Evidence map›Paper›PMID 31365572›Full record

Trial reportPloS one2019

High prevalence of kaolin consumption in migrant women living in a major urban area of France: A cross-sectional investigation.

Pascal Caillet, Maud Poirier, Marie Grall-Bronnec, Edouard Marchal, Alain Pineau, Catherine Pintas, Véronique Carton, Pascale Jolliet, Norbert Winer, Caroline Victorri-Vigneau

Abstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Pascal CailletDepartment of Clinical Pharmacology, University Hospital of Nantes, Nantes, France.ORCID 0000-0001-5667-7887
Maud PoirierDepartment of Gynecology and Obstetrics, University Hospital of Nantes, Nantes, France.
Marie Grall-BronnecDepartment of Addictology and Psychiatry, University Hospital of Nantes, Nantes, France.
Edouard MarchalDepartment of Clinical Pharmacology, University Hospital of Nantes, Nantes, France.
Alain PineauDepartment of Clinical Pharmacology, University Hospital of Nantes, Nantes, France.
Catherine PintasDepartment of Gynecology and Obstetrics, University Hospital of Nantes, Nantes, France.
Véronique CartonDepartment of Gynecology and Obstetrics, University Hospital of Nantes, Nantes, France.
Pascale JollietDepartment of Clinical Pharmacology, University Hospital of Nantes, Nantes, France.
Norbert WinerDepartment of Gynecology and Obstetrics, University Hospital of Nantes, Nantes, France.
Caroline Victorri-VigneauDepartment of Clinical Pharmacology, University Hospital of Nantes, Nantes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Geophagia is a feeding behavior involving the regular intake of soil, including clay-like kaolin. Frequent in Africa, kaolin consumption is associated with heavy metal intoxication, iron and other micronutrient deficiencies, geohelminth infection and inactivation of concomitantly taken drugs. It is expected that this practice would be imported into an asylum country during the immigration process. To confirm this hypothesis, a single center, cross-sectional study was conducted at the University Hospital of Nantes, France, whose main objective was to assess whether the prevalence of kaolin consumers was high in a migrant population living in a large French metropolitan area (the city of Nantes). Each woman consulting for the first time at the Medical and Psychosocial Gynecology Obstetric Unit during the inclusion period ranging from January 1, 2017, to July 1, 2017, was asked for consent to be included in the study. The main outcome was the proportion of positive answers regarding consumption of kaolin within the last twelve months, with its 95% confidence interval (CI). A logistic regression was performed to identify drivers of consumption, and a clustering approach was conducted to identify profiles of consumers. A total of 284 women were included in the study, of whom 110 (38.7%) were pregnant. Our main finding was a 14.1% (95% CI: 10.5-18.6) prevalence of clay consumers. Second, the characteristic most strongly associated with consumption was Central or West Africa origin (adjusted Odds Ratio (aOR) = 52.7; 95% CI: 13.7-202.2). Finally, 60% of consumers showed signs of addictive-like phenomena, and three profiles were identified, depicting a continuum of patients in regard to their control over their kaolin consumption. Our results suggest that kaolin consumption is frequent in particular subpopulations of migrants. This warrants further study of the clinical consequences of kaolin consumption and its associated addictive-like symptoms.

Indexed as

AdultCross-Sectional StudiesFemaleFranceHumansKaolinPicaPrevalenceTransients and MigrantsUrban PopulationKaolin

Identifiers

PMID31365572
PMCPMC6668907

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.