Investigating foods and beverages sold and advertised in deprived urban neighbourhoods in Ghana and Kenya: A cross-sectional study

Green Mark Alan, Pradeilles Rebecca, Laar Amos, Osei-Kwasi Hibbah, Bricas Nicolas, Coleman Nathaniel, Klomegah Senam, Wanjohi Milka Njeri, Tandoh Akua, Akparibo Robert, Aryeetey Richmond Nii Okai, Griffiths Paula, Kimani-Murage Elizabeth W., Mensah Kobby, Muthuri Stella, Zotor Francis, Holdsworth Michelle. 2020. Investigating foods and beverages sold and advertised in deprived urban neighbourhoods in Ghana and Kenya: A cross-sectional study. BMJ Open, 10 (6):e035680, 15 p.

Journal article ; Article de recherche ; Article de revue à facteur d'impact Revue en libre accès total
Published version - Anglais
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Abstract : Objectives: The aim of this study was to characterise the local foods and beverages sold and advertised in three deprived urban African neighbourhoods. Design: Cross-sectional observational study. We undertook an audit of all food outlets (outlet type and food sold) and food advertisements. Descriptive statistics were used to summarise exposures. Latent class analysis was used to explore the interactions between food advertisements, food outlet types and food type availability. Setting: Three deprived neighbourhoods in African cities: Jamestown in Accra, Ho Dome in Ho (both Ghana) and Makadara in Nairobi (Kenya). Main outcome measure: Types of foods and beverages sold and/or advertised. Results Jamestown (80.5%) and Makadara (70.9%) were dominated by informal vendors. There was a wide diversity of foods, with high availability of healthy (eg, staples, vegetables) and unhealthy foods (eg, processed/fried foods, sugar-sweetened beverages). Almost half of all advertisements were for sugar-sweetened beverages (48.3%), with higher exposure to alcohol adverts compared with other items as well (28.5%). We identified five latent classes which demonstrated the clustering of healthier foods in informal outlets, and unhealthy foods in formal outlets. Conclusion: Our study presents one of the most detailed geospatial exploration of the urban food environment in Africa. The high exposure of sugar-sweetened beverages and alcohol both available and advertised represent changing urban food environments. The concentration of unhealthy foods and beverages in formal outlets and advertisements of unhealthy products may offer important policy opportunities for regulation and action.

Mots-clés Agrovoc : accès à la nourriture, Comportement alimentaire, Zone urbaine, Niveau de vie, social phenomena [EN], Enquête auprès des consommateurs

Mots-clés géographiques Agrovoc : Ghana, Kenya

Classification Agris : E73 - Consumer economics
E50 - Rural sociology

Champ stratégique Cirad : CTS 3 (2019-) - Systèmes alimentaires

Auteurs et affiliations

  • Green Mark Alan, University of Liverpool (GBR) - auteur correspondant
  • Pradeilles Rebecca, Loughborough University (GBR)
  • Laar Amos, University of Ghana (GHA)
  • Osei-Kwasi Hibbah, University of Sheffield (GBR)
  • Bricas Nicolas, CIRAD-ES-UMR MOISA (FRA) ORCID: 0000-0002-7627-3852
  • Coleman Nathaniel, University of Ghana (GHA)
  • Klomegah Senam, University of Health and Allied Sciences (GHA)
  • Wanjohi Milka Njeri, African Population and Health Research Center (KEN)
  • Tandoh Akua, University of Ghana (GHA)
  • Akparibo Robert, University of Sheffield (GBR)
  • Aryeetey Richmond Nii Okai, University of Ghana (GHA)
  • Griffiths Paula, Loughborough University (GBR)
  • Kimani-Murage Elizabeth W., African Population and Health Research Center (KEN)
  • Mensah Kobby, University of Ghana (GHA)
  • Muthuri Stella, DFID (KEN)
  • Zotor Francis, University of Health and Allied Sciences (GHA)
  • Holdsworth Michelle, IRD (FRA)

Source : Cirad-Agritrop (

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