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Accepted manuscript

NOVA FOOD ACQUISITION AND CONSUMPTION AMONG RURAL AND URBAN HOUSEHOLDS IN SOUTH AFRICA AND GHANA

Published online by Cambridge University Press:  22 October 2024

Nana Ama Frimpomaa Agyapong Open the ORCID record for Nana Ama Frimpomaa Agyapong [Opens in a new window] ,
Reginald Adjetey Annan Open the ORCID record for Reginald Adjetey Annan [Opens in a new window] ,
Florian Kroll ,
Charles Apprey Open the ORCID record for Charles Apprey [Opens in a new window] ,
Linda Nana Esi Aduku ,
Robert Aidoo  and
Elizabeth Catherina Swart Open the ORCID record for Elizabeth Catherina Swart [Opens in a new window]
Nana Ama Frimpomaa Agyapong*
Affiliation:
Department of Clinical Nutrition and Dietetics, College of Health and Allied Sciences, University of Cape Coast, Ghana. Africa Research Universities Alliance Centre of Excellence for Non-Communicable Diseases, University of Nairobi, Kenya.
Reginald Adjetey Annan
Affiliation:
Department of Biochemistry and Biotechnology, Kwame Nkrumah University of Science and Technology. Ghana.
Florian Kroll
Affiliation:
School of Public health, University of the Western Cape, South Africa.
Charles Apprey
Affiliation:
Department of Biochemistry and Biotechnology, Kwame Nkrumah University of Science and Technology. Ghana.
Linda Nana Esi Aduku
Affiliation:
Department of Biochemistry and Biotechnology, Kwame Nkrumah University of Science and Technology. Ghana.
Robert Aidoo
Affiliation:
Department of Agricultural Economics, Agribusiness and Extension, Kwame Nkrumah University of Science and Technology. Ghana.
Elizabeth Catherina Swart
Affiliation:
Department of Dietetics and Nutrition, University of the Western Cape, South Africa.
*
Corresponding Author: Nana Ama Frimpomaa Agyapong, [email protected], [email protected]
Rights & Permissions [Opens in a new window]

Abstract

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Objective:

This study aims 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 to non-deprivation. In Ghana, no significant associations were observed between household deprivation and 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.

Keywords

NOVA food categorypovertynutrition transitionSouth AfricaGhana
Type
Research Paper
Information
Public Health Nutrition , Accepted manuscript , pp. 1 - 28
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Authors 2024