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埃塞俄比亚孕妇的食物禁忌行为及相关因素:系统评价和荟萃分析。

Food taboo practices and associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis.

机构信息

School of Public Health, College of Health and Medical Science, Dilla University, Dilla, Ethiopia.

Department of Human Nutrition, College of Health and Medical Science, Dilla University, Dilla, Ethiopia.

出版信息

Sci Rep. 2023 Mar 16;13(1):4376. doi: 10.1038/s41598-023-30852-0.

DOI:10.1038/s41598-023-30852-0
PMID:36927859
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10020167/
Abstract

Food taboos have a negative impact on pregnant women and their fetuses by preventing them from consuming vital foods. Previous research found that pregnant women avoided certain foods during their pregnancy for a variety of reasons. This review aimed to determine the pooled prevalence of food taboo practices and associated factors in Ethiopia. In compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline, we searched the literature using PubMed/MEDLINE, AJOL (African Journal Online), HINARI, Science Direct, Google Scholar, and Google electronic databases. The random-effects model was used to estimate the pooled prevalence of food taboo and its determinants at a 95% confidence interval with their respective odds ratios. The pooled food taboo practice among Ethiopian pregnant women was 34.22% (95% CI 25.47-42.96), and after adjustment for publication bias with the trim-and-fill analysis, the pooled food taboo practice of pregnant women was changed to 21.31% (95% CI: 10.85-31.67%). Having less than a secondary education level (OR = 3.57; 95% CI 1.43-8.89), having no ANC follow-up (OR = 4.35; 95% CI 1.12-16.94), and being a rural resident (OR = 3.08; 95% CI 1.14-8.28) were the significant factors. Dairy products, some fruits, green leafy vegetables, meat, and honey are among the taboo foods. The most frequently stated reasons for this taboo practice were: fear of producing a big fetus, which is difficult during delivery; attachment to the fetus's body or head; and fear of fetal abnormality.

摘要

禁食某些食物会对孕妇及其胎儿产生负面影响,使他们无法摄入重要的食物。之前的研究发现,孕妇在怀孕期间出于各种原因避免食用某些食物。本综述旨在确定埃塞俄比亚孕妇禁食习俗的普遍流行率及其相关因素。本研究遵循系统评价和荟萃分析的首选报告项目(PRISMA)指南,使用 PubMed/MEDLINE、AJOL(非洲在线期刊)、HINARI、Science Direct、Google Scholar 和 Google 电子数据库检索文献。使用随机效应模型,在 95%置信区间内估计食物禁忌的合并流行率及其决定因素,并分别用其比值比进行估计。埃塞俄比亚孕妇的食物禁忌行为发生率为 34.22%(95%CI 25.47-42.96),在进行 trim-and-fill 分析以调整发表偏倚后,孕妇的食物禁忌行为发生率变为 21.31%(95%CI:10.85-31.67%)。受教育程度低于中学(OR=3.57;95%CI 1.43-8.89)、没有接受 ANC 随访(OR=4.35;95%CI 1.12-16.94)和居住在农村(OR=3.08;95%CI 1.14-8.28)是显著因素。禁忌食物包括乳制品、某些水果、绿叶蔬菜、肉类和蜂蜜。这种禁忌行为最常被提及的原因是:担心生出一个在分娩时难以分娩的巨大胎儿;对胎儿身体或头部的依恋;以及担心胎儿畸形。

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