The Social Stratification of Availability, Affordability, and Consumption of Food in Families with Preschoolers in Addis Ababa; The EAT Addis Study in Ethiopia

The aim of this study was to understand the quality of diet being consumed among families in Addis Ababa, and to what extent social stratification and perceptions of availability and affordability affect healthy food consumption. Data were collected from 5467 households in a face-to-face interview w...

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Main Authors: Semira Abdelmenan, Hanna Y. Berhane, Magnus Jirström, Jill Trenholm, Alemayehu Worku, Eva-Charlotte Ekström, Yemane Berhane
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/12/10/3168
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author Semira Abdelmenan
Hanna Y. Berhane
Magnus Jirström
Jill Trenholm
Alemayehu Worku
Eva-Charlotte Ekström
Yemane Berhane
author_facet Semira Abdelmenan
Hanna Y. Berhane
Magnus Jirström
Jill Trenholm
Alemayehu Worku
Eva-Charlotte Ekström
Yemane Berhane
author_sort Semira Abdelmenan
collection DOAJ
description The aim of this study was to understand the quality of diet being consumed among families in Addis Ababa, and to what extent social stratification and perceptions of availability and affordability affect healthy food consumption. Data were collected from 5467 households in a face-to-face interview with mothers/caretakers and analyzed using mixed effect logistic regression models. All family food groups, except fish were perceived to be available by more than 90% of the participants. The food groups cereals/nuts/seeds, other vegetables, and legumes were considered highly affordable (80%) and were the most consumed (>75%). Households with the least educated mothers and those in the lowest wealth quintile had the lowest perception of affordability and also consumption. Consumption of foods rich in micronutrients and animal sources were significantly higher among households with higher perceived affordability, the highest wealth quintile, and with mothers who had better education. Households in Addis Ababa were generally seen to have a monotonous diet, despite the high perceived availability of different food groups within the food environment. There is a considerable difference in consumption of nutrient-rich foods across social strata, hence the cities food policies need to account for social differences in order to improve the nutritional status of the community.
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spelling doaj.art-944505f349f74384b957d332e74a9ffa2023-11-20T17:24:00ZengMDPI AGNutrients2072-66432020-10-011210316810.3390/nu12103168The Social Stratification of Availability, Affordability, and Consumption of Food in Families with Preschoolers in Addis Ababa; The EAT Addis Study in EthiopiaSemira Abdelmenan0Hanna Y. Berhane1Magnus Jirström2Jill Trenholm3Alemayehu Worku4Eva-Charlotte Ekström5Yemane Berhane6Addis Continental Institute of Public Health, 26751/1000 Addis Ababa, EthiopiaAddis Continental Institute of Public Health, 26751/1000 Addis Ababa, EthiopiaDepartment of Human Geography, Lund University, 223 62 Lund, SwedenDepartment of Women’s and Children Health, International Maternal and Child Health, Uppsala University, 751 85 Uppsala, SwedenAddis Continental Institute of Public Health, 26751/1000 Addis Ababa, EthiopiaAddis Continental Institute of Public Health, 26751/1000 Addis Ababa, EthiopiaAddis Continental Institute of Public Health, 26751/1000 Addis Ababa, EthiopiaThe aim of this study was to understand the quality of diet being consumed among families in Addis Ababa, and to what extent social stratification and perceptions of availability and affordability affect healthy food consumption. Data were collected from 5467 households in a face-to-face interview with mothers/caretakers and analyzed using mixed effect logistic regression models. All family food groups, except fish were perceived to be available by more than 90% of the participants. The food groups cereals/nuts/seeds, other vegetables, and legumes were considered highly affordable (80%) and were the most consumed (>75%). Households with the least educated mothers and those in the lowest wealth quintile had the lowest perception of affordability and also consumption. Consumption of foods rich in micronutrients and animal sources were significantly higher among households with higher perceived affordability, the highest wealth quintile, and with mothers who had better education. Households in Addis Ababa were generally seen to have a monotonous diet, despite the high perceived availability of different food groups within the food environment. There is a considerable difference in consumption of nutrient-rich foods across social strata, hence the cities food policies need to account for social differences in order to improve the nutritional status of the community.https://www.mdpi.com/2072-6643/12/10/3168social stratificationdietary diversityavailabilityaffordabilityfood environmentEthiopia
spellingShingle Semira Abdelmenan
Hanna Y. Berhane
Magnus Jirström
Jill Trenholm
Alemayehu Worku
Eva-Charlotte Ekström
Yemane Berhane
The Social Stratification of Availability, Affordability, and Consumption of Food in Families with Preschoolers in Addis Ababa; The EAT Addis Study in Ethiopia
Nutrients
social stratification
dietary diversity
availability
affordability
food environment
Ethiopia
title The Social Stratification of Availability, Affordability, and Consumption of Food in Families with Preschoolers in Addis Ababa; The EAT Addis Study in Ethiopia
title_full The Social Stratification of Availability, Affordability, and Consumption of Food in Families with Preschoolers in Addis Ababa; The EAT Addis Study in Ethiopia
title_fullStr The Social Stratification of Availability, Affordability, and Consumption of Food in Families with Preschoolers in Addis Ababa; The EAT Addis Study in Ethiopia
title_full_unstemmed The Social Stratification of Availability, Affordability, and Consumption of Food in Families with Preschoolers in Addis Ababa; The EAT Addis Study in Ethiopia
title_short The Social Stratification of Availability, Affordability, and Consumption of Food in Families with Preschoolers in Addis Ababa; The EAT Addis Study in Ethiopia
title_sort social stratification of availability affordability and consumption of food in families with preschoolers in addis ababa the eat addis study in ethiopia
topic social stratification
dietary diversity
availability
affordability
food environment
Ethiopia
url https://www.mdpi.com/2072-6643/12/10/3168
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