Maternal Child Nutrition - 2022 - Liguori - Individual‐level drivers of dietary behaviour in adolescents and women.pdf (2.67 MB)
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Individual-level drivers of dietary behaviour in adolescents and women through the reproductive life course in urban Ghana: A Photovoice study

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posted on 22.09.2022, 15:38 authored by Julia Liguori, Rebecca PradeillesRebecca Pradeilles, Amos Laar, Francis Zotor, Akua Tandoh, Senam Klomegah, Hibbah A Osei-Kwasi, Agnes Le Port, Nicolas Bricas, Richmond Aryeetey, Robert Akparibo, Paula GriffithsPaula Griffiths, Michelle Holdsworth

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.

Funding

Agriculture for Nutrition and Health (A4NH)

Bill and Melinda Gates Foundation

History

School

  • Sport, Exercise and Health Sciences

Published in

Maternal & Child Nutrition

Volume

18

Issue

4

Publisher

Wiley

Version

VoR (Version of Record)

Rights holder

© The Authors

Publisher statement

This is an Open Access Article. It is published by Wiley under the Creative Commons Attribution 4.0 International Licence (CC BY). Full details of this licence are available at: https://creativecommons.org/licenses/by/4.0/

Acceptance date

11/07/2022

Publication date

2022-08-08

Copyright date

2022

ISSN

1740-8695

eISSN

1740-8709

Language

en

Depositor

Dr Rebecca Pradeilles. Deposit date: 31 August 2022

Article number

e13412