Dietary change, noncommunicable disease and local knowledge: results of a small-scale study of the views of older Malawians.

Autor:	Vaughan M; Institute of Advanced Studies, University College London, London, WC1E 6BT, UK., Dube A; Malawi Epidemiology and Intervention Research Unit, MEIRU/KPS, Lilongwe, PO Box 148, Malawi., Namadingo H; Malawi Epidemiology and Intervention Research Unit, MEIRU/KPS, Lilongwe, PO Box 148, Malawi., Crampin A; Malawi Epidemiology and Intervention Research Unit, MEIRU/KPS, Lilongwe, PO Box 148, Malawi.; Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, WC1E 7HT, UK., Gondwe L; Malawi Epidemiology and Intervention Research Unit, MEIRU/KPS, Lilongwe, PO Box 148, Malawi., Kapira G; Malawi Epidemiology and Intervention Research Unit, MEIRU/KPS, Lilongwe, PO Box 148, Malawi., Mbughi J; Malawi Epidemiology and Intervention Research Unit, MEIRU/KPS, Lilongwe, PO Box 148, Malawi., Nyasulu M; Malawi Epidemiology and Intervention Research Unit, MEIRU/KPS, Lilongwe, PO Box 148, Malawi.
Jazyk:	angličtina
Zdroj:	Wellcome open research [Wellcome Open Res] 2018 Dec 11; Vol. 3, pp. 158. Date of Electronic Publication: 2018 Dec 11 (Print Publication: 2018).
DOI:	10.12688/wellcomeopenres.14887.1
Abstrakt:	Interviews were conducted with a small group of Malawians over the age of 60 in rural Karonga district and in Area 25 of the capital, Lilongwe. We asked their views on the changes in diet that had taken place over their lifetimes and also on the causes of 'noncommunicable' diseases, such as Type 2 diabetes and hypertension in their communities. Their answers generally confirmed research showing that dietary diversity is decreasing in Malawi, but many of our interviewees also recalled that hunger was more frequently experienced in the past. Our interviews revealed that though the essential rural diet based on either maize or cassava appears superficially largely unchanged, there have been significant changes in the varieties of crops grown, methods of production and food processing. Many of our interviewees were concerned that the application of chemical fertiliser and pesticides was harming their health. Competing Interests: No competing interests were disclosed.
Databáze:	MEDLINE
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