S. Brashares Sera L. Young Lia C.H. Fernald Kathryn J. Fiorella |
author_sort |
Esther O. Chung |
title |
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_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_sort |
characteristics of pica behavior among mothers around lake victoria, kenya: a cross-sectional study |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2019-07-01 |
description |
<i>Background</i>: 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. <i>Methods</i>: 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. <i>Results</i>: 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 (<i>n</i> = 30, 36.6%), odowa, a chalky, soft rock-like earth (<i>n</i> = 21, 25.6%), and soil (<i>n</i> = 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. <i>Conclusion</i>: Pica was a common behavior among women, and the prevalence underscores the need to uncover its dietary, environmental, and cultural etiologies. |
topic |
pica geophagy amylophagy pregnancy breastfeeding Kenya |
url |
https://www.mdpi.com/1660-4601/16/14/2510 |
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