RESUMEN
This study investigates the processes of acculturation, interculturality and interactions in the eating habits of Syrian refugees who had a Syrian food venue in the city of São Paulo, Brazil. We conducted a qualitative study, with an ethnographical design, with ten participants, using semi-structured interviews and participant and non-participant observation. There were changes in the preparation of consumed and served food products. These changes were accompanied by tensions, connected to the acculturation strategies and intercultural relations. Even with these changes, consuming Syrian food allowed our participants to maintain connections with their original country, despite the sudden temporal and spatial separation.
Asunto(s)
Aculturación , Culinaria/métodos , Dieta , Refugiados/psicología , Restaurantes , Adulto , Anciano , Brasil , Femenino , Alimentos , Humanos , Masculino , Persona de Mediana Edad , Investigación Cualitativa , Siria/etnología , Adulto JovenRESUMEN
Abstract Objective The aim of this study was to analyze and compare obstetric and neonatal outcomes between Syrian refugees and ethnic Turkish women. Methods Retrospective, observational study. A total of 576 Syrian refugees and 576 ethnic Turkish women were included in this study, which was conducted between January 2015 and December 2015 at a tertiary maternity training hospital in Ankara, Turkey. The demographic characteristics, obstetric and neonatal outcomes were compared. The primary outcomes were pregnancy outcomes and cesarean rates between the groups Results The mean age was significantly lower in the refugee group (p< 0.001). Mean gravidity, proportion of adolescent pregnancies, proportion of pregnant women aged 12 to 19 years, and number of pregnancies at < 18 years were significantly higher among the refugee women (p< 0.001). Rates of antenatal follow-up, double testing, triple testing, gestational diabetes mellitus (GDM) screening, and iron replacement therapy were significantly lower in the refugee group (p< 0.001). The primary Cesarean section rate was significantly lower in the refugee group (p= 0.034). Pregnancies in the refugee group were more complicated, with higher rates of preterm delivery (< 37 weeks), preterm premature rupture of membranes (PPROM), and low birth weight (< 2,500 g) when compared with the control group (4.2% versus 0.7%, p< 0.001; 1.6% versus 0.2%, p= 0.011; and 12% versus 5.8%, p< 0.001, respectively). Low education level (odds ratio [OR] = 1.7, 95% confidence interval [CI] = 0.5-0.1), and weight gain during pregnancy (OR = 1.7, 95% CI = 0.5-0.1) were found to be significant indicators for preterm birth/PPROM and low birthweight. Conclusion Syrian refugees had increased risks of certain adverse obstetric outcomes, including preterm delivery, PPROM, lower birth weight, and anemia. Several factors may influence these findings; thus, refugee women would benefit from more targeted care during pregnancy and childbirth.