Dietary Perspectives and Practices during Pregnancy in Rural Amhara Region of Ethiopia: An Exploratory Qualitative Study.
Dietary Perspectives and Practices during Pregnancy in Rural Amhara Region of Ethiopia: An Exploratory Qualitative Study.
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DOI：
10.1016/j.cdnut.2023.100079
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发表时间：
2023-06
影响因子：
4.8
通讯作者：
Berhane, Yemane
中科院分区：
文献类型：
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作者：
Workneh, Firehiwot;Tsegaye, Sitota;Amanuel, Hanna;Eglovitch, Michelle;Shifraw, Tigest;Shiferie, Fisseha;Tadesse, Amare W;Worku, Alemayehu;Isanaka, Sheila;Lee, Anne Cc;Berhane, Yemane
怀孕期间的营养对母亲和胎儿有终身的影响。在埃塞俄比亚，近三分之一的孕妇营养不良。在设计怀孕期间的营养干预措施时，重要的是要了解当地社区现有的饮食观点和做法。探讨在埃塞俄比亚阿姆哈拉地区的西戈贾姆和南贡达尔农村地区，怀孕期间形成饮食观点和做法的过程。从2018年10月至11月，我们使用半结构化访谈指南对孕妇（n = 16），家庭成员（n = 12）和医疗保健提供者（n = 12）进行了40次深入访谈。访谈以阿姆哈拉语进行，用阿姆哈拉语转录，并翻译成英语。我们使用主题分析方法来组织数据，并确定新出现的主题，以及怀孕期间健康营养的障碍和促进因素。孕妇及其家庭成员认识到多样化饮食对促进母亲和胎儿健康的好处。然而，参与者报告说，由于获得营养食物的机会有限，以及对怀孕期间食物限制的特殊看法，饮食多样性很低。宗教禁食的普遍做法也限制了孕妇的饮食摄入。妇女报告说，由于食欲不振，以及担心有一个大婴儿，这可能会使分娩复杂化，她们在怀孕后期限制食物摄入。据报道，孕妇摄入了当地生产的酒精饮料（Tella），因为参与者认为它的酒精含量低，不会伤害胎儿。虽然参与者理解怀孕期间健康和多样化饮食的重要性，但我们确定了怀孕期间营养方面的几个障碍和观点。低收入和缺乏获得各种食物的机会，特别是在某些季节，宗教禁食，故意限制食物以限制婴儿的大小，以及饮酒。应制定适合当地的咨询和干预措施，重点是增加获得和消费各种食物的机会。Curr Dev Nutr 2023;x：xx.
Nutrition during pregnancy has lifelong impacts on the mother and fetus. In Ethiopia, nearly a third of pregnant women experience undernutrition. When designing nutrition interventions during pregnancy, it is important to understand existing dietary perspectives and practices in local communities. To explore the processes that shape dietary perspectives and practices during pregnancy in rural West Gojjam and South Gondar Zones of the Amhara region in Ethiopia. From October to November 2018, we conducted 40 in-depth interviews with pregnant women (n = 16), family members (n = 12), and healthcare providers (n = 12) using a semistructured interview guide. Interviews were conducted in Amharic, transcribed in Amharic, and translated into English. We used a thematic analysis approach to organize data per the predefined topic areas and identify emerging themes, as well as barriers and enablers to healthy nutrition during pregnancy. Pregnant women and their family members recognized the benefits of a diversified diet to promote the health of the mother and the fetus. However, participants reported low dietary diversity because of limited access to nutritious foods and particular perspectives on food restrictions during pregnancy. The common practice of religious fasting also limited pregnant women’s dietary intake. Women reported restricting their food intake in later pregnancy because of loss of appetite, as well as concerns about having a large infant, which might complicate delivery. Intake of locally made alcoholic drinks (Tella) was reported among pregnant women because participants thought it had low levels of alcohol that would not harm the fetus. Although participants understood the importance of a healthy and diverse diet in pregnancy, we identified several barriers and perspectives regarding nutrition during pregnancy. Low income and lack of access to diverse foods, particularly in certain seasons, religious fasting, intentional food restrictions to limit the size of the infant, and alcohol use were commonly reported. Locally appropriate counseling and interventions should be developed, with an emphasis on increasing access to and consumption of diverse foods. Curr Dev Nutr 2023;x:xx.
影响因子：
3.1
作者：
Eyasu K;Gebremariam LW;Gebrearegay F;Hadush Z;Mulugeta A
通讯作者：
Mulugeta A