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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/11763

Title: Mapping Obesogenic Food Environments in South Africa and Ghana: Correlations and Contradictions
Authors: Kroll, Florian
Swart, Elizabeth Catherina
Annan, Reginald Adjetey
Thow, Anne Marie
Neves, David
Apprey, Charles
Aduku, Linda Nana Esi
Agyapong, Nana Ama Frimpomaa
Moubarac, Jean-Claude
Toit, Andries du
Aidoo, Robert
Sanders, David
Keywords: Obesity
Food environments
Urban
Mapping
Nutrition
South Africa
Ghana
Governance
Supermarkets
Ultra-processed
Issue Date: 2019
Publisher: Sustainability
Citation: Sustainability, 2019, 11, 3924; doi:10.3390/su11143924
Abstract: In sub-Saharan Africa, urbanisation and food systems change contribute to rapid dietary transitions promoting obesity. It is unclear to what extent these changes are mediated by neighbourhood food environments or other factors. This paper correlates neighbourhood food provision with household consumption and poverty in Khayelitsha, South Africa and Ahodwo, Ghana. Georeferenced survey data of food consumption and provision were classified by obesity risk and protection. Outlets were mapped, and density and distribution correlated with risk classes. In Khayelitsha, 71% of households exceeded dietary obesity risk thresholds while 16% consumed protective diets. Obesogenic profiles were less (26%) and protective more prevalent (23%) in Ahodwo despite greater income poverty in Khayelitsha. Here, income-deprived households consumed significantly (p < 0.005) less obesogenic and protective diets. Small informal food outlets dominated numerically but supermarkets were key household food sources in Khayelitsha. Although density of food provision in Ahodwo was higher (76/km2), Khayelitsha outlets (61/km2) provided greater access to obesogenic (57% Khayelitsha; 39% Ahodwo) and protective (43% Khayelitsha; 16% Ahodwo) foods. Consumption and provision profiles correlate more strongly in Ahodwo than Khayelitsha (rKhayelitsha = 0.624; rAhodwo = 0.862). Higher obesogenic food consumption in Khayelitsha suggests that risky food environments and poverty together promote obesogenic diets.
Description: An article published in Sustainability, 2019, 11, 3924; doi:10.3390/su11143924
URI: http://hdl.handle.net/123456789/11763
Appears in Collections:College of Science

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