van de Walle E, van de Walle F
Population Studies Center, University of Pennsylvania, 19104.
Health Transit Rev. 1991 Apr;1(1):69-81.
Two views about breastfeeding and the resumption of intercourse after a birth are found to prevail in Bamako and Bobo-Dioulasso, two cities of the Sahel region of Africa: that sexual relations may spoil the milk; and that a child should be weaned when the woman is pregnant again. Both beliefs provide a rationale to abstain, but the postpartum taboo has been greatly reduced in the area, and the second belief is the most important. 'Bad milk' serves as an explanation for many of the diarrhoeas and diseases of nutritional origin that affect infants and children. Traditional medical treatments of diarrhoea and protein calorie malnutrition are consistent with the popular aetiology. The acceptance of modern techniques of infant care in this area may well be predicated on the diffusion of an alternative model of disease causation.
在非洲萨赫勒地区的巴马科和博博迪乌拉索这两个城市，人们对产后母乳喂养及恢复性生活存在两种普遍观点：一是认为性行为会影响乳汁质量；二是认为女性再次怀孕时应给孩子断奶。这两种观念都为禁欲提供了理由，但该地区产后禁忌已大幅减少，第二种观念最为重要。“坏乳汁”被用来解释许多影响婴幼儿的腹泻及营养性疾病。传统医学对腹泻和蛋白质热量营养不良的治疗方法与流行的病因学相符。该地区对现代婴幼儿护理技术的接受很可能取决于另一种疾病因果模型的传播。
