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Dietary transitions in Ghana (Univ. of Ghana, Univ. of Health and Allied Sciences - Ghana, Univ. of Sheffield, Univ. of Liverpool, Loughborough Univ., CIRAD, IRD)
Mapping the factors in the social and physical food environments that drive consumption of energy dense nutrient-poor (EDNP) foods and beverages, to identify interventions targeting women and adolescent girls throughout the reproductive life course.

Africa is currently experiencing rapid change partly driven by increasing migration of individuals to cities. Dietary habits are also changing with increasing consumption of unhealthy foods that are high in calories and low in nutrients. Such changes have resulted in increasing levels of obesity in cities, with rates higher for women. This Dietary transitions in Ghana project investigated: i. the factors in the social and physical food environments that drive consumption of EDNP food and beverages in women and adolescent girls, and ii. harnessed this understanding to develop context-relevant interventions to improve diets in two Ghanaian cities of different demographic transition stages (Ho and Accra).

  • Study populations: women/adolescent girls throughout the reproductive life course. Community informants and national stakeholders were interviewed.

  • Tools: Socio-ecological approach using qualitative and quantitative methods: a qualitative 24 hour recall that accounts for participants’ social practices; Photovoice interviews ; food environment mapping using Geographic Information System to assess the availability of foods/beverages and the food advertising environment in both cities; consult with local community informants using the Community Readiness Model; dialogue with national stakeholders to benchmark the extent of action on improving food environments.
This research has been funded by the Drivers of Food Choice (DFC) Competitive Grants Programs, which is funded by the UK Government’s Department for International Development and the Bill & Melinda Gates Foundation, and managed by the University of South Carolina, Arnold School of Public Health, USA.
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1 to 10 of 11 Results
Aug 24, 2020 - Dietary transitions in African Cities: TACLED project
Pradeilles, Rebecca; Laar, Amos; Wanjohi, Milkah; Tandoh, Akua; Green, Mark; Asiki, Gershim; Osei-Kwasi, Hibbah; Kimani-Murage, Elizabeth; Griffiths, Paula; Holdsworth, Michelle, 2020, "Food and beverage consumption and routines of adolescents and adults in Ghana and Kenya", https://doi.org/10.23708/S0Q2QX, DataSuds, V1
Food intake was assessed using qualitative 24hr recall (food type information only, not quantity consumed). In 2017, interviewers noted all food and drink consumed by participants inside/outside the home in the previous 24hr period, also recording how long a food event lasts (tim...
Jun 30, 2020 - Dietary transitions in African Cities: TACLED project
Osei-Kwasi, Hibbah; Mohindra, Aarti; Booth, Andrew; Laar, Amos; Wanjohi, Milka; Pradeilles, Rebecca; Graham, Fiona; Cohen, Emmanuel; Holdsworth, Michelle, 2020, "A systematic mapping review of drivers of diet in urban African food environments: data synthesis", https://doi.org/10.23708/UHH4VX, DataSuds, V1
In 2017, we undertook a systematic mapping review to synthesise factors influencing dietary behaviours in urban food environments in Africa and identify areas for future research. We registered our review protocol in the PROSPERO database (CRD42017068931). We include data extract...
Jun 26, 2020 - Dietary transitions in African Cities: TACLED project
Rousham, Emily; Pradeilles, Rebecca; Akparibo, Robert; Aryeetey, Richmond; Bash, Kristin; Booth, Andrew; Muthuri, Stella; Osei-Kwasi, Hibbah; Marr, Colette; Norris, Tom; Holdsworth, Michelle, 2020, "A systematic review & meta-analysis of dietary behaviours in two African countries: data synthesis", https://doi.org/10.23708/D8FEM3, DataSuds, V1
We undertook a systematic review and meta-analyses to synthesise evidence of urban dietary behaviours (macronutrients, types of foods consumed, dietary diversity and dietary practices) in two African countries (Ghana and Kenya) in relation to postulated changes in the context of...
Jun 24, 2020 - Dietary transitions in African Cities: TACLED project
PRADEILLES, Rebecca; WANJOHI, Milkah; TANDOH, Akua; IRACHE, Ana; HOLDSWORTH, Michelle; LAAR, Amos; ASIKI, Gershim; MUTHURI, Stella; BOHR, Marcus; AKPARIBO, Robert; OSEI-KWASI, Hibbah; GREEN, Mark; GRAHAM, Fiona; KIMANI-MURAGE, Elizabeth; ROUSHAM, Emily; GRIFFITHS, Paula, 2020, "Participatory photography (photovoice) to explore food environments in Ghana and Kenya: interview transcripts", https://doi.org/10.23708/V3EH6I, DataSuds, V1
The aim of this study was to identify social and physical factors that influence dietary behaviours in adolescents and adults living in urban Ghana and Kenya. In 2017-2018, a qualitative study was conducted amongst adolescents and adults aged ≥13 years living in socio-economicall...
Jun 12, 2020 - Dietary transitions in African Cities: TACLED project
GREEN, Mark; PRADEILLES, Rebecca; WANJOHI, Milka; Kimani-Murage, Elizabeth; MUTHURI, Stella; GRIFFITHS, Paula; HOLDSWORTH, Michelle, 2020, "Geographical mapping of food outlets and foods and beverages advertised in Kenya", https://doi.org/10.23708/G76QVS, DataSuds, V1, UNF:6:ndXZj4i4hjhHKfd3JmsLlw== [fileUNF]
The aim of this study was to characterise the local foods and beverages sold and advertised in a deprived urban neighbourhood in Nairobi, Kenya. In 2017, a cross-sectional observational study design was used to audit all food outlets (outlet type and food type sold) and food adve...
Jun 11, 2020 - Dietary transitions in African Cities: TACLED project
ASIKI, Gershim; WANJOHI, Milkah; BARNES, Amy; BASH, Kristin; VANDEVIJERE, Stefanie; KIMANI, Elizabeth; HOLDSWORTH, Michelle, 2020, "Food environment benchmarking of policies to prevent nutrition-related non-communicable diseases in Kenya", https://doi.org/10.23708/CITKFU, DataSuds, V1
This study assessed government action, implementation gaps, and priorities to improve the healthiness of food environments (FE) in Kenya. Using the Healthy Food-Environment Policy Index (Food-EPI), a panel (n=16) of government and independent experts rated the extent of governmen...
May 18, 2020
PRADEILLES, Rebecca; LAAR, Amos; TANDOH, Akua; GREEN , Mark; ZOTOR, Francis; KLOMEGAH, Senam; OSEI-KWASI, Hibbah; AKPARIBO, Robert; BRICAS, Nicolas; GRIFFITHS, Paula; HOLDSWORTH, Michelle, 2020, "Food and beverage consumption and dietary routines and practices in Ghana", https://doi.org/10.23708/HGMZKX, DataSuds, V1, UNF:6:y4wxbP8vlq/b1AEV1JUSiw== [fileUNF]
Food intake was assessed using qualitative 24hr recall (food type information only, not quantity consumed). In 2017, interviewers noted all food and drink consumed by participants inside/outside the home in the previous 24hr period, also recording how long a food event lasts (tim...
May 18, 2020
PRADEILLES, Rebecca; LAAR, Amos; ZOTOR, Francis; HOLDSWORTH, Michelle; TANDOH, Akua; KLOMEGAH, Senam; BOHR, Marcus; AKPARIBO, Robert; OSEI-KWASI, Hibbah; GREEN, Mark; GRAHAM, Fiona; BRICAS, Nicolas; GRIFFITHS, Paula, 2020, "Participatory photography (photovoice) to explore food environments in Ghana: interview transcripts", https://doi.org/10.23708/XSACNA, DataSuds, V1
The aim of this study was to identify social and physical factors that influence food choices in women and adolescent girls living in urban Ghana. In 2017, a qualitative study was conducted amongst women and adolescent girls aged 13-49 years living in socio-economically deprived...
May 14, 2020
PRADEILLES, Rebecca; KEARNEY, Colette; LAAR, Amos; HOLDSWORTH, Michelle; ZOTOR, Francis; TANDOH, Akua; KLOMEGAH, Senam; COLEMAN, Nat; BASH, Kristin; GREEN, Mark; GRIFFITHS, Paula, 2020, "Community readiness to address unhealthy food and beverage consumption in Ghana: in-depth interview transcripts of local stakeholders", https://doi.org/10.23708/XDMJKY, DataSuds, V1
This study assessed community readiness to address unhealthy food and beverage consumption in women of reproductive age in urban Ghana. The Community Readiness Model (CRM) assessed the stage of readiness of communities within Accra and Ho to address the consumption of unhealthy f...
May 11, 2020
GREEN, Mark; PRADEILLES, Rebecca; LAAR, Amos; ZOTOR, Francis; OSEI-KWASI, Hibbah; KLOMEGAH, Senam; TANDOH, Akua; BRICAS, Nicolas; AKPARIBO, Robert; ARYEETEY, Richmond; GRIFFITHS, Paula; MENSAH, Kobby; HOLDSWORTH, Michelle, 2020, "Geographical mapping of food outlets and foods and beverages advertised in Ghana", https://doi.org/10.23708/QYHL8C, DataSuds, V1, UNF:6:CTCHviyLmGyGFj6iNtojWw== [fileUNF]
The aim of this study was to characterise the local foods and beverages sold and advertised in two deprived urban Ghanaian neighbourhoods. A cross-sectional observational study design was used to audit all food outlets (outlet type and food type sold) and food advertisements. Two...
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