Investigating foods and beverages sold and advertised in deprived urban neighbourhoods in Ghana and Kenya: a cross-sectional study

Autor: Green, Mark Alan, Wanjohi, Milka Njeri, Aryeetey, Richmond Nii Okai, Green, Mark, Pradeilles, Rebecca, Laar, Amos, Osei-Kwasi, Hibbah, Bricas, Nicolas, Coleman, Nathaniel, Klomegah, Senam, Wanjohi, Milka, Tandoh, Akua, Akparibo, Robert, Aryeetey, Richmond, Griffiths, Paula, Kimani-Murage, Elizabeth, Mensah, Kobby, Muthuri, Stella, Zotor, Francis, Holdsworth, Michelle
Přispěvatelé: University of Liverpool, African Population and Health Research Center, Inc (APHRC Campus), University of Ghana, Loughborough University, University of Sheffield [Sheffield], Marchés, Organisations, Institutions et Stratégies d'Acteurs (UMR MOISA), Centre de Coopération Internationale en Recherche Agronomique pour le Développement (Cirad)-Centre International de Hautes Etudes Agronomiques Méditerranéennes - Institut Agronomique Méditerranéen de Montpellier (CIHEAM-IAMM), Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Institut national d’études supérieures agronomiques de Montpellier (Montpellier SupAgro), Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Département Environnements et Sociétés (Cirad-ES), Centre de Coopération Internationale en Recherche Agronomique pour le Développement (Cirad), University of Health and Allied Sciences [Ho] (UHAS), Department for International Development (DFID), DFID, Nutrition et Alimentation des Populations aux Suds (NutriPass), Institut de Recherche pour le Développement (IRD)-Université Montpellier 1 (UM1)-Université Montpellier 2 - Sciences et Techniques (UM2)-Institut national d’études supérieures agronomiques de Montpellier (Montpellier SupAgro), Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Université de Montpellier (UM), This work was supported by two funders. The ‘Dietary Transitions in Ghana’ project was funded by a grant from the Drivers of Food Choice (DFC) Competitive Grants Programme [grant number OPP1110043] which is funded by the Bill and Melinda Gates Foundation and the Department for International Development (DFID), and managed by the University of South Carolina Arnold School of Public Health, USA. DFC supports new research on understanding food choice among the poor in low/middle-income countries, strengthening country-level leadership in nutrition and fostering a global community of food-choice researchers. The TACLED project was funded by a Global Challenges Research Fund (GCRF) Foundation Award led by the MRC [grant number MR/P025153/1], and supported by AHRC, BBSRC, ESRC and NERC, with the aim of improving the health and prosperity of low/middle-income countries., Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Institut national d’études supérieures agronomiques de Montpellier (Montpellier SupAgro)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Université Montpellier 1 (UM1)-Institut de Recherche pour le Développement (IRD)-Université Montpellier 2 - Sciences et Techniques (UM2)-Université de Montpellier (UM)-Institut national d’études supérieures agronomiques de Montpellier (Montpellier SupAgro)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Urban Population
030309 nutrition & dietetics
Cross-sectional study
statistics & research methods
lcsh:Medicine
Global Health
Ghana
Comportement alimentaire
0302 clinical medicine
Advertising
Poverty Areas
Medicine
030212 general & internal medicine
2. Zero hunger
0303 health sciences
Enquête auprès des consommateurs
public health
digestive
oral
and skin physiology
Outcome measures
General Medicine
social phenomena [EN]
Latent class model
Latent Class Analysis
accès à la nourriture
Zone urbaine
Beverages
03 medical and health sciences
Environmental health
Humans
E50 - Sociologie rurale
nutrition & dietetics
Food type
Niveau de vie
Descriptive statistics
business.industry
lcsh:R
Food advertisements
Kenya
Cross-Sectional Studies
Food
business
[SDV.AEN]Life Sciences [q-bio]/Food and Nutrition
human activities
E73 - Économie de la consommation
Food environment
Zdroj: BMJ Open
BMJ Open, BMJ Publishing Group, 2020, 10 (6), ⟨10.1136/bmjopen-2019-035680⟩
BMJ Open, 2020, 10 (6), ⟨10.1136/bmjopen-2019-035680⟩
BMJ OPEN
BMJ Open, Vol 10, Iss 6 (2020)
ISSN: 2044-6055
Popis: ObjectivesThe aim of this study was to characterise the local foods and beverages sold and advertised in three deprived urban African neighbourhoods.DesignCross-sectional observational study. We undertook an audit of all food outlets (outlet type and food sold) and food advertisements. Descriptive statistics were used to summarise exposures. Latent class analysis was used to explore the interactions between food advertisements, food outlet types and food type availability.SettingThree deprived neighbourhoods in African cities: Jamestown in Accra, Ho Dome in Ho (both Ghana) and Makadara in Nairobi (Kenya).Main outcome measureTypes of foods and beverages sold and/or advertised.ResultsJamestown (80.5%) and Makadara (70.9%) were dominated by informal vendors. There was a wide diversity of foods, with high availability of healthy (eg, staples, vegetables) and unhealthy foods (eg, processed/fried foods, sugar-sweetened beverages). Almost half of all advertisements were for sugar-sweetened beverages (48.3%), with higher exposure to alcohol adverts compared with other items as well (28.5%). We identified five latent classes which demonstrated the clustering of healthier foods in informal outlets, and unhealthy foods in formal outlets.ConclusionOur study presents one of the most detailed geospatial exploration of the urban food environment in Africa. The high exposure of sugar-sweetened beverages and alcohol both available and advertised represent changing urban food environments. The concentration of unhealthy foods and beverages in formal outlets and advertisements of unhealthy products may offer important policy opportunities for regulation and action.
Databáze: OpenAIRE
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