Individual‐level drivers of dietary behaviour in adolescents and women through the reproductive life course in urban Ghana: A Photovoice study
Abstract Evidence on the individual‐level drivers of dietary behaviours in deprived urban contexts in Africa is limited. Understanding how to best inform the development and delivery of interventions to promote healthy dietary behaviours is needed. As noncommunicable diseases account for over 40% of...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-10-01
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| Series: | Maternal and Child Nutrition |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/mcn.13412 |
| _version_ | 1828230844443000832 |
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| author | Julia Liguori Rebecca Pradeilles Amos Laar Francis Zotor Akua Tandoh Senam Klomegah Hibbah A. Osei‐Kwasi Agnès Le Port Nicolas Bricas Richmond Aryeetey Robert Akparibo Paula Griffiths Michelle Holdsworth |
| author_facet | Julia Liguori Rebecca Pradeilles Amos Laar Francis Zotor Akua Tandoh Senam Klomegah Hibbah A. Osei‐Kwasi Agnès Le Port Nicolas Bricas Richmond Aryeetey Robert Akparibo Paula Griffiths Michelle Holdsworth |
| author_sort | Julia Liguori |
| collection | DOAJ |
| description | Abstract Evidence on the individual‐level drivers of dietary behaviours in deprived urban contexts in Africa is limited. Understanding how to best inform the development and delivery of interventions to promote healthy dietary behaviours is needed. As noncommunicable diseases account for over 40% of deaths in Ghana, the country has reached an advanced stage of nutrition transition. The aim of this study was to identify individual‐level factors (biological, demographic, cognitive, practices) influencing dietary behaviours among adolescent girls and women at different stages of the reproductive life course in urban Ghana with the goal of building evidence to improve targeted interventions. Qualitative Photovoice interviews (n = 64) were conducted in two urban neighbourhoods in Accra and Ho with adolescent girls (13–14 years) and women of reproductive age (15–49 years). Data analysis was both theory‐ and data‐driven to allow for emerging themes. Thirty‐seven factors, across four domains within the individual‐level, were identified as having an influence on dietary behaviours: biological (n = 5), demographic (n = 8), cognitions (n = 13) and practices (n = 11). Several factors emerged as facilitators or barriers to healthy eating, with income/wealth (demographic); nutrition knowledge/preferences/risk perception (cognitions); and cooking skills/eating at home/time constraints (practices) emerging most frequently. Pregnancy/lactating status (biological) influenced dietary behaviours mainly through medical advice, awareness and willingness to eat foods to support foetal/infant growth and development. Many of these factors were intertwined with the wider food environment, especially concerns about the cost of food and food safety, suggesting that interventions need to account for individual‐level as well as wider environmental drivers of dietary behaviours. |
| first_indexed | 2024-04-12T18:54:28Z |
| format | Article |
| id | doaj.art-0d08cbae00c2426a8acfeb62e2d998c7 |
| institution | Directory Open Access Journal |
| issn | 1740-8695 1740-8709 |
| language | English |
| last_indexed | 2024-04-12T18:54:28Z |
| publishDate | 2022-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Maternal and Child Nutrition |
| spelling | doaj.art-0d08cbae00c2426a8acfeb62e2d998c72022-12-22T03:20:22ZengWileyMaternal and Child Nutrition1740-86951740-87092022-10-01184n/an/a10.1111/mcn.13412Individual‐level drivers of dietary behaviour in adolescents and women through the reproductive life course in urban Ghana: A Photovoice studyJulia Liguori0Rebecca Pradeilles1Amos Laar2Francis Zotor3Akua Tandoh4Senam Klomegah5Hibbah A. Osei‐Kwasi6Agnès Le Port7Nicolas Bricas8Richmond Aryeetey9Robert Akparibo10Paula Griffiths11Michelle Holdsworth12UMR MoISA (Montpellier Interdisciplinary centre on Sustainable Agri‐Food Systems) CIRAD, CIHEAM‐IAMM, INRAE, Institut Agro Montpellier, IRD Montpellier FranceCentre for Global Health and Human Development, School of Sport, Exercise and Health Sciences Loughborough University Loughborough UKDepartment of Population, Family & Reproductive Health, School of Public Health University of Ghana Accra GhanaDepartment of Family and Community Health, School of Public Health University of Health and Allied Sciences Ho GhanaDepartment of Population, Family & Reproductive Health, School of Public Health University of Ghana Accra GhanaDepartment of Family and Community Health, School of Public Health University of Health and Allied Sciences Ho GhanaDepartment of Geography University of Sheffield Sheffield UKUMR MoISA (Montpellier Interdisciplinary centre on Sustainable Agri‐Food Systems) CIRAD, CIHEAM‐IAMM, INRAE, Institut Agro Montpellier, IRD Montpellier FranceUMR MoISA (Montpellier Interdisciplinary centre on Sustainable Agri‐Food Systems) CIRAD, CIHEAM‐IAMM, INRAE, Institut Agro Montpellier, IRD Montpellier FranceDepartment of Population, Family & Reproductive Health, School of Public Health University of Ghana Accra GhanaSchool of Health and Related Research University of Sheffield Sheffield UKCentre for Global Health and Human Development, School of Sport, Exercise and Health Sciences Loughborough University Loughborough UKUMR MoISA (Montpellier Interdisciplinary centre on Sustainable Agri‐Food Systems) CIRAD, CIHEAM‐IAMM, INRAE, Institut Agro Montpellier, IRD Montpellier FranceAbstract Evidence on the individual‐level drivers of dietary behaviours in deprived urban contexts in Africa is limited. Understanding how to best inform the development and delivery of interventions to promote healthy dietary behaviours is needed. As noncommunicable diseases account for over 40% of deaths in Ghana, the country has reached an advanced stage of nutrition transition. The aim of this study was to identify individual‐level factors (biological, demographic, cognitive, practices) influencing dietary behaviours among adolescent girls and women at different stages of the reproductive life course in urban Ghana with the goal of building evidence to improve targeted interventions. Qualitative Photovoice interviews (n = 64) were conducted in two urban neighbourhoods in Accra and Ho with adolescent girls (13–14 years) and women of reproductive age (15–49 years). Data analysis was both theory‐ and data‐driven to allow for emerging themes. Thirty‐seven factors, across four domains within the individual‐level, were identified as having an influence on dietary behaviours: biological (n = 5), demographic (n = 8), cognitions (n = 13) and practices (n = 11). Several factors emerged as facilitators or barriers to healthy eating, with income/wealth (demographic); nutrition knowledge/preferences/risk perception (cognitions); and cooking skills/eating at home/time constraints (practices) emerging most frequently. Pregnancy/lactating status (biological) influenced dietary behaviours mainly through medical advice, awareness and willingness to eat foods to support foetal/infant growth and development. Many of these factors were intertwined with the wider food environment, especially concerns about the cost of food and food safety, suggesting that interventions need to account for individual‐level as well as wider environmental drivers of dietary behaviours.https://doi.org/10.1111/mcn.13412adolescentbehavioursdietGhanaPhotovoiceurban |
| spellingShingle | Julia Liguori Rebecca Pradeilles Amos Laar Francis Zotor Akua Tandoh Senam Klomegah Hibbah A. Osei‐Kwasi Agnès Le Port Nicolas Bricas Richmond Aryeetey Robert Akparibo Paula Griffiths Michelle Holdsworth Individual‐level drivers of dietary behaviour in adolescents and women through the reproductive life course in urban Ghana: A Photovoice study Maternal and Child Nutrition adolescent behaviours diet Ghana Photovoice urban |
| title | Individual‐level drivers of dietary behaviour in adolescents and women through the reproductive life course in urban Ghana: A Photovoice study |
| title_full | Individual‐level drivers of dietary behaviour in adolescents and women through the reproductive life course in urban Ghana: A Photovoice study |
| title_fullStr | Individual‐level drivers of dietary behaviour in adolescents and women through the reproductive life course in urban Ghana: A Photovoice study |
| title_full_unstemmed | Individual‐level drivers of dietary behaviour in adolescents and women through the reproductive life course in urban Ghana: A Photovoice study |
| title_short | Individual‐level drivers of dietary behaviour in adolescents and women through the reproductive life course in urban Ghana: A Photovoice study |
| title_sort | individual level drivers of dietary behaviour in adolescents and women through the reproductive life course in urban ghana a photovoice study |
| topic | adolescent behaviours diet Ghana Photovoice urban |
| url | https://doi.org/10.1111/mcn.13412 |
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