Urban physical food environments drive dietary behaviours in Ghana and Kenya: A photovoice study

Rebecca Pradeilles, Ana Irache, Milkah N. Wanjohi, Michelle Holdsworth, Amos Laar, Francis Zotor, Akua Tandoh, Senam Klomegah, Fiona Graham, Stella K. Muthuri, Elizabeth W. Kimani-Murage, Nathaniel Coleman, Mark A. Green, Hibbah Araba Osei-Kwasi, Marco Bohr, Emily K. Rousham, Gershim Asiki, Robert Akparibo, Kobby Mensah, Richmond AryeeteyNicolas Bricas, Paula Griffiths

Research output: Contribution to journalArticlepeer-review

33 Citations (Scopus)

Abstract

We identified factors in the physical food environment that influence dietary behaviours among low-income dwellers in three African cities (Nairobi, Accra, Ho). We used Photovoice with 142 males/females (≥13 years). In the neighbourhood environment, poor hygiene, environmental sanitation, food contamination and adulteration were key concerns. Economic access was perceived as a major barrier to accessing nutritionally safe and healthy foods. Home gardening supplemented household nutritional needs, particularly in Nairobi. Policies to enhance food safety in neighbourhood environments are required. Home gardening, food pricing policies and social protection schemes could reduce financial barriers to safe and healthy diets.

Original languageEnglish
Article number102647
JournalHealth and Place
Volume71
DOIs
Publication statusPublished - Sep 2021

Keywords

  • Dietary behaviours
  • Food safety
  • Ghana
  • Kenya
  • Photovoice
  • Physical food environment

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