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

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 conta...

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Bibliographic Details
Published in:Health & place 2021-09, Vol.71, p.102647, Article 102647
Main Authors: Pradeilles, Rebecca, Irache, Ana, Wanjohi, Milkah N., Holdsworth, Michelle, Laar, Amos, Zotor, Francis, Tandoh, Akua, Klomegah, Senam, Graham, Fiona, Muthuri, Stella K., Kimani-Murage, Elizabeth W., Coleman, Nathaniel, Green, Mark A., Osei-Kwasi, Hibbah Araba, Bohr, Marco, Rousham, Emily K., Asiki, Gershim, Akparibo, Robert, Mensah, Kobby, Aryeetey, Richmond, Bricas, Nicolas, Griffiths, Paula
Format: Article
Language:English
Subjects:
Built environment
Diet
Dietary behaviours
Economics and Finance
Environmental aspects
Food
Food and Nutrition
Food contamination
Food contamination & poisoning
Food safety
Gardening
Gardens & gardening
Ghana
Humanities and Social Sciences
Hygiene
Kenya
Life Sciences
Males
Neighborhoods
Personal safety
Photography
Photovoice
Physical food environment
Pricing policies
Sanitation
Social protection
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Summary: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. •Food safety, physical distance and affordability were important influencers of diet.•Home gardening helps make healthy, safe food more accessible to households.•Economic access was perceived as a major barrier to accessing nutritionally safe and healthy foods.•Policies to enhance food safety in neighbourhood environments are required.•Food pricing policy/social protection could make healthy, safe foods more affordable.
ISSN:1353-8292
1873-2054
1873-2054
DOI:10.1016/j.healthplace.2021.102647