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Pica: sorting it out.

J S Boyle1, M C Mackey

  • 1Department of Community Nursing, Medical College of Georgia, USA. jboyle@mail.mcg.edu

Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society
|September 7, 1999
PubMed
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Pica is the persistent eating of nonfood items, often linked to pregnancy but with unclear causes. This case study highlights culturally sensitive care for a pregnant woman with pica.

Area of Science:

  • Medical Anthropology
  • Nutritional Science
  • Clinical Medicine

Background:

  • Pica is a culture-bound disorder characterized by the ingestion of nonfood substances.
  • Its prevalence varies significantly based on cultural and socioeconomic factors.
  • The exact etiology of pica remains unknown, though it is frequently observed during pregnancy.

Observation:

  • This article details a clinical case of pica in a 33-year-old pregnant African American woman.
  • The patient presented with cravings for and consumption of nonfood items.

Findings:

  • Conflicting evidence exists regarding the association between nutrient deficiencies and pica.
  • The case illustrates the complex interplay of cultural practices, socioeconomic status, and health during pregnancy.

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Implications:

  • Culturally sensitive approaches are crucial for effective diagnosis and management of pica in pregnant individuals.
  • Further research is needed to elucidate the underlying causes and establish clear diagnostic criteria for pica.
  • Healthcare providers should be aware of cultural variations in pica to offer appropriate patient care.