Document Detail

Premasticating Food for Weaning African Infants: A Possible Vehicle for Transmission of HIV.
MedLine Citation:
PMID:  21873699     Owner:  NLM     Status:  Publisher    
Background: Although premastication of food for weaning infants might have nutritional benefit, it is also associated with transmission of pathogens. We investigated premastication practices in Cape Town, South Africa, in lower socioeconomic status caregivers of infants below 2 years of age. Methods: A previously reported questionnaire was adapted for South African conditions. A convenience sample of infant caregivers was captured at public maternal/pediatric and HIV outpatient clinics and home visits. Results: We interviewed 154 caregivers, 92% of whom were the biological mothers (median age: 29). Of these, 70% were black, and 29% were colored. There were 106 (69%) caregivers who practiced premastication. The median age of infants who received premasticated food was 6 (interquartile range: 4-6) months. Forty-six (43%) infants were teething, and 44 (42%) had oral mucosal lesions while receiving premasticated food. Fifty-five (52%) caregivers reported an oral condition, mostly bleeding gums, mouth sores, and thrush, and 41 (39%) caregivers reported blood in the food. Premasticating caregivers had a significantly lower educational level than those caregivers who did not engage in this practice. Premastication practices were cultural (40%), habit (20%), and on mother's advice (75%). Reasons for premastication were to pretaste (68%), encourage eating (61%), estimate food temperature (85%), and homogenize food (60%). Conclusions: Counselors and caregivers should be aware of the adverse effects of premastication. Education should include advice to avoid premastication and to seek health advice for oral conditions in the caregiver and child. More studies are needed to better define the extent and risks of premastication, including its possible role in increasing HIV-1 transmission.
Elke R Maritz; Martin Kidd; Mark F Cotton
Related Documents :
705839 - Aflatoxin load of common food in savanna and forest regions of nigeria.
19747519 - Assessment of the exposure to ochratoxin a in the province of lleida, spain.
17039279 - Reduction of aflatoxin b1 in chicken feed by using saccharomyces cerevisiae, rhizopus o...
18286409 - Managing ochratoxin a risk in the grape-wine food chain.
7664929 - Surveillance programmes for managing risks from naturally occurring toxicants.
2363329 - Ochratoxin a in swine blood used for evaluation of cereal handling procedures.
20085659 - Factors affecting fungus-induced larval mortality in anopheles gambiae and anopheles st...
2741309 - Photosensitization of cattle in montana: is descurainia pinnata the culprit?
15058309 - The pharmacology of human appetite expression.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-8-28
Journal Detail:
Title:  Pediatrics     Volume:  -     ISSN:  1098-4275     ISO Abbreviation:  -     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-8-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Stellenbosch University and Children's Infectious Diseases Clinical Research Unit, Department of Pediatrics and Child Health, Tygerberg Children's Hospital, Cape Town, South Africa; and.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Policy Statement--Boxing Participation by Children and Adolescents.
Next Document:  Policy Statement--Professional Liability Insurance and Medicolegal Education for Pediatric Residents...