Unhealthy eating practices of city-dwelling Africans in deprived neighbourhoods: Evidence for policy action from Ghana and Kenya

Holdsworth Michelle, Pradeilles Rebecca, Tandoh Akua, Green Mark Alan, Wanjohi Milka Njeri, Zotor Francis, Asiki Gershim, Klomegah Senam, Abdul-Haq Zakia, Osei-Kwasi Hibbah Araba, Akparibo Robert, Bricas Nicolas, Auma Carol, Griffiths Paula, Laar Amos. 2020. Unhealthy eating practices of city-dwelling Africans in deprived neighbourhoods: Evidence for policy action from Ghana and Kenya. Global Food Security, 26:100452, 13 p.

Journal article ; Article de recherche ; Article de revue à facteur d'impact
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Abstract : Growing urbanisation in Africa is accompanied by rapid changes in food environments, with potential shifts towards unhealthy food/beverage consumption, including in socio-economically disadvantaged populations. This study investigated how unhealthy food and beverages are embedded in everyday life in deprived areas of two African countries, to identify levers for context relevant policy. Deprived neighbourhoods (Ghana: 2 cities, Kenya: 1 city) were investigated (total = 459 female/male, adolescents/adults aged ≥13 y). A qualitative 24hr dietary recall was used to assess the healthiness of food/beverages in relation to eating practices: time of day and frequency of eating episodes (periodicity), length of eating episodes (tempo), and who people eat with and where (synchronisation). Five measures of the healthiness of food/beverages in relation to promoting a nutrient-rich diet were developed: i. nutrients (energy-dense and nutrient-poor -EDNP/energy-dense and nutrient-rich -EDNR); and ii. unhealthy food types (fried foods, sweet foods, sugar sweetened beverages (SSBs). A structured meal pattern of three main meals a day with limited snacking was evident. There was widespread consumption of unhealthy food/beverages. SSBs were consumed at three-quarters of eating episodes in Kenya (78.5%) and over a third in Ghana (36.2%), with those in Kenya coming primarily from sweet tea/coffee. Consumption of sweet foods peaked at breakfast in both countries. When snacking occurred (more common in Kenya), it was in the afternoon and tended to be accompanied by a SSB. In both countries, fried food was an integral part of all mealtimes, particularly common with the evening meal in Kenya. This includes consumption of nutrient-rich traditional foods/dishes (associated with cultural heritage) that were also energy-dense: (>84% consumed EDNR foods in both countries). The lowest socio-economic groups were more likely to consume unhealthy foods/beverages. Most eating episodes were <30 min (87.1% Ghana; 72.4% Kenya). Families and the home environment were important: >77% of eating episodes were consumed at home and >46% with family, which tended to be energy dense. Eating alone was also common as >42% of eating episodes were taken alone. In these deprived settings, policy action to encourage nutrient-rich diets has the potential to prevent multiple forms of malnutrition, but action is required across several sectors: enhancing financial and physical access to healthier foods that are convenient (can be eaten quickly/alone) through, for example, subsidies and incentives/training for local food vendors. Actions to limit access to unhealthy foods through, for example, fiscal and advertising policies to dis-incentivise unhealthy food consumption and SSBs, especially in Ghana. Introducing or adapting food-based dietary guidelines to incorporate advice on reducing sugar and fat at mealtimes could be accompanied by cooking skills interventions focussing on reducing frying/oil used when preparing meals, including 'traditional' dishes and reducing the sugar content of breakfast.

Mots-clés Agrovoc : Comportement alimentaire, Prise alimentaire (homme), Population rurale, Zone défavorisée, Niveau d'alimentation, Alimentation humaine, Nutrition humaine, Politique alimentaire, régime alimentaire équilibré

Mots-clés géographiques Agrovoc : Ghana, Kenya

Mots-clés complémentaires : mauvaise alimentation, malbouffe

Mots-clés libres : Eating practices, Unhealthy foods, Food environment, Africa, Ghana, Kenya, Cities

Classification Agris : S30 - Diet and diet-related diseases
S01 - Human nutrition - General aspects

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

Auteurs et affiliations

  • Holdsworth Michelle, IRD (FRA) - auteur correspondant
  • Pradeilles Rebecca, Loughborough University (GBR)
  • Tandoh Akua, University of Ghana (GHA)
  • Green Mark Alan, University of Liverpool (GBR)
  • Wanjohi Milka Njeri, African Population and Health Research Center (KEN)
  • Zotor Francis, University of Health and Allied Sciences (GHA)
  • Asiki Gershim, African Population and Health Research Center (KEN)
  • Klomegah Senam, University of Health and Allied Sciences (GHA)
  • Abdul-Haq Zakia, University of Sheffield (GBR)
  • Osei-Kwasi Hibbah Araba, University of Sheffield (GBR)
  • Akparibo Robert, University of Sheffield (GBR)
  • Bricas Nicolas, CIRAD-ES-UMR MOISA (FRA) ORCID: 0000-0002-7627-3852
  • Auma Carol, University of Sheffield (GBR)
  • Griffiths Paula, Loughborough University (GBR)
  • Laar Amos, University of Ghana (GHA)

Source : Cirad-Agritrop (

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