Exploring cultural influences in perinatal and early childhood nutrition.

Revista de salud publica (Bogota, Colombia) Pub Date : 2024-05-01 eCollection Date: 2024-06-01 DOI:10.15446/rsap.V26n3.115569
Shanti Raman, Sharanya Napier-Raman, María Camila Pinzón-Segura
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Abstract

Objective: This review analyzes socio-cultural factors impacting maternal and infant nutrition in low-resource settings, covering the perinatal period including pregnancy, childbirth, and early infancy.

Methodology: It examines qualitative studies from 1990 to 2021, identified through databases such as Medline, Embase, and Scopus, using broad search terms including 'traditional beliefs,' 'practices' and 'perinatal'.

Results: The synthesis highlights strong cultural support for breastfeeding across diverse cultures, although traditional taboos and beliefs often undermine exclusive breastfeeding. A deep cultural appreciation for the therapeutic benefits of foods is observed, with prevalent, albeit varied, notions of 'good' and 'bad' foods influencing dietary choices during the perinatal period. Intergenerational support plays a crucial role, though it often conflicts with biomedical advice, particularly in migrant populations. Crosscutting themes include the enduring role of women as 'good mother' in perinatal care, the impact of poverty on nutritional choices, and the evolving nature of cultural practices, the direction of which is not always predictable.

Conclusions: Cultural beliefs profoundly shape perinatal and infant nutrition. It advocates the need for public health strategies that are culturally sensitive and tailored to specific community needs to optimize health outcomes for mothers and infants. Future interventions should integrate cultural understanding into public health practices, promoting beneficial traditions while modifying detrimental ones.

探讨文化对围产期和幼儿营养的影响。
目的:本综述分析了低资源环境下影响母婴营养的社会文化因素,涵盖围产期,包括妊娠、分娩和婴儿期。方法:它检查了1990年至2021年的定性研究,通过Medline、Embase和Scopus等数据库确定,使用包括“传统信仰”、“实践”和“围产期”在内的广泛搜索词。结果:该综合研究强调了不同文化对母乳喂养的强烈文化支持,尽管传统的禁忌和信仰往往会破坏纯母乳喂养。观察到对食物的治疗益处有深刻的文化欣赏,“好”和“坏”食物的概念普遍存在,尽管各不相同,影响围产期的饮食选择。代际支持发挥着至关重要的作用,尽管它往往与生物医学建议相冲突,特别是在移民人口中。交叉主题包括妇女在围产期护理中作为“好母亲”的持久作用,贫困对营养选择的影响,以及文化习俗的演变性质,其方向并不总是可预测的。结论:文化信仰深刻地影响着围产期和婴幼儿营养。它倡导需要制定具有文化敏感性和适合特定社区需要的公共卫生战略,以优化母亲和婴儿的健康结果。未来的干预措施应将文化理解纳入公共卫生实践,促进有益的传统,同时改变有害的传统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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