Community food beliefs during pregnancy in rural kebeles of Ofla Woreda, Northern Ethiopia: an explorative qualitative study.

Community food beliefs during pregnancy in rural kebeles of Ofla Woreda, Northern Ethiopia: an explorative qualitative study.
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DOI:
10.1186/s12884-022-04593-3
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发表时间:
2022-03-27
影响因子:
3.1
通讯作者:
Mulugeta A
Mulugeta A
中科院分区:
医学3区
文献类型:
--
作者:
Eyasu K;Gebremariam LW;Gebrearegay F;Hadush Z;Mulugeta A

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怀孕期间与饮食相关的误解会影响母亲及其成长中婴儿的健康。误解因地而异、因社区而异。了解特定社区在怀孕期间的食物观念有助于政策制定者设计适当的文化干预措施。然而,在埃塞俄比亚,有关怀孕期间食物信仰和看法的证据有限。因此,本研究旨在定性评估埃塞俄比亚北部奥夫拉沃雷达农村地区怀孕期间的社区食物信仰。我们在特意选择的社区群体中进行了 10 次深度访谈 (n = 10) 和 4 次焦点小组讨论 (n = 32),其中包括怀孕母亲、宗教领袖和埃塞俄比亚北部 Ofla Woreda 农村小村的长者。数据被逐字转录,翻译成英文,并上传到 ATLAST ti 版本 7.5.1.6。按照主题分析的原则对数据进行分析。采用逐行编码来识别代码;已识别的代码根据其相似性和差异进行分类,并归纳开发主题。归纳确定了三个主题;与怀孕有正相关和负相关的食物;怀孕期间饮酒的好处和危害;以及宗教和禁食。在这项研究中,不鼓励食用鸡蛋等动物源食品,因为这些食物被认为会增加生大婴儿的风险,从而延迟分娩。然而,当地社区鼓励在怀孕期间摄入当地生产的酒精饮料。此外,避免食用动物源食品和在宗教斋戒期间不吃饭也是研究地区孕妇的常见做法。这项研究探讨了对怀孕期间食物摄入量的误解。对摄入“软”酒精饮料的积极态度可能会导致与酒精相关的致畸作用。由于宗教禁食和其他误解而限制营养丰富的饮食摄入,会导致母亲及其成长中的胎儿营养摄入不足。需要在文化上进行适当的干预,以提高对怀孕期间健康饮食摄入的认识。在线版本包含可在 10.1186/s12884-022-04593-3 获取的补充材料。
Dietary related misconceptions during pregnancy affect the heath of mothers and their growing babies. Misconceptions vary from place to place and from community to community. Understanding of a given community’s food perceptions during pregnancy helps policy makers able to design cultural appropriate interventions. In Ethiopia, however, evidences on food beliefs and perceptions during pregnancy are limited. Therefore, this study is aimed at qualitatively assessing community food beliefs during pregnancy in rural kebeles of Ofla Woreda, Northern Ethiopia. We conducted 10 in-depth interviews (n = 10) and four focus group discussions (n = 32) among purposively selected community groups including pregnant mothers, religious leaders, and elders in rural kebeles of Ofla Woreda, Northern Ethiopia. Data were transcribed word-for-word, translated into English, and uploaded into ATLAST ti version 7.5.1.6. Data were analyzed following the principles of thematic analysis. Line-by-line coding was applied to identify codes; identified codes were categorized based on their similarities and differences and themes were developed inductively. Three main themes were identified inductively; foods positively and negatively linked with pregnancy; perceived benefits and harms of alcoholic drinks during pregnancy; and religion and fasting. In this study, consumptions of animal source foods such as egg were discouraged because such foods were perceived to increase the risk of having big baby that could delay delivery. However, intakes of locally produced alcoholic drinks during pregnancy were encouraged by the local community. Furthermore, avoidance of animal source foods and meal skipping during religious fasting-periods were also common practices among pregnant mothers in the study area. This study explored misconceptions on food intakes during pregnancy. Positive attitude towards intake of “soft” alcoholic drinks might result in alcohol related teratogenic effects. Restriction on the intakes of nutrient rich diets due to religious fasting and other misconceptions would lead to insufficient nutrient intake both to the mothers and their growing fetus. Culturally appropriate intervention to improve awareness on healthy dietary intake during pregnancy is needed. The online version contains supplementary material available at 10.1186/s12884-022-04593-3.
DOI: 10.3945/cdn.116.000356
发表时间: 2017-07
影响因子: 4.8
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