Food acquisition and consumption by NOVA food classification and lived poverty index among rural and urban households in South Africa and Ghana

Abstract Objective: This study aimed to determine differences in food consumption by the NOVA food categories in South Africa and Ghana and how they relate to poverty and food supply systems. Design: This study used a cross-sectional design to assess household food acquisition and lived poverty...

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Main Authors: Nana Ama Frimpomaa Agyapong, Reginald Adjetey Annan, Florian Kroll, Charles Apprey, Linda Nana Esi Aduku, Robert Aidoo, Elizabeth Catherina Swart
Format: Article
Language:English
Published: Cambridge University Press 2024-01-01
Series:Public Health Nutrition
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Online Access:https://www.cambridge.org/core/product/identifier/S1368980024002118/type/journal_article
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author Nana Ama Frimpomaa Agyapong
Reginald Adjetey Annan
Florian Kroll
Charles Apprey
Linda Nana Esi Aduku
Robert Aidoo
Elizabeth Catherina Swart
author_facet Nana Ama Frimpomaa Agyapong
Reginald Adjetey Annan
Florian Kroll
Charles Apprey
Linda Nana Esi Aduku
Robert Aidoo
Elizabeth Catherina Swart
author_sort Nana Ama Frimpomaa Agyapong
collection DOAJ
description Abstract Objective: This study aimed to determine differences in food consumption by the NOVA food categories in South Africa and Ghana and how they relate to poverty and food supply systems. Design: This study used a cross-sectional design to assess household food acquisition and lived poverty index. Setting: The study was conducted in Khayelitsha and Mount Frere, urban and rural communities in South Africa, respectively, and Ahodwo and Ejuratia, urban and rural communities in Ghana, respectively. Participant: An adult in charge of or knowledgeable about household food acquisition and consumption was selected to participate in the study. Results: A total of 1299 households participated in the study. Supermarkets were a prominent source of ultra-processed foods for households in South Africa, while informal outlets were an important source of ultra-processed foods in Ghana. Consumption of unprocessed foods was higher among South African households (58·2 %) than Ghanaian households (41·8 %). In South Africa, deprivation was associated with increased odds of infrequent consumption of both unprocessed foods (OR 3·431 P < 0·001) and ultra-processed foods (OR 2·656 P < 0·001) compared with non-deprivation. In Ghana, no significant differences were observed between deprived households and non-deprived households in relation to the consumption of the NOVA food classes. Conclusion: Different food supply systems and poverty are associated with household acquisition of the different NOVA food classes. Policies should be geared towards formal shops in South Africa and informal shops in Ghana to reduce the consumption of key obesogenic foods.
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spelling doaj-art-f4be52df2fdb4c979a2f8b86470ea3652025-01-16T21:53:31ZengCambridge University PressPublic Health Nutrition1368-98001475-27272024-01-012710.1017/S1368980024002118Food acquisition and consumption by NOVA food classification and lived poverty index among rural and urban households in South Africa and GhanaNana Ama Frimpomaa Agyapong0https://orcid.org/0000-0002-3036-6578Reginald Adjetey Annan1https://orcid.org/0000-0002-6559-1636Florian Kroll2Charles Apprey3https://orcid.org/0000-0002-4071-5049Linda Nana Esi Aduku4Robert Aidoo5Elizabeth Catherina Swart6https://orcid.org/0000-0002-7786-3117Department of Clinical Nutrition and Dietetics, College of Health and Allied Sciences, University of Cape Coast, Cape Coast 2331, Ghana Africa Research Universities Alliance Centre of Excellence for Non-Communicable Diseases, University of Nairobi, Nairobi 00100, KenyaDepartment of Biochemistry and Biotechnology, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaSchool of Public health, University of the Western Cape, Bellville 7535, South AfricaDepartment of Biochemistry and Biotechnology, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Biochemistry and Biotechnology, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Agricultural Economics, Agribusiness and Extension, Kwame Nkrumah University of Science and Technology, Kumasi 00233, GhanaDepartment of Dietetics and Nutrition, University of the Western Cape, Bellville 7535, South Africa Abstract Objective: This study aimed to determine differences in food consumption by the NOVA food categories in South Africa and Ghana and how they relate to poverty and food supply systems. Design: This study used a cross-sectional design to assess household food acquisition and lived poverty index. Setting: The study was conducted in Khayelitsha and Mount Frere, urban and rural communities in South Africa, respectively, and Ahodwo and Ejuratia, urban and rural communities in Ghana, respectively. Participant: An adult in charge of or knowledgeable about household food acquisition and consumption was selected to participate in the study. Results: A total of 1299 households participated in the study. Supermarkets were a prominent source of ultra-processed foods for households in South Africa, while informal outlets were an important source of ultra-processed foods in Ghana. Consumption of unprocessed foods was higher among South African households (58·2 %) than Ghanaian households (41·8 %). In South Africa, deprivation was associated with increased odds of infrequent consumption of both unprocessed foods (OR 3·431 P < 0·001) and ultra-processed foods (OR 2·656 P < 0·001) compared with non-deprivation. In Ghana, no significant differences were observed between deprived households and non-deprived households in relation to the consumption of the NOVA food classes. Conclusion: Different food supply systems and poverty are associated with household acquisition of the different NOVA food classes. Policies should be geared towards formal shops in South Africa and informal shops in Ghana to reduce the consumption of key obesogenic foods. https://www.cambridge.org/core/product/identifier/S1368980024002118/type/journal_articleNOVA food categoryPovertyNutrition transitionSouth AfricaGhana
spellingShingle Nana Ama Frimpomaa Agyapong
Reginald Adjetey Annan
Florian Kroll
Charles Apprey
Linda Nana Esi Aduku
Robert Aidoo
Elizabeth Catherina Swart
Food acquisition and consumption by NOVA food classification and lived poverty index among rural and urban households in South Africa and Ghana
Public Health Nutrition
NOVA food category
Poverty
Nutrition transition
South Africa
Ghana
title Food acquisition and consumption by NOVA food classification and lived poverty index among rural and urban households in South Africa and Ghana
title_full Food acquisition and consumption by NOVA food classification and lived poverty index among rural and urban households in South Africa and Ghana
title_fullStr Food acquisition and consumption by NOVA food classification and lived poverty index among rural and urban households in South Africa and Ghana
title_full_unstemmed Food acquisition and consumption by NOVA food classification and lived poverty index among rural and urban households in South Africa and Ghana
title_short Food acquisition and consumption by NOVA food classification and lived poverty index among rural and urban households in South Africa and Ghana
title_sort food acquisition and consumption by nova food classification and lived poverty index among rural and urban households in south africa and ghana
topic NOVA food category
Poverty
Nutrition transition
South Africa
Ghana
url https://www.cambridge.org/core/product/identifier/S1368980024002118/type/journal_article
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