Anise Tea Consumption and Associated Factors in Syrian Refugee Infants: A Cross-sectional Descriptive Study from Türkiye

Yıl 2025, Cilt: 47 Sayı: 2, 309 - 315, 27.02.2025

Meryem Erat Nergiz , S. Songül Yalçın

https://doi.org/10.20515/otd.1619858

Öz

Anise tea is frequently consumed in Middle Eastern and Arab cultures to feed babies, calm them down by reducing pain, and help them sleep comfortably. We aimed to determine the factors associated with consuming anise tea in Syrian refugee children aged 0-23 months. This study was conducted in 39 refugee health centers in 5 provinces. A total of 225 mother-infant pairs were included in the study. Multivariable logistic regression analysis was used to determine the factors associated with consuming anise tea. 65.8% of the babies participating in the study had previously consumed anise tea. 60% of all children started consuming anise tea in the first 6 months of their lives. After adjusting for confounding factors, anise tea consumption was associated with low maternal education [AOR: 2.02 (95% CI: 1.1-3.71)], crowded home environment [AOR: 1.89 (95% CI: 1.04-3.45)], prelacteal feeding [AOR: 2.16 (95% CI: 1.07-4.35)] and perceived insufficient milk supply [AOR: 1.91 (95% CI: 1.02-3.59)]. Anise tea consumption is particularly high in Syrian infants under 6 months of age. Uncontrolled herbal tea use may lead to various side effects and giving infants any liquid other than breast milk in the first 6 months can negatively affect breastfeeding. Culturally appropriate training for infant care and nutrition should be provided to Syrian mothers starting from pregnancy.

Anahtar Kelimeler

Anise, herbal tea, Syrian refugee, infant, breastfeeding

Suriyeli Mülteci Bebeklerde Anason Çayı Tüketimi ve İlişkili Faktörler: Türkiye'den Kesitsel Tanımlayıcı Bir Çalışma

Öz

Anason çayı Ortadoğu ve Arap kültüründe bebekleri beslemek, ağrılarını azaltıp onları sakinleştirmek ve rahat uyumalarını sağlamak amacıyla çok sık tüketilmektedir. Çalışmada amacımız 0-23 aylık Suriyeli mülteci çocuklarda anason çayı tüketimi ile ilişkili faktörleri saptamaktı. Bu çalışma 5 ilde 39 göçmen sağlığı merkezinde gerçekleştirildi. 225 anne-bebek çifti çalışmaya dahil edildi. Anason çayı tüketimiyle ilişkili faktörlerin belirlenmesinde çoklu lojistik regresyon analizi kullanıldı. Çalışmaya katılan bebeklerin %65,8’i daha önce anason çayı tüketmişti. Tüm çocukların %60’ı anason çayı tüketmeye hayatlarının ilk 6 ayında başlamıştı. Karıştırıcı faktörler kontrol altına alındığında, anason çayı kullanımı düşük anne eğitimi [AOR: 2,02 (%95 GA: 1,1- 3,71)], kalabalık ev ortamı [AOR: 1,89 (%95 GA: 1,04-3,45)], prelakteal beslenme [AOR: 2,16 (%95 GA: 1,07-4,35)] ve annelerin sütlerinin yetersiz olduğunu düşünmeleri ile [AOR: 1,91 (%95 GA: 1,02-3,59)] ilişkili bulundu. Anason çayı tüketimi özellikle altı ayın altındaki Suriyeli bebeklerde çok yüksek orandadır. Kontrolsüz bitki çayı kullanımı çeşitli yan etkilere yol açabilir, bunun yanında ilk altı ayda bebeklere anne sütü dışında bir sıvı verilmesi emzirmeyi olumsuz etkileyebilir. Gebelikten itibaren Suriyeli annelere bebek bakımı ve beslenmesi konusunda kültüre uygun eğitim verilmelidir.

Anahtar Kelimeler

Anason, bitki çayı, Suriyeli mülteciler, bebek, emzirme

Kaynakça

• 1. Singletary KW. Anise: potential health benefits. Nutr Today. 2022;57(2):96-109.
• 2. Rajeshwari U, Shobha I, Andallu B. Comparison of aniseeds and coriander seeds for antidiabetic, hypolipidemic and antioxidant activities. Spatula DD. 2011;1(1):9–16.
• 3. Ghoshegir SA, Mazaheri M, Ghannadi A, Feizi A, Babaeian M, Tanhaee M, et al. Pimpinella anisum in the treatment of functional dyspepsia: A double-blind, randomized clinical trial. J Red Med Sci. 2015;20(1):13-21.
• 4. Azimi M, Zahedi MJ. Persian herbal medicine in functional dyspepsia: a systematic review. Curr Drug Discov Technol. 2021;18(2):272-81.
• 5. Mosavat SH, Jaberi AR, Sobhani Z, Mosaffa-Jahromi M, Iraji A, Moayedfard A. Efficacy of Anise (Pimpinella anisum L.) oil for migraine headache: A pilot randomized placebo-controlled clinical trial. J Ethnopharmacol. 2019;236:155-60.
• 6. Al-Alami Z, Alsous M, Abu-Hakmeh M. Use of complementary and alternative therapies in infants under 3 months in Jordan. East Mediterr Health J. 2021;27(1):7-15.
• 7. AL-Anazi HG, Al-Mutiri A. Prevalence, perception, and habits of mothers to use of anise tea for infantile colic in Riyadh city, Saudi Arabia. Med Sci. 2021;25(112):1458-68.
• 8. Yalçin SS, Erat Nergiz M, Elci ÖC, Zikusooka M, Yalçin S, Sucakli MB, et al. Breastfeeding practices among Syrian refugees in Turkey. Int Breastfeed J. 2022;17(1):10.
• 9. Yalçın SS, Erat Nergiz M, Yalçın S. Evaluation of breastfeeding and infant feeding attitudes among syrian refugees in Turkey: observations of Syrian healthcare workers. Int Breastfeed J. 2023;18(1):38.
• 10. Ali-Shtayeh MS, Jamous RM, Jamous RM. Plants used during pregnancy, childbirth, postpartum and infant healthcare in Palestine. Complement Ther Clin Pract. 2015;21(2):84-93.
• 11. Quzmar Y, Istiatieh Z, Nabulsi H, Zyoud SeH, Al-Jabi SW. The use of complementary and alternative medicine during pregnancy: a cross-sectional study from Palestine. BMC Complement Med Ther. 2021;21:1-10.
• 12. Tănase L-AE, Nistor O-V, Andronoiu D-G, Mocanu D-G, Botez EE. Potential of herbs as galactogogues–A review. UDJG –Food Technology. 2021;45(1):199-210.
• 13. Khalili S, Amiri-Farahani L, Haghani S, Bordbar A, Shojaii A, Pezaro S. The effect of Pimpinella Anisum herbal tea on human milk volume and weight gain in the preterm infant: a randomized controlled clinical trial. BMC Complement Med Ther. 2023;23(1):19.
• 14. Drugs and Lactation Database (LactMed®) [Internet]. Bethesda (MD): National Institute of Child Health and Human Development; 2006-. Anise. https://www.ncbi.nlm.nih.gov/books/NBK501776/ Accessed November 10, 2024.
• 15. Anderson PO. Herbal use during breastfeeding. Breastfeed Med. 2017;12(9):507-9.
• 16. E-lactancia [Internet]. Anise and breastfeeding. Are they compatible? https://www.e-lactancia.org/breastfeeding/anise/product/ Accessed December 13, 2024.
• 17. European Medicines Agency (EMA) [Internet]. Aniseed. https://www.ema.europa.eu/en/documents/herbal-summary/aniseed-summary-public_en.pdf. Accessed December 13, 2024.
• 18. George C. Star anise. Handbook of Herbs and spices: Elsevier; 2012. p. 487-503.
• 19. Ize-Ludlow D, Ragone S, Bruck IS, Bernstein JN, Duchowny M, Pena BMG. Neurotoxicities in infants seen with the consumption of star anise tea. Pediatrics. 2004;114(5):e653-e6.
• 20. Donner J. Neonate with seizures after consuming star anise tea. R I Med J. 2021;104(8):8-10.
• 21. Madden GR, Schmitz KH, Fullerton K. A case of infantile star anise toxicity. Pediatr Emerg Care. 2012;28(3):284-5.
• 22. Obando Pacheco P, Martínez-Martínez PL, Pérez de Eulate Bazán Y, de la Mota Ybancos JL, Milano Manso G, Sierra Salinas C. Liver failure secondary to poisoning by a homemade product made of star and green anise in a 4-month-old infant. Rev Esp Enferm Dig. 2016;108(12):819-21.
• 23. Republic of Türkiye Ministry of Interior Presidency of Migration Management. https://www.goc.gov.tr/gecici-koruma5638. Accessed December 13, 2024.
• 24. Çiftçi EK, Arikan D. Methods used to eliminate colic in infants in the eastern parts of Turkey. Public Health Nurs. 2007;24(6):503-10.
• 25. Didişen NA, Yavuz B, Gerçeker GÖ, Albayrak T, Atak M, Başbakkal DZ. Infantile colic in infants aged one-six months and the practices of mothers for colic. J Pediatr Res. 2020;7(3):223-9.
• 26. Wake GE, Fitie GW. Magnitude and determinant factors of herbal medicine utilization among mothers attending their antenatal care at public health institutions in Debre Berhan Town, Ethiopia. Front Public Health. 2022;10:883053.
• 27. Mohammed A, Amsalu B, Hailu M, Sintayehu Y, Weldeamanuel T, Belay Y, et al. Indigenous herbal medicine use and its associated factors among pregnant women attending antenatal care at public health facilities in Dire Dawa, Ethiopia: a cross-sectional study. BMJ Open. 2024;14(6):e079719.
• 28. Bilgin DD, Karabayir N, Çetinkaya HB, Kacir A, Öçal Ö, Başibüyük M, et al. Reasons, associated factors, and attitudes toward breastfeeding mothers’ use of complementary medicine products: a study from Türkiye. Int Breastfeed J. 2025;20:3.
• 29. Rehayem A, Taki S, Brown N, Denney-Wilson E. Infant feeding beliefs and practices of Arabic mothers in Australia. Women Birth. 2020;33(4):e391-e9.
• 30. Hacettepe University Institute of Population Studies. 2018 Turkey Demographic and Health Survey Syrian Migrant Sample. https://fs.hacettepe.edu.tr/hips/dosyalar/Ara%C5%9Ft%C4%B1rmalar%20-%20raporlar/2018%20TNSA/2018_TDHS_SR.pdf. Accessed December 13, 2024.