Characterising the fruit and vegetable environment of peri-urban Hyderabad, India

Surendran, Shilpa; Selvaraj, K. N.; Turner, Christopher; Addanki, Srivalli; Kannuri, Nanda Kishore; Debbarma, Arindam; Kadiyala, Suneetha; Kinra, Sanjay; Walls, Helen

doi:10.1016/j.gfs.2019.100343

Cited by 19 publications

(25 citation statements)

References 32 publications

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“…Participants’ concerns with food safety and cleanliness are similar to that reported by Surendran and colleagues [ 40 ] with respect to fruit and vegetables in peri-urban villages near Hyderabad, India, and among women living in Dehli with respect to food in general [ 41 ]. Gulati and colleagues [ 42 ] also report among mothers living in four Indian cities, that ‘healthy’ food was ‘hygienic’ food, which authors interpreted as a belief directing mothers to choosing more packaged, processed food that are subject to food safety standards [ 43 ].…”

Section: Discussionsupporting

confidence: 54%

A qualitative analysis of the perceived socio-cultural contexts and health concerns of sugar-sweetened beverages among adults studying or working at a post-secondary institution in Dharwad, India

et al. 2021

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Background We sought to explore the perceptions of the socio-cultural contexts and health concerns of consuming sugar-sweetened beverages (SSB) among Indian adults working or studying at a post-secondary institution in Karnataka, India. Methods We completed a qualitative study, including 24 semi-structured interviews between 2017 and 2018 at the University of Agricultural Sciences, Dharwad, Karnataka, India. Data were analyzed using thematic content analysis. Results One over-arching theme emerged, westernization and changing perceptions of food, sugar, and health. Participants discussed SSB and associated health concerns in the broad context of westernization and overall economic development in India. Three sub-themes regarding the health perceptions of consuming SSB were: healthy drinks are clean and natural; hydration and energy; and moderation and body weight. Hygienically-prepared beverages were a consistent concern among participants. Juices and beverages, such as tea or coffee, sweetened with jaggery were viewed positively due to their naturalness and lack of processed sugar. Participants perceived SSB as providing hydration and energy, particularly in hot weather. Lastly, if consumed in moderation, SSB were thought to have no direct adverse health consequences. Though some participants noted excessive, ‘addictive’ consumption would contribute to weight gain and diabetes. Conclusion Perceived health concerns of SSB reflect dominant health issues in India, namely, food insecurity, food safety, and increasingly, diabetes. Policymakers tend to prioritize acute challenges over long-term concerns. As such, the capacity of any policy to address chronic nutritional concerns related to SSB are likely to be muted in the absence of improvements to food safety and security.

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Section: Discussionsupporting

confidence: 54%

A qualitative analysis of the perceived socio-cultural contexts and health concerns of sugar-sweetened beverages among adults studying or working at a post-secondary institution in Dharwad, India

et al. 2021

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“…While there is some research in this area on alcohol, particularly for HICs, given the parallels with food and tobacco research to understanding alcohol, [37][38][39] investigation of the alcohol environment in LMICs can draw on qualitative research from tobacco and the burgeoning qualitative research of food environments and associated policy processes. [40][41][42] lack of data and poor policy transparency LMICs are also more likely than HICs to lack quality data on the various dimensions of alcohol environments. Detailed datasets containing geotagged information about vendors are likely to be limited or non-existent.…”

Section: Dynamic and Complex Nature Of Alcohol Environments In Lmics mentioning

confidence: 99%

Advancing alcohol research in low-income and middle-income countries: a global alcohol environment framework

et al. 2020

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Alcohol-related harm has gained increased attention in high-income countries (HICs) in recent years which, alongside government regulation, has effected a reduction in alcohol consumption. The alcohol industry has turned its attention to low-income and middle-income country (LMIC) markets as a new source of growth and profit, prompting increased consumption in LMICS. Alcohol use in LMICs is also increasing. There is a need to understand particularly in LMICs the impact of industry strategy in shaping local contexts of alcohol use. We draw on conceptualisations from food systems research, and research on the commercial determinants of health, to develop a new approach for framing alcohol research and discuss implications for alcohol research, particularly in LMICs, focusing on South Africa as an illustrative example. We propose a conceptualisation of the ‘alcohol environment’ as the system of alcohol provision, acquisition and consumption—including, critically, industry advertising and marketing—along with the political, economic and regulatory context of the alcohol industry that mediates people’s alcohol drinking patterns and behaviours. While each country and region is different in terms of its context of alcohol use, we contrast several broadly distinct features of alcohol environments in LMICs and HICs. Improving understanding of the full spectrum of influences on drinking behaviour, particularly in LMICs, is vital to inform the design of interventions and policies to facilitate healthier environments and reduce the harms associated with alcohol consumption. Our framework for undertaking alcohol research may be used to structure mixed methods empirical research examining the role of the alcohol environment particularly in LMICs.

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“…Direct linkages between agricultural production and nutrition are created by household decisions regarding the quantity and composition of food production, which are partially reliant on the needs of the household (23). Surendran et al recently documented home-grown consumption as a key pathway through which peri-urban households in Hyderabad, Telangana (approximately 1,000 km southwest of our study site), sourced food for consumption, with support tied strongest to vegetables that are cultivated more ubiquitously, when compared with fruits, among the farmers they interviewed (24). Studies in developed countries have also supported this farm-level pathway to nutrition, with empirical evidence for adults residing in the United Kingdom (25), as well as children living in the rural United States (26).…”

Section: Introductionmentioning

confidence: 75%

Tracing the Single and Combined Contributions of Home-Grown Supply and Health Literacy on Fruit and Vegetable Consumption: An Empirical Exploration in Rural India

Moore

McRae

et al. 2021

Front. Public Health

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Low fruit and vegetable consumption (FVC) remains a global health challenge. Fostering subsistence agriculture through the production and home-grown consumption (HGC) of fruits and vegetables are seen as potential strategies for improving overall FVC, in particular, for developing countries like India. In addition, educational strategies targeting FVC health literacy are also used. Little evidence has documented a connection between these two strategies. We examine the single and combined influence of HGC and health literacy with regard to benefits from fruits and vegetable consumption. Data were collected from 427 rural households in the state of Odisha, India. Three outcomes were examined: FVC, as well as fruit and vegetables separately. Linear and Poisson regression were used to examine the association among home-grown consumption (HGC), FVC health literacy, and the FVC outcomes. Findings show that HGC, but not FVC health literacy, was directly associated with FVC (β = 0.65, SE = 0.10, p = 0.008) and vegetable consumption (β = 0.57, SE = 0.11, p = 0.02). However, both HGC (β = 0.58, SE = 0.05, p < 0.01) and FVC health literacy (β = −0.07, SE = 0.02, p = 0.001) were associated with fruit consumption. In addition, HGC effect is concentrated among participants who reported low FVC health literacy, especially on overall FVC and vegetables alone. Results are discussed in relation to the beneficial role played by HGC in those particularly vulnerable households who perceived little FVC health literacy. Our results provide insights on novel improved FVC consumption across all population segments. Future research should explore the complex interplay between agricultural policies and educational programs in the design of interventions promoting fruit and vegetable production and consumption.

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Characterising the fruit and vegetable environment of peri-urban Hyderabad, India

Cited by 19 publications

References 32 publications

A qualitative analysis of the perceived socio-cultural contexts and health concerns of sugar-sweetened beverages among adults studying or working at a post-secondary institution in Dharwad, India

A qualitative analysis of the perceived socio-cultural contexts and health concerns of sugar-sweetened beverages among adults studying or working at a post-secondary institution in Dharwad, India

Advancing alcohol research in low-income and middle-income countries: a global alcohol environment framework

Tracing the Single and Combined Contributions of Home-Grown Supply and Health Literacy on Fruit and Vegetable Consumption: An Empirical Exploration in Rural India

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