title: 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.
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.
authors.affiliation: CHU Reims, Unité des Maladies Infectieuses et Tropicales, Hôpital Robert Debré, Université Champagne-Ardenne, 51092, Reims, France.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Kmiec
authors.affiliation: CHU Reims, Unité des Maladies Infectieuses et Tropicales, Hôpital Robert Debré, Université Champagne-Ardenne, 51092, Reims, France.|Faculté de Médecine, Université de Reims Champagne-Ardenne, EA-4684/SFR CAP-SANTE, 51095, Reims, France.
authors.forename: Yohan
authors.initials: Y
authors.lastname: Nguyen
authors.affiliation: CHU Reims, Unité des Maladies Infectieuses et Tropicales, Hôpital Robert Debré, Université Champagne-Ardenne, 51092, Reims, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Rouger
authors.affiliation: CHU Reims, Unité des Maladies Infectieuses et Tropicales, Hôpital Robert Debré, Université Champagne-Ardenne, 51092, Reims, France.
authors.forename: Jean Luc
authors.initials: JL
authors.lastname: Berger
authors.affiliation: CHU Reims, Unité des Maladies Infectieuses et Tropicales, Hôpital Robert Debré, Université Champagne-Ardenne, 51092, Reims, France.
authors.forename: Dorothée
authors.initials: D
authors.lastname: Lambert
authors.affiliation: CHU Reims, Unité des Maladies Infectieuses et Tropicales, Hôpital Robert Debré, Université Champagne-Ardenne, 51092, Reims, France.
authors.forename: Maxime
authors.initials: M
authors.lastname: Hentzien
authors.affiliation: CHU Reims, Unité des Maladies Infectieuses et Tropicales, Hôpital Robert Debré, Université Champagne-Ardenne, 51092, Reims, France.
authors.forename: Delphine
authors.initials: D
authors.lastname: Lebrun
authors.affiliation: CHU Reims, Unité des Maladies Infectieuses et Tropicales, Hôpital Robert Debré, Université Champagne-Ardenne, 51092, Reims, France.
authors.forename: Ailsa
authors.initials: A
authors.lastname: Robbins
authors.affiliation: CHU Reims, Hôpital Robert Debré, Pôle Recherche et Innovations, Unité d'aide Méthodologique, 51092, Reims, France.|Faculté de Médecine, Université de Reims Champagne-Ardenne, EA 3797, 51095, Reims, France.
authors.forename: Moustapha
authors.initials: M
authors.lastname: Drame
authors.affiliation: CHU Reims, Unité des Maladies Infectieuses et Tropicales, Hôpital Robert Debré, Université Champagne-Ardenne, 51092, Reims, France. fbanisadr@chu-reims.fr.|Faculté de Médecine, Université de Reims Champagne-Ardenne, EA-4684/SFR CAP-SANTE, 51095, Reims, France. fbanisadr@chu-reims.fr.
authors.forename: Firouzé
authors.initials: F
authors.lastname: Bani-Sadr
mesh_terms: D000328:Adult; D017954:Africa South of the Sahara / Q000208:ethnology; D018798:Anemia, Iron-Deficiency / Q000150:complications* / Q000453:epidemiology; D017691:Caribbean Region / Q000208:ethnology; D005006:Ethnicity; D001068:Feeding and Eating Disorders; D005260:Female; D005602:France / Q000453:epidemiology; D005616:French Guiana / Q000208:ethnology; D015658:HIV Infections / Q000150:complications*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010842:Pica / Q000150:complications*; D015995:Prevalence; D012987:Soil
chemical_list: D012987:Soil
keywords: Anemia; Feeding and eating disorders; Geophagy; HIV infection; Iron deficiency; Pica