Food Choice Drivers in the Context of the Nutrition Transition in Delhi, India

Bailey, Claire; Garg, Vandana; Kapoor, Deksha; Wasser, Heather; Prabhakaran, Dorairaj; Jaacks, Lindsay M.

doi:10.1016/j.jneb.2018.03.013

Cited by 40 publications

(45 citation statements)

References 29 publications

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“…Older participants in this study also demonstrated that other (non-parent) family members were important influences around their dietary practices. These findings corroborate those from a recent study among Indian women, who reported that in trying to make them happy, they often ate food that they knew their spouses and children preferred [49]. Food in Uganda, as in many other SSA countries, is an identifier of cultural heritage and tradition.…”

Section: Discussionsupporting

confidence: 88%

Factors influencing dietary practices in a transitioning food environment: a cross-sectional exploration of four dietary typologies among rural and urban Ugandan women using Photovoice

Auma

Pradeilles

Blake

et al. 2020

Nutr J

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Background Healthy and sustainable dietary practices offer a possible solution to competing tensions between health and environmental sustainability, particularly as global food systems transition. To encourage such dietary practices, it is imperative to understand existing dietary practices and factors influencing these dietary practices. The aim of this study was to identify multi-level factors in lived rural and urban Ugandan food environments that influence existing dietary practices among women of reproductive age (WRA). Methods A mixed methods study was conducted. Multiple correspondence analysis followed by hierarchical cluster analysis were performed on dietary data collected among a sample (n = 73) of Ugandan WRA in Kampala (urban) and Wakiso (rural) districts to elicit dietary clusters. Dietary clusters, which were labelled as dietary typologies based on environmental impact and nutrition transition considerations, were reflective of dietary practices. Following this, a smaller sample of WRA (n = 18) participated in a Photovoice exercise and in-depth interviews to identify factors in their social, physical, socio-cultural and macro-level environments influencing their enactment of the identified dietary typologies, and therefore dietary practices. Results Four dietary typologies emerged: ‘urban, low-impact, early-stage transitioners’, ‘urban, medium-impact, mid-stage transitioners’, ‘rural, low-impact, early-stage transitioners’ and ‘rural, low-impact, traditionalists’. Although experienced somewhat differently, the physical environment (access, availability and cost), social networks (parents, other family members and friends) and socio-cultural environment (dietary norms) were cross-cutting influences among both urban and rural dietary typologies. Seasonality (macro-environment) directly influenced consumption of healthier and lower environmental impact, plant-based foods among the two rural dietary typology participants, while seasonality and transportation intersected to influence consumption of healthier and lower environmental impact, plant-based foods among participants in the two urban dietary typologies. Conclusion Participants displayed a range of dietary typologies, and therefore dietary practices. Family provides an avenue through which interventions aimed at encouraging healthier and lower environmental impact dietary practices can be targeted. Home gardens, urban farming and improved transportation could address challenges in availability and access to healthier, lower environmental impact plant-based foods among urban WRA.

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Section: Discussionsupporting

confidence: 88%

Factors influencing dietary practices in a transitioning food environment: a cross-sectional exploration of four dietary typologies among rural and urban Ugandan women using Photovoice

Auma

Pradeilles

Blake

et al. 2020

Nutr J

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“…Currently, many nutrition programs target mothers of young children to improve infant and young child feeding practices (understandably), but more effort and innovation is needed to improve consumer knowledge and awareness more generally, such as through media campaigns, school-based interventions and public-private partnerships to improve marketing and advertising for nutritious foods. Furthermore, chemical contamination of vegetables and fruits with pesticide residues or artificial cosmetic enhancement is a growing consumer concern in India (Bailey et al, 2018). For consumer demand to increase for these foods, public trust in food safety is essential, necessitating enforcement of basic food quality standards (Umali-Deininger & Sur, 2007).…”

Section: Marketing and Promotion Strategies For Healthy Dietary Divermentioning

confidence: 99%

Affordability of nutritious diets in rural India

Raghunathan¹,

Headey²,

Herforth³

2020

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in 1975, provides research-based policy solutions to sustainably reduce poverty and end hunger and malnutrition. IFPRI's strategic research aims to foster a climate-resilient and sustainable food supply; promote healthy diets and nutrition for all; build inclusive and efficient markets, trade systems, and food industries; transform agricultural and rural economies; and strengthen institutions and governance. Gender is integrated in all the Institute's work. Partnerships, communications, capacity strengthening, and data and knowledge management are essential components to translate IFPRI's research from action to impact. The Institute's regional and country programs play a critical role in responding to demand for food policy research and in delivering holistic support for country-led development. IFPRI collaborates with partners around the world.

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“…It is also necessary for individuals and persons responsible for household food purchasing and the preparation of meals to make nutritious food choices. The factors that influence individual decision-making around food are many and varied and have social, environmental, and psychological dimensions [92][93][94][95]. The research literature on value chains and diet quality included a wide range of interventions that aimed to improve the desirability of nutritious food (Table 4).…”

Section: Impact Pathways Related To Increasing Nutritious Food Choicesmentioning

confidence: 99%

Value Chains and Diet Quality: A Review of Impact Pathways and Intervention Strategies

et al. 2019

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Low and middle-income countries increasingly face a triple burden of malnutrition encompassing undernutrition, micronutrient deficiency, and excessive energy consumption contributing to overweight and obesity. Food systems are also becoming more complex, supported by investments in food processing and retailing. Traditional approaches addressing hunger, typically based on agricultural development, are deemed insufficient alone to address the problem and attention is now being directed to food value chains, although experience is currently limited. To assess the state of science and identify knowledge gaps, an integrative review of the broad topic of value chains and diet quality was undertaken, with particular focus on interventions and their related impact pathways. Interventions were classified according to their primary orientation: to increase the availability, accessibility, or desirability of nutritious food. We identified 24 separate interventions associated with 10 different impact pathways, demonstrating the numerous entry points and large potential for value chain interventions to influence diet quality. However, case study evidence regarding effectiveness remains scant. Most studies addressed individual nutrient-rich commodities that could address a nutritional deficiency in the community of interest. Rarely was overall diet quality assessed, and future studies could benefit from taking a wider perspective of dietary patterns and food substitutions. The value chain analytical approach was deemed valuable due to its consumer orientation that seeks to understand how food products are used and what motivates their choice. The systems perspective is also important as it considers the roles of actors involved in food production, distribution, marketing, and regulation. However, few studies directly engaged with the subject of the local food environment as the bridge connecting food production and food choice. The challenge is to combat the increasing prevalence of processed foods of low nutritional value through interventions that lead to nutritious food becoming more conveniently available, affordable, and desirable.

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Food Choice Drivers in the Context of the Nutrition Transition in Delhi, India

Cited by 40 publications

References 29 publications

Factors influencing dietary practices in a transitioning food environment: a cross-sectional exploration of four dietary typologies among rural and urban Ugandan women using Photovoice

Factors influencing dietary practices in a transitioning food environment: a cross-sectional exploration of four dietary typologies among rural and urban Ugandan women using Photovoice

Affordability of nutritious diets in rural India

Value Chains and Diet Quality: A Review of Impact Pathways and Intervention Strategies

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