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AIDS and Behavior

, Volume 21, Issue 12, pp 3630–3635 | Cite as

Factors Associated with Geophagy and Knowledge About Its Harmful Effects Among Native Sub-Saharan African, Caribbean and French Guiana HIV Patients Living in Northern France

  • Isabelle Kmiec
  • Yohan Nguyen
  • Christine Rouger
  • Jean Luc Berger
  • Dorothée Lambert
  • Maxime Hentzien
  • Delphine Lebrun
  • Ailsa Robbins
  • Moustapha Drame
  • Firouzé Bani-Sadr
Brief Report
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Abstract

Geophagy, or the ingestion of earth or clay, is widespread among women of Sub-Saharan African, Caribbean or French Guiana origin. Little is known about this practice among HIV patients native of these countries and who are followed-up in France. The aims of this study were to determine (i) the prevalence and factors associated with geophagy among HIV patients native of these countries, (ii) patients’ knowledge about the harmful effects of geophagy, and (iii) the association of geophagy with iron deficiency, or a history of anemia or constipation. Among the 119 included patients, current geophagy and previous geophagy were present in 11/119 (9%) and 47/119 (40%) patients, respectively. Female gender was the only factor associated with consumption (OR 5.37; 95% CI 2.07–15.92 p = 0.001). Awareness about the risk of iron-deficient anemia was low (24%). Preventive education should be integrated into the care of HIV adults from countries in which geophagy is a culture and widely accepted practice.

Keywords

HIV infection Geophagy Pica Iron deficiency Anemia Feeding and eating disorders 

Resumen

La geofagia, o la ingestión de tierra o arcilla, es conocida entre las mujeres originarias de África Subsahariana, el Caribe o la Guyana Francesa. Poco se sabe sobre esta práctica entre los pacientes HIV originarios de estos países y que tienen un seguimiento médico en Francia. Los objetivos de este estudio eran de determinar (i) la prevalencia y los factores asociados a la geofagia entre pacientes HIV originarios de estos países, (ii) los conocimientos acerca de los efectos nocivos de la geofagia y (iii) la asociación de geofagia con la carencia en hierro, o un antecedente de anemia o de constipación. Dentro de los 119 pacientes incluidos, 11/119 (9%) presentaban una geofagia actual, y 47/119 (40%) presentaban una geofagia pasada. El género femenino fue el único factor asociado con geofagia (OR=5.37; 95% CI = 2.07-15.92; p = 0.001). El conocimiento acerca del riesgo de desarrollar una anemia por carencia en hierro era bajo (24%). La educación preventiva debería ser integrada en los cuidados de pacientes adultos HIV originarios de los países en los cuales la geofagia es una práctica cultural arraigada ampliamente aceptada.

Notes

Authors Contributions

All authors participated in the design of the study protocol and data collection. IK performed the data management. YN and MD performed statistical analyses. YN and FBS wrote the first manuscript draft. All authors participated in interpretation of the data and writing of the final manuscript and all authors approved the final manuscript. IK and FBS were responsible for the overall supervision of the study.

Compliance with Ethical Standards

Conflict of interest

None for all authors.

Informed Consent

All subjects gave informed consent to participate to the study.

Research Involving Human Participants

The study was approved by the Reims University Hospital IRB under the number 2013–19.

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Isabelle Kmiec
    • 1
  • Yohan Nguyen
    • 1
    • 2
  • Christine Rouger
    • 1
  • Jean Luc Berger
    • 1
  • Dorothée Lambert
    • 1
  • Maxime Hentzien
    • 1
  • Delphine Lebrun
    • 1
  • Ailsa Robbins
    • 1
  • Moustapha Drame
    • 3
    • 4
  • Firouzé Bani-Sadr
    • 1
    • 2
  1. 1.CHU Reims, Unité des Maladies Infectieuses et Tropicales, Hôpital Robert DebréUniversité Champagne-ArdenneReimsFrance
  2. 2.Faculté de MédecineUniversité de Reims Champagne-ArdenneReimsFrance
  3. 3.CHU Reims, Hôpital Robert Debré, Pôle Recherche et InnovationsUnité d’aide MéthodologiqueReimsFrance
  4. 4.Faculté de MédecineUniversité de Reims Champagne-ArdenneReimsFrance

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