Amare Yared, Shamba Donat D, Manzi Fatuma, Bee Margaret H, Omotara Babatunji A, Iganus Ruth B, Adejuyigbe Ebunoluwa A, Odebiyi Adetanwa L, Skordis-Worrall Jolene, Hill Zelee E
Consultancy for Social Development, Ethiopia.
Ifakara Health Institute, Tanzania.
J Trop Pediatr. 2015 Dec;61(6):428-34. doi: 10.1093/tropej/fmv053. Epub 2015 Aug 27.
Data for this study on skin care practices and emollient use in four African sites were collected using in-depth interviews, focus-group discussions and observations. Respondents were mothers, grandmothers, fathers, health workers, birth attendants and people selling skin-care products. Analysis included content and framework analyses.Emollient use was a normative practice in all sites, with frequent application from an early age in most sites. There were variations in the type of emollients used, but reasons for use were similar and included improving the skin, keeping the baby warm, softening/strengthening the joints/bones, shaping the baby, ensuring flexibility and encouraging growth and weight gain. Factors that influenced emollient choice varied and included social pressure, cost, availability and deep-rooted traditional norms. Massage associated with application was strong and potentially damaging to the skin in some sites.Given the widespread use of emollients, the repeated exposure of newborns in the first month of life and the potential impact of emollients on mortality, trials such as those that have been conducted in Asia are needed in a range of African settings.
本研究关于非洲四个地区皮肤护理做法和润肤剂使用情况的数据，是通过深入访谈、焦点小组讨论和观察收集的。受访者包括母亲、祖母、父亲、卫生工作者、助产士以及销售护肤品的人员。分析包括内容分析和框架分析。在所有地区，使用润肤剂都是一种常见做法，在大多数地区，从婴儿早期就频繁使用。所使用的润肤剂类型存在差异，但使用原因相似，包括改善皮肤、给婴儿保暖、软化/强化关节/骨骼、塑造婴儿体型、确保灵活性以及促进生长和体重增加。影响润肤剂选择的因素各不相同，包括社会压力、成本、可获得性以及根深蒂固的传统规范。在一些地区，与涂抹润肤剂相关的按摩力度很大，可能会对皮肤造成损害。鉴于润肤剂的广泛使用、新生儿在出生后第一个月的反复接触以及润肤剂对死亡率的潜在影响，需要在一系列非洲环境中开展类似在亚洲进行的试验。
