Restricting diet for perceived health benefit: A mixed-methods exploration of peripartum food taboos in rural Cambodia.

Autor: Labonté JM; Department of Applied Human Nutrition, Mount Saint Vincent University, Halifax, Nova Scotia, Canada., Kroeun H; Helen Keller International Cambodia, Phnom Penh, Cambodia., Sambo S; Helen Keller International Cambodia, Phnom Penh, Cambodia., Rem N; Helen Keller International Cambodia, Phnom Penh, Cambodia., Luhovyy BL; Department of Applied Human Nutrition, Mount Saint Vincent University, Halifax, Nova Scotia, Canada., Karakochuk CD; Food, Nutrition and Health, Faculty of Land and Food Systems, The University of British Columbia, Vancouver, British Columbia, Canada., Green TJ; SAHMRI Women and Kids, South Australian Health & Medical Research Institute, Adelaide, South Australia, Australia.; Discipline of Pediatrics, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia., Wieringa FT; French National Research Institute for Sustainable Development (IRD), Montpellier, France.; UMR Qualisud, CIRAD, Institut Agro, IRD, Université Montpellier, Université Avignon, Université de la Réunion, Montpellier, France., Sophonneary P; National Nutrition Programme, Maternal and Child Health Centre, Cambodia Ministry of Health, Phnom Penh, Cambodia., Measelle JR; Department of Psychology, University of Oregon, Eugene, Oregon, USA., Baldwin D; Department of Psychology, University of Oregon, Eugene, Oregon, USA., Whitfield KC; Department of Applied Human Nutrition, Mount Saint Vincent University, Halifax, Nova Scotia, Canada.
Jazyk: angličtina
Zdroj: Maternal & child nutrition [Matern Child Nutr] 2023 Jul; Vol. 19 (3), pp. e13517. Date of Electronic Publication: 2023 Apr 05.
DOI: 10.1111/mcn.13517
Abstrakt: Food taboos encompass food restrictions practiced by a group that go beyond individual preferences. During pregnancy and lactation, food taboos may contribute to inadequate nutrition and poor maternal and infant health. Restriction of specific fish, meat, fruits and vegetables is common among peripartum women in many Southeast Asian countries, but data from Cambodia are lacking. In this mixed-methods study, 335 Cambodian mothers were asked open-ended questions regarding dietary behaviours during pregnancy and up to 24 weeks postpartum. Descriptive statistics and content analysis were used to characterize food taboos and multiple logistic regression analyses were conducted to identify predictors of this practice. Participants were 18-44 years of age, all of Khmer ethnicity and 31% were primiparous. Sixty-six per cent of women followed food taboos during the first 2 weeks postpartum, whereas ~20% of women restricted foods during other peripartum periods. Pregnancy taboos were often beneficial, including avoidance of sugar-sweetened beverages, coffee and alcohol. Conversely, postpartum avoidances typically included nutrient-dense foods such as fish, raw vegetables and chicken. Food taboos were generally followed to support maternal and child health. No significant predictors of food taboos during pregnancy were identified. Postpartum, each additional live birth a woman had reduced her odds of following food taboos by 24% (odds ratio [95% confidence interval]: 0.76 [0.61-0.95]). Specific food taboo practices and rationales varied greatly between women, suggesting that food taboos are shaped less by a strict belief system within the Khmer culture and more by individual or household understandings of food and health during pregnancy and postpartum.
(© 2023 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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