Dietary Knowledge and Myths Vary by Age and Years of Schooling in Pregnant Mexico City Residents
Abstract
:1. Introduction
2. Material and Methods
2.1. Study Design and Subjects
2.2. Data Gathering Methods
2.3. Anthropometric Evaluation
2.4. Ethical Aspects
2.5. Statistical Analysis
3. Results
3.1. Implementing Myths or not Acting on Knowledge
3.2. Probability of Acting on Myths and not Practicing Knowledge
4. Discussion
4.1. Myths about Nutrition and Diet during Pregnancy
4.2. Myths about Nutrition and Diet during Breastfeeding
4.3. Knowledge
4.4. Incongruence between Beliefs, Knowledge, and Practice
4.5. Myths and Newborn Weight
4.6. Implications
4.7. Strengths and Limitations
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
Declarations: Ethics approval
Abbreviations
CI | Confidence Interval |
BMI | Body Mass Index |
OR | Odds Ratio |
References
- Phelan, S. Pregnancy: A “teachable moment” for weight control and obesity prevention. Am. J. Obstet. Gynecol. 2010, 202, 135. [Google Scholar] [CrossRef] [Green Version]
- Vaiserman, A.M. Early-Life Nutritional Programming of Type 2 Diabetes: Experimental and Quasi-Experimental Evidence. Nutrients 2017, 9, 236. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Bénabou, R.; Tirole, J. Identity, morals, and taboos: Beliefs as assets. Q. J. Econ. 2011, 126, 805–855. [Google Scholar] [CrossRef] [PubMed]
- Casazza, K.; Fontaine, K.R.; Astrup, A.; Birch, L.L.; Brown, A.W.; Bohan Brown, M.M.; Durant, N.; Dutton, G.; Foster, E.M.; Heymsfield, S.B.; et al. Myths, presumptions, and facts about obesity. N. Engl. J. Med. 2013, 368, 446–454. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- United Nations Children’s Fund (UNICEF). The State of the World’s Children: Maternal and Newborn Health; United Nations Children’s Fund. 3 United Nations Plaza: New York, NY, USA, 2009; Volume 9, Available online: https://www.unicef.org/sowc09/ (accessed on 30 January 2019).
- Towns, A.M.; Van Andel, T. Wild plants, pregnancy, and the food-medicine continuum in the southern regions of Ghana and Benin. J. Ethnopharmacol. 2016, 179, 375–382. [Google Scholar] [CrossRef]
- Blumer, H. Symbolic Interactionism: Perspective and Method, 11th ed.; University of California Press: Berkeley, CA, USA, 2009. [Google Scholar]
- De-Graft Aikins, A. Food beliefs and practices during pregnancy in Ghana: Implications for maternal health interventions. Health Care Women Int. 2014, 35, 954–972. [Google Scholar] [CrossRef]
- Pan American Health Organization; World Health Organization; PAHO/WHO. Latin American and Caribbean Center for Information on Health Sciences. Descriptors in Health Sciences. Virtual Library in Health. Available online: http://sites.bvsalud.org/redetsa/brisa/ (accessed on 30 June 2019).
- Kavle, J.A.; Mehanna, S.; Khan, G.; Hassan, M.; Saleh, G.; Engmann, C. Program considerations for integration of nutrition and family planning: Beliefs around maternal diet and breastfeeding within the context of the nutrition transition in Egypt. Matern. Child Nutr. 2018, 14. [Google Scholar] [CrossRef] [Green Version]
- Riang’a, R.M.; Broerse, J.; Nangulu, A.K. Food beliefs and practices among the Kalenjin pregnant women in rural Uasin Gishu County, Kenya. J. Ethnobiol. Ethnomed. 2017, 13, 29. [Google Scholar] [CrossRef] [Green Version]
- Marques, E.S.; Cotta, R.M.; Priore, S.E. Myths and beliefs surrounding breastfeeding. Cien. Saude Colet. 2011, 16, 2461–2468. [Google Scholar] [CrossRef]
- Kamath, S.P.; Garg, D.; Khan, M.K.; Jain, A.; Baliga, B.S. Perceptions and Practices regarding Breastfeeding among postnatal women at a District Tertiary Referral Government Hospital in Southern India. Scientifica 2016, 2016, 5430164. [Google Scholar] [CrossRef] [Green Version]
- Guggino, A.; Barbero, S.; Ponzo, V.; Viora, E.; Durazzo, M.; Bo, S. Myths about nutrition in pregnancy. J. Obstet. Gynaecol. 2016, 36, 964–965. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Aubel, J. The role and influence of grandmothers on child nutrition: Culturally designated advisors and caregivers. Matern. Child Nutr. 2012, 8, 19–35. [Google Scholar] [CrossRef] [PubMed]
- McKerracher, L.; Moffat, T.; Barker, M.; McConnell, M.; Atkinson, S.A.; Murray-Davis, B.; McDonald, S.D.; Sloboda, D.M. Knowledge about the Developmental Origins of Health and Disease is independently associated with variation in diet quality during pregnancy. Matern. Child Nutr. 2019, e12891. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- House of Commons Health and Social Care Committee First 1000 Days of Life Thirteenth Report of Session 2017–2019. Ordered by the House of Commons to be Printed 12 February 2019. Clerk of the Health and Social Care Committee. House of Commons, London SW1A 0AA. 12 February 2019. Available online: https://publications.parliament.uk/pa/cm201719/cmselect/cmhealth/1496/1496.pdf (accessed on 9 January 2020).
- Journey of the First 1000 Days. In Foundation for a Brighter Future Rashtriya Bal Swasthya Karyakram Ministry of Health; Family Welfare: Nirman Bhavan, New Delhi, 2010. Available online: https://nhm.gov.in/images/pdf/programmes/RBSK/Resource_Documents/Journey_of_The_First_1000_Days.pdf (accessed on 9 January 2010).
- Institute of Medicine. IOM Pregnancy Weight Trackers Assembly: Five Common Myths Flier; The National Academies Press: Washington, DC, USA, 2013. [Google Scholar] [CrossRef]
- Olson, C.M.; Strawderman, M.S.; Hinton, P.S.; Pearson, T.A. Gestational weight gain and postpartum behaviors associated with weight change from early pregnancy to 1 y postpartum. Int. J. Obes. 2003, 27, 117–127. [Google Scholar] [CrossRef] [Green Version]
- Mennella, J.A.; Beauchamp, G.K. Beer, breast feeding, and folklore. Dev. Psychobiol. 1993, 26, 459–466. [Google Scholar] [CrossRef] [Green Version]
- Flores-Huerta, S.; Hernández-Montes, H.; Argote, R.M.; Villalpando, S. Effects of Ethanol Consumption during Pregnancy and Lactation on the Outcome and Postnatal Growth of the Offspring. Ann. Nutr. Metab. 1992, 36, 121–128. [Google Scholar] [CrossRef]
- Haastrup, M.B.; Pottegård, A.; Damkier, P. Alcohol and Breastfeeding. Basic Clin. Pharmacol. Toxicol. 2013, 114, 168–173. [Google Scholar] [CrossRef]
- Gutierrez, Y.M. Cultural factors affecting diet and pregnancy outcome of Mexican American adolescents. J. Adolesc. Health 1999, 25, s1054–s1139. [Google Scholar] [CrossRef]
- United Nations Children’s Fund (UNICEF). For Every Child. Busted: 14 Myths about Breastfeeding; United Nations Children’s Fund. 3 United Nations Plaza: New York, NY, USA, 2019; Available online: https://www.unicef.org/parenting/food-nutrition/14-myths-about-breastfeeding (accessed on 20 May 2019).
- Pérez Gil-Romo, S.E.; Vega-García, L.A.; Romero-Juárez, G. Alimentary practices of rural women: A new body perception. Salud Publica Mex. 2007, 49, 52–62. [Google Scholar] [CrossRef] [Green Version]
- Herrera-Suárez, C.C.; Vásquez-Garibay, E.M.; Romero-Velarde, E.; Romo-Huerta, H.P.; De Alba García, J.E.; Troyo-Sanromán, R. Food habits and culture factors in pregnant adolescents. Arch. Latinoam Nutr. 2008, 58, 19–26. (In Spanish) [Google Scholar]
- Sámano, R.; Martínez, E.G.; Pérez, I.R.; Miranda, G.S.; Polis, J.M.; Courtois, M.L. The socio-cultural and eating aspects of women experiencing risk pregnancies. Cien. Saude Colet. 2014, 19, 1419–1428. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Lohman, T.; Roche, A.; Martorell, R. Anthropometric Standardization Reference Manual; Human Kinetics: Champagne, France, 1988. [Google Scholar]
- Keely, A.; Cunningham-Burley, S.; Elliott, L.; Sandall, J.; Whittaker, A. “If she wants to eat…and eat and eat…fine! It’s gonna feed the baby”: Pregnant women and partners’ perceptions and experiences of pregnancy with a BMI >40kg/m2. Midwifery 2017, 49, 87–94. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Weir, Z.; Bush, J.; Robson, S.C.; McParlin, C.; Rankin, J.; Bell, R. Physical activity in pregnancy: A qualitative study of the beliefs of overweight and obese pregnant women. BMC Pregnancy Childbirth 2010, 28, 18. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Mota-Castillo, P.J.; Hernández-Ibarra, L.E.; Pelcastre-Villafuerte, B.E.; Rangel-Flores, Y.Y. Experiences and beliefs of mothers about exclusive breastfeeding in a region of Mexico. J. Nurs. Health 2019, 9, e199103. [Google Scholar]
- Medina, T.P.; de Argila Fernández-Durán, N.; Pereira Sánchez, A.; Serrano González, L. Benefits of moderate beer consumption at different stages of life of women. Nutr. Hosp. 2015, 32 (Suppl. 1), 32–34. [Google Scholar] [CrossRef]
- Higginbottom, G.M.; Vallianatos, H.; Forgeron, J.; Gibbons, D.; Mamede, F.; Barolia, R. Food choices and practices during pregnancy of immigrant women with high-risk pregnancies in Canada: A pilot study. BMC Pregnancy Childbirth 2014, 14, 370. [Google Scholar] [CrossRef]
- Koletzko, B.; Lehner, F. Beer and breastfeeding. Adv. Exp. Med. Biol. 2000, 478, 23–28. [Google Scholar]
- Swigart, T.M.; Bonvecchio, A.; Theodore, F.L.; Zamudio-Haas, S.; Villanueva-Borbolla, M.A.; Thrasher, J.F. Breastfeeding practices, beliefs, and social norms in low-resource communities in Mexico: Insights for how to improve future promotion strategies. PLoS ONE 2017, 12, e0180185. [Google Scholar] [CrossRef]
- Bener, A.; Al Maadid, M.G.; Al-Bast, D.A.; Al-Marri, S. Maternal knowledge, attitude and practice on folic acid intake among Arabian Qatari women. Reprod Toxicol. 2006, 21, 21–25. [Google Scholar] [CrossRef]
- Al Rakaf, M.S.; Kurdi, A.M.; Ammari, A.N.; Al Hashem, A.M.; Shoukri, M.M.; Garne, E.; Majeed-Saidan, M.A. Patterns of folic acid use in pregnant Saudi women and prevalence of neural tube defects Results from a nested case-control study. Prev. Med. Rep. 2015, 2, 572–576. [Google Scholar] [CrossRef] [Green Version]
- Nosrat, S.B.; Sedehi, M.; Golalipour, M.J. Knowledge and practice of urban Iranian pregnant women towards folic acid intake for neural tube defect prevention. J. Pak. Med. Assoc. 2012, 62, 785–789. [Google Scholar] [PubMed]
- Turton, P.; Piché, L.; Battram, D.S. Adolescent Attitudes and Beliefs Regarding Caffeine and the Consumption of Caffeinated Beverages. J. Nutr. Educ. Behav. 2016, 48, 181–189. [Google Scholar] [CrossRef] [PubMed]
- Moon, J.H.; Kwak, S.H.; Jang, H.C. Prevention of type 2 diabetes mellitus in women with previous gestational diabetes mellitus. Korean J. Intern. Med. 2017, 32, 26–41. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Orloff, N.C.; Hormes, J.M. Pickles and ice cream! Food cravings in pregnancy: Hypotheses, preliminary evidence, and directions for future research. Front. Psychol. 2014, 5, 1076. [Google Scholar] [CrossRef]
- Ledoux, T.; Daundasekara, S.; Van Den Berg, P.; Leung, P.; Walker, L.; Berens, P.D. Association between Health Beliefs and Gestational Weight Gain. J. Womens Health (Larchmt). 2018, 27(3), 341–347. [Google Scholar] [CrossRef]
- Pinheiro, J.; Seabra, D. Changes of food habits during pregnancy and breast-feeding. Acta Med. Port. 2008, 21, 149–160. [Google Scholar]
- Lassi, Z.S.; Mansoor, T.; Salam, R.A.; Bhutta, S.Z.; Das, J.K.; Bhutta, Z.A. Review of nutrition guidelines relevant for adolescents in lowand middle-income countries. Ann. N. Y. Acad Sci. 2017, 1393, 51–60. [Google Scholar] [CrossRef] [Green Version]
- Nguyen, P.H.; Sanghvi, T.; Tran, L.M.; Afsana, K.; Mahmud, Z.; Aktar, B.; Haque, R.; Menon, P. The nutrition and health risks faced by pregnant adolescents: Insights from a cross-sectional study in Bangladesh. PLoS ONE 2017, 8, e0178878. [Google Scholar] [CrossRef] [Green Version]
- Cantrill, R.M.; Creedy, D.K.; Cooke, M.; Dykes, F. Effective suckling in relation to naked maternal-infant body contact in the first hour of life: An observation study. BMC Pregnancy Childbirth 2014, 14, 20. [Google Scholar] [CrossRef] [Green Version]
- Zhang, N.; Du, S.; Tang, Z.; Zheng, M.; Yan, R.; Zhu, Y.; Ma, G. Hydration, Fluid Intake, and Related Urine Biomarkers among Male College Students in Cangzhou, China: A Cross-Sectional Study-Applications for Assessing Fluid Intake and Adequate Water Intake. Int. J. Environ. Res. Public Health 2017, 14, 513. [Google Scholar] [CrossRef] [Green Version]
- Zhou, Y.; Zhu, X.; Qin, Y.; Li, Y.; Zhang, M.; Liu, W.; Xu, Y. Association between total water intake and dietary intake of pregnant and breastfeeding women in China: A cross-sectional survey. BMC Pregnancy Childbirth 2019, 19, 172. [Google Scholar] [CrossRef] [PubMed]
- Martinez, H. Fluid consumption by Mexican women during pregnancy and first semester of lactation. Biomed. Res. Int. 2014, 2014, 603282. [Google Scholar] [CrossRef] [PubMed]
Myths | Knowledge | ||||
---|---|---|---|---|---|
Score | n | % | Score | n | % |
0 | 5 | 0.5 | 3 | 1 | 0.1 |
1 | 37 | 3.6 | 4 | 3 | 0.3 |
2 | 71 | 7.0 | 5 | 16 | 1.6 |
3 | 134 | 13.2 | 6 | 60 | 5.9 |
4 | 222 | 21.8 | 7 | 172 | 16.9 |
5 | 241 | 23.7 | 8 | 305 | 30.0 |
6 | 217 | 21.3 | 9 | 296 | 29.1 |
7 | 90 | 8.8 | 10 | 164 | 16.1 |
Total | 1017 | 100 | Total | 1017 | 100 |
Myths | Knowledge | |||||
---|---|---|---|---|---|---|
Characteristics | Below Median * n = 469 | Above Median * n = 548 | p-Value | Below Median * n = 80 | Above Median * n = 937 | p-Value |
Mother a Mean (standard deviation) | ||||||
Age (yrs.) | 23 (7) | 27 (8) | 0.001 | 27 (9) | 25 (8) | 0.116 |
Pregestational weight (kg) | 57 (12) | 61 (13) | 0.001 | 59 (12) | 59 (13) | 0.979 |
BMI pregestational | 23 (5) | 25 (4) | 0.001 | 24 (4) | 24 (4) | 0.725 |
GWG (kg) | 12 (6) | 11 (7) | 0.238 | 11 (7) | 11 (6) | 0.647 |
Pregnancies (#) | 2 (1.0) | 1 (1.3) | 0.001 | 1.7 (1.0) | 1.8 (1.2) | 0.502 |
Newborn a Mean (standard deviation) | ||||||
Gestational age (weeks) | 38 (2) | 38 (2) | 0.192 | 38 (2) | 38 (2) | 0.161 |
Length (cm) | 48 (3) | 48 (3) | 0.085 | 48 (4) | 48 (3) | 0.097 |
Weight (g) | 2839 (600) | 2963 (552) | 0.001 | 2835 (580) | 2913 (580) | 0.261 |
Sociodemographic data b Frequency (%) | ||||||
Education (yrs.) | 9 (9–12) | 12 (9–14) | 0.001 | 12 (9–12) | 12 (9–12) | 0.594 |
Socio-economic (level) | 2 (1–2) | 2 (2–2) | 0.001 | 2 (1–2) | 2 (1–2) | 0.434 |
Educational lag | ||||||
Yes | 345 (74) | 336 (61) | 0.001 | 52 (65) | 630 (67) | 0.384 |
No | 124 (26) | 212 (39) | 28 (35) | 307 (33) | ||
Place of work Homemaker | 388 (83) | 422 (77) | 0.012 | 65 (82) | 743 (80) | 0.333 |
Outside the home | 80 (17) | 127 (23) | 14 (18) | 192 (20) | ||
Socioeconomic level | ||||||
Middle | 52 (11) | 133 (24) | 0.001 | 14 (17) | 171 (18) | 0.867 |
Low | 417 (89) | 415 (76) | 66 (83) | 766 (82) |
Age (yrs.) | Education (yrs.) | Socio-Economic Level | Number of Pregnancies | Baby Weight (g) | BMI p | GWG (kg) | ||
---|---|---|---|---|---|---|---|---|
Pregnancy | ||||||||
You must eat for two during pregnancy | Correct (n = 719, 71%) | 26.7 (8) a | 11.7 (2.6) a | 2.1 (0.8) a | 1.93 (1.2) a | 2937 (587) b | 25 (5) a | 11.0 (7.1) |
Incorrect (n = 298, 29%) | 22.8 (8) | 9.8 (2.1) | 1.7 (0.6) | 1.63 (1.1) | 2831 (556) | 22 (3) | 11.6 (7.4) | |
Not satisfying cravings leave a mark on the infant’s body | Correct (n = 811, 80%) | 23 (7.7) a | 11.4 (2.6) a | 2.0 (0.8) a | 1.9 (1.2) b | 2927 (563) a | 24 (5) b | 11.2 (7.3) |
Incorrect (n = 206, 20%) | 26.2 (8.2) | 10 (2.2) | 1.7 (0.72) | 1.6 (1.1) | 2827 (637) | 23 (5) | 11.2 (6.7) | |
Vomiting cannot be controlled during pregnancy | Correct (n = 399, 39%) | 27 (8.1) a | 11.6 (2.6) a | 1.9 (0.78) | 1.93 (1.2) b | 2942 (565) | 25 (5) b | 11.3 (7-6) |
Incorrect (n = 618, 61%) | 24.6 (8.1) | 10.8 (2.5) | 2.0 (0.86) | 1.78 (1.1) | 2883 (589) | 24 (5) | 11.1 (6.9)) | |
You cannot exercise during pregnancy | Correct (n = 825, 81%) | 25.8 (8.2) b | 11.3 (2.6) a | 2.0 (0.85) a | 1.85 (1.2) | 2925 (577) a | 24 (5) | 11.09 (7.1) |
Incorrect (n = 192, 19%) | 24.2 (8.0) | 10.2 (2.3) | 1.72 (0.58) | 1.82 (1.1) | 2825 (589) | 24 (5) | 11.8 (7.8) | |
It is impossible to recover one’s pre-baby weight after childbirth | Correct (n = 818, 80%) | 25.6 (8.2) | 11.3 (2.6) a | 1.96 (0.48) b | 1.8 (1.1) | 2926 (574)b | 24 (5) | 10.9 (7.1) b |
Incorrect (n = 199, 20%) | 25.1 (8.1) | 10.5 (2.4) | 1.89 (0.69) | 1.9 (1.2) | 2823 (598) | 24 (5) | 12.3 (7.4) | |
Breastfeeding | ||||||||
Drinking “atole” or beer enhances breast milk production | Correct (n = 674, 66%) | 26.6 (8.3) a | 11.4 (2.6) a | 2.0 (0.8) a | 1.9 (1.2) a | 2915 (575) | 24 (5) b | 10.9 (7.5) |
Incorrect (n = 343, 34%) | 23.5 (7.4) | 10.7 (2.4) | 1.8 (0.7) | 1.6 (1.0) | 2889 (590) | 25 (5) | 11.8 (6.5) | |
A frightened or angry mother should not nurse her baby | Correct (n = 360, 36%) | 26.8 (8.1) a | 11.7 (2.8) a | 2.07 (1.3) a | 2.03 (1.3) a | 2917 (584) | 24 (5) | 11.5 (7.7) |
Incorrect (n = 657, 64%) | 24.9 (8.1) | 10.8 (2.7) | 1.88 (0.7) | 1.74 (1.1) | 2901 (578) | 24 (5) | 11.0 (6.9) |
Mean | Β | Standard Error | 95% CI | p-Value | |
---|---|---|---|---|---|
Myths * | |||||
Score | 4 | ||||
Age | 0.025 | 0.007 | 0.011, 0.040 | <0.001 | |
Number of pregnancies | 0.069 | 0.043 | −0.015,0.153 | 0.117 | |
Socioeconomic level | 0.060 | 0.066 | −0.070, 0.189 | 0.365 | |
Years of schooling | 0.174 | 0.020 | 0.136, 0.213 | <0.001 | |
Knowledge § | |||||
Score | 8 | ||||
Age | −0.017 | 0.006 | −0.028, −0.005 | 0.005 | |
Number of pregnancies | 0.077 | 0.036 | 0.002, 0.148 | 0.033 | |
Socioeconomic level | 0.056 | 0.056 | −0.052, 0.164 | 0.310 | |
Years of schooling | −0.002 | 0.017 | −0.029, 0.031 | 0.927 |
Answer | Correct | Incorrect | p-Value |
---|---|---|---|
Practice a Myth | |||
• Pregnancy | |||
You must eat for two during pregnancy (n = 263) | 113 (43) | 150 (57) | 0.001 |
Not satisfying cravings leave a mark on the infant’s body (n = 541) | 429 (79) | 112 (21) | 0.395 |
Vomiting cannot be controlled during pregnancy (n = 30) | 11 (37) | 19 (63) | 0.973 |
You cannot exercise during pregnancy (n = 635) | 494 (78) | 141 (22) | 0.001 |
• Breastfeeding | |||
Drinking atole or beer enhances breast milk production (n = 144) | 70 (49) | 74 (51) | 0.001 |
A frightened or angry mother should not nurse her baby(n = 107) | 34 (32) | 73 (68) | 0.407 |
Not practice knowledge | |||
• Pregnancy | |||
Caffeine consumption provokes premature birth (n = 353) | 302 (86) | 51 (14) | 0.002 |
Folic acid intake should begin before—not only during—pregnancy (n = 767) | 469 (61) | 298 (39) | 0.005 |
A healthy diet and lifestyle during pregnancy prevents future diseases in a child (n = 636) | 598 (94)) | 38 (6) | 0.232 |
• Breastfeeding | |||
A mother should consume about 3 liters of water per day while nursing (n = 688) | 432 (63) | 256 (37) | 0.734 |
Mothers require adequate increased energy intake during pregnancy and nursing(n = 1003) | 640 (64) | 363 (36) | 0.286 |
During the first six months of life, breast milk is the only food a baby requires (n = 930) | 868 (93) | 62 (7) | 0.373 |
OR | 95% CI | p-Value | |
---|---|---|---|
Myths | |||
You must eat for two during pregnancy | |||
• Being an adolescent | 1.76 | 1.26–2.44 | 0.001 |
• Being married | 1.47 | 1.11–1.95 | 0.007 |
Not satisfying cravings leave a mark on the infant’s body | |||
• Being an adolescent | 2.41 | 1.78–3.26 | 0.001 |
You cannot exercise during pregnancy | |||
• Being an adolescent | 1.59 | 1.16–2.18 | 0.003 |
• Low socioeconomic level | 1.41 | 1.01–1.95 | 0.038 |
Drinking atole or beer enhances breast milk production | |||
• Being single | 2.07 | 1.38–3.09 | 0.001 |
A frightened or angry mother should not nurse her baby | |||
• Being an adult | 2.61 | 1.35–5.04 | 0.004 |
Knowledge | |||
Caffeine consumption provokes premature birth | |||
• Being an adolescent | 1.42 | 1.05–1.91 | 0.022 |
• High school or below | 1.38 | 1.04–1.84 | 0.025 |
Folic acid intake should begin before—not only during—pregnancy | |||
• High school or below | 1.53 | 1.14–2.05 | 0.004 |
A healthy diet and lifestyle during pregnancy prevents future diseases in a child | |||
• Being a homemaker | 1.26 | 0.92–1.73 | 0.138 |
A mother should consume about 3 liters of water per day while nursing | |||
• Being an adolescent | 1.86 | 1.22–2.82 | 0.003 |
• High school or below | 1.38 | 1.00–1.91 | 0.046 |
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Sámano, R.; Lara-Cervantes, C.; Martínez-Rojano, H.; Chico-Barba, G.; Sánchez-Jiménez, B.; Lokier, O.; Hernández-Trejo, M.; Grosso, J.M.; Heller, S. Dietary Knowledge and Myths Vary by Age and Years of Schooling in Pregnant Mexico City Residents. Nutrients 2020, 12, 362. https://doi.org/10.3390/nu12020362
Sámano R, Lara-Cervantes C, Martínez-Rojano H, Chico-Barba G, Sánchez-Jiménez B, Lokier O, Hernández-Trejo M, Grosso JM, Heller S. Dietary Knowledge and Myths Vary by Age and Years of Schooling in Pregnant Mexico City Residents. Nutrients. 2020; 12(2):362. https://doi.org/10.3390/nu12020362
Chicago/Turabian StyleSámano, Reyna, Citlali Lara-Cervantes, Hugo Martínez-Rojano, Gabriela Chico-Barba, Bernarda Sánchez-Jiménez, Orly Lokier, María Hernández-Trejo, Juan Manuel Grosso, and Solange Heller. 2020. "Dietary Knowledge and Myths Vary by Age and Years of Schooling in Pregnant Mexico City Residents" Nutrients 12, no. 2: 362. https://doi.org/10.3390/nu12020362