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Community perceptions on the factors in the social food environment that influence dietary behaviour in cities of Kenya and Ghana : a photovoice study

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Wanjohi, Milkah N., Pradeilles, Rebecca, Asiki, Gershim, Holdsworth, Michelle, Kimani-Murage, Elizabeth W., Muthuri, Stella K., Irache, Ana, Laar, Amos, Zotor, Francis, Tandoh, Akua et al.
(2022) Community perceptions on the factors in the social food environment that influence dietary behaviour in cities of Kenya and Ghana : a photovoice study. Public Health Nutrition . pp. 1-31. doi:10.1017/S1368980022002270 ISSN 1368-9800. (In Press)

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Official URL: https://doi.org/10.1017/S1368980022002270

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Abstract

To explore communities' perspectives on the factors in the social food environment that influence dietary behaviours in African cities. A qualitative study using participatory photography (Photovoice). Participants took and discussed photographs representing factors in the social food environment that influence their dietary behaviours. Follow-up in-depth interviews allowed participants to tell the 'stories' of their photographs. Thematic analysis was conducted, using data driven and theory-driven (based on the socio-ecological model) approaches. Three low-income areas of Nairobi (n=48) in Kenya, and Accra (n=62) and Ho (n=32) in Ghana. Adolescents and adults, male and female aged ≥13 years. The 'people' who were the most commonly reported as influencers of dietary behaviours within the social food environment included family members, friends, health workers and food vendors. They mainly influenced food purchase, preparation and consumption, through 1) considerations for family members' food preferences, 2) considerations for family members' health and nutrition needs, 3) social support by family and friends, 4) provision of nutritional advice and modelling food behaviour by parents and health professionals, 5) food vendors' services and social qualities. The family presents an opportunity for promoting healthy dietary behaviours between family members. Peer groups could be harnessed to promote healthy dietary behaviours among adolescents and youth. Empowering food vendors to provide healthier and safer food options could enhance healthier food sourcing, purchasing and consumption in African low-income urban communities.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Journal or Publication Title: Public Health Nutrition
Publisher: Cambridge University Press
ISSN: 1368-9800
Official Date: 2022
Dates:
DateEvent
2022Published
28 October 2022Available
Page Range: pp. 1-31
DOI: 10.1017/S1368980022002270
Status: Peer Reviewed
Publication Status: In Press
Access rights to Published version: Open Access (Creative Commons)
Copyright Holders: © The Authors 2022
Date of first compliant deposit: 7 December 2022
Date of first compliant Open Access: 7 December 2022

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