Neighbour home gardening predicts dietary diversity among rural Tanzanian women.

Autor:	Blakstad MM; 1Department of Global Health and Population,Harvard T.H. Chan School of Public Health,665 Huntington Avenue,Boston,MA02115,USA., Bellows AL; 1Department of Global Health and Population,Harvard T.H. Chan School of Public Health,665 Huntington Avenue,Boston,MA02115,USA., Mosha D; 2Ifakara Health Institute,Dar es Salaam,Tanzania., Canavan CR; 1Department of Global Health and Population,Harvard T.H. Chan School of Public Health,665 Huntington Avenue,Boston,MA02115,USA., Mlalama K; 2Ifakara Health Institute,Dar es Salaam,Tanzania., Kinabo J; 3Department of Food Science Technology,Nutrition and Consumer Sciences,Sokoine University of Agriculture,Morogoro,Tanzania., Kruk ME; 1Department of Global Health and Population,Harvard T.H. Chan School of Public Health,665 Huntington Avenue,Boston,MA02115,USA., Masanja H; 2Ifakara Health Institute,Dar es Salaam,Tanzania., Fawzi WW; 1Department of Global Health and Population,Harvard T.H. Chan School of Public Health,665 Huntington Avenue,Boston,MA02115,USA.
Jazyk:	angličtina
Zdroj:	Public health nutrition [Public Health Nutr] 2019 Jun; Vol. 22 (9), pp. 1646-1653. Date of Electronic Publication: 2019 Feb 12.
DOI:	10.1017/S1368980018003798
Abstrakt:	Objective: The present study's aim was to assess the impact of a nutrition-sensitive intervention on dietary diversity and home gardening among non-participants residing within intervention communities. Design: The study was a cross-sectional risk factor analysis using linear and logistic multivariate models. Setting: In Tanzania, women and children often consume monotonous diets of poor nutritional value primarily because of physical or financial inaccessibility or low awareness of healthy foods.ParticipantsParticipants were women of reproductive age (18-49 years) in rural Tanzania. Results: Mean dietary diversity was low with women consuming three out of ten possible food groups. Only 23·4 % of respondents achieved the recommended minimum dietary diversity of five or more food groups out of ten per day. Compared with those who did not, respondents who had a neighbour who grew crops in their home garden were 2·71 times more likely to achieve minimum dietary diversity (95 % CI 1·60, 4·59; P=0·0004) and 1·91 times more likely to grow a home garden themselves (95 % CI 1·10, 3·33; P=0·02). Other significant predictors of higher dietary diversity were respondent age, education and wealth, and number of crops grown. Conclusions: These results suggest that there are substantial positive externalities of home garden interventions beyond those attained by the people who own and grow the vegetables. Cost-effectiveness assessments of nutrition-sensitive agriculture, including home garden interventions, should factor in the effects on the community, and not just on the individual households receiving the intervention.
Databáze:	MEDLINE
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