Understanding the Drivers of Food Choice and Barriers to Diet Diversity in Madagascar

Farris, Alisha; Misyak, Sarah; O'Keefe, Keely; VanSicklin, Lauren; Porton, Ingrid

doi:10.1080/19320248.2019.1566110

Cited by 19 publications

(39 citation statements)

References 19 publications

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“…Our qualitative data showed that they shifted to less expensive foods or bought smaller quantities when prices increased because the item or quantity was no longer affordable. Similar findings have been reported in a recent quantitative analysis in Malawi ( Pauw, Verduzco-Gallo, & Ecker, 2018 ) and in other food choice studies in low- and middle-income countries ( Cabral et al, 2017 ; Daivadanam, Wahlstrom, Thankappan, & Sundari Ravindram, 2015 ; Farris et al, 2019 ). In our study, both the pile sorts and interviews showed that cost was more prominent during the rainy season, most likely because the price of maize, the staple food, is higher at that time of year.…”

Section: Discussionsupporting

confidence: 90%

“…Eating and giving their children foods they considered to be healthy or nutritious was important to mothers, and was also reported in two studies of food choice among mothers/parents of children in Madagascar ( Farris et al, 2019 ; Rakotosamimanana et al, 2014 ). In our study, mothers’ knowledge of which types of foods are healthy was variable.…”

Section: Discussionmentioning

confidence: 69%

“…A study in Cape Verde found that the top factors driving food choice in that context were food prices and perceptions that the food contributed to wellbeing, had good sensory appeal, was nutritious, and was natural (i.e., not processed) ( Cabral, de Almeida, & Cunha, 2017 ). A study with mothers of young children in Madagascar found that health, child food preferences, cost, and food availability were the most important considerations during food shopping, whereas cleanliness and perception of vitamin and energy content of the food were most important when cooking ( Farris, Misyak, O'Keefe, VanSicklin, & Porton, 2019 ). Cleanliness and nutritional content of the food were also key aspects for parents when selecting foods for their school-aged children in Madagascar ( Rakotosamimanana, Arvisenet, & Valentin, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

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Food purchasing decisions of Malawian mothers with young children in households experiencing the nutrition transition

et al. 2021

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As overweight/obesity prevalence increases in sub-Saharan Africa, information is needed about factors influencing food purchases in households with overweight members. This study assessed food purchasing decisions of Malawian mothers with young children (N = 54 dry season, N = 55 rainy season) among whom the mother, child, or both were overweight. Research assistants completed structured observations of mothers shopping for food during the dry season and of the types and quantities of foods in mothers' homes during the rainy season. After each observation, research assistants conducted an in-depth interview about factors that influenced food purchases, including asking mothers to sort 12 factors into piles that always, sometimes, or never influence their food purchases. Observations showed mothers most often shopped at outdoor markets to buy foods needed to prepare relish, such as tomatoes (71%), green leafy vegetables (58%), cooking oil (58%), and fish (40%). At home, maize flour (80%) and salt (66%) were the most common foods. Pile sorts and in-depth interviews revealed cost, taste preferences, freshness, and healthiness were the strongest factors influencing food purchases. Mothers described buying a smaller quantity or making substitutions (e.g., fish instead of meat) if a food is too expensive. Many mothers reported buying foods their family likes and prioritizing children's preferences. Freshness of foods, especially fruits and vegetables, and whether foods were perceived to be healthy also influenced food purchases, but mothers' knowledge of which foods were healthy was mixed. Mothers used some of their minimal funds to buy unhealthy foods (e.g., packaged or fried snacks) for their children, despite their overall emphasis on food cost and healthiness. These findings can be used by programs to reinforce healthy and decrease unhealthy food purchases by mothers with young children in Malawi.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 69%

Section: Introductionmentioning

confidence: 99%

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Food purchasing decisions of Malawian mothers with young children in households experiencing the nutrition transition

et al. 2021

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“…Importantly, the present data clearly support previous research where personal attributes like former personal food experiences, visual appeal, health, and cooking skills in uences food choice and eating behaviors (43,46,49,50,53,54). Social and other external in uences also play a role in decision making about what to eat (32,43,55).…”

Section: Discussionsupporting

confidence: 89%

Drivers of food choices among households in Kersa District, Eastern Ethiopia

Assefa

Tolera

Dessie

et al. 2020

Preprint

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Introduction: Most individuals in low and middle income countries do not meet nutritional requirements. This can be at least partially attributed to poor diet quality, which is impacted by both external and personal food environment factors. Personal food choice factors among socio-economically disadvantaged groups of Ethiopia are not well researched. Objective: This study aimed to assess food choice factors in eastern Ethiopia. Methods: A cross-sectional quantitative study was conducted among 1196 households in Kersa, Eastern Ethiopia with women age 18-49 years. Confirmatory factor analysis models were used to estimate factors that influence food choice. Cronbach’s alpha for internal reliability coefficients were tested. Results: A majority of respondents were employed in agricultural work and a quarter of the families were poor. Women were primarily responsible for household food procurement. Factors that play a role in food choice included food price, convenience, quality, household preference, household food production and market advertisement. Conclusion: Improving nutritional knowledge and diversifying food availability may help to improve food choices and dietary intake in this rural part of eastern Ethiopia.

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“…Among the age subgroups, adolescents in the study area preferred cassava (666.96 g/day) to yam (121.46 g/day) because it is probably less costly [53,54]. According to Farris, et al [55], the price of food is essential to consumption choices, thus, adults with higher incomes can afford more yam dishes compared to adolescents or children. At the median level generally, (30.37-60.73 g/day) consumers of yam in the study consumed greater quantities of yam compared to consumers in the UK (6.45-22.50 g/day) [8].…”

Section: Exposure Elements In the Consumption Of Roots And Tubersmentioning

confidence: 99%

Untitled

2020

AJLS

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The WHO/FAO have requested data on food consumption to better understand the increasing toxicological results of foodstuffs. The aim of this study was to determine the food consumption characteristics of the consumers living in smallscale mining areas. Commonly consumed food crops of each category: fruit, cereals, vegetables, legumes and root tubers were selected. In all, 308 consumers were sampled using a one-week dietary recall tool and a stratified sampling method of the consumers. The @Risk Microsoft add-in was used to analyze the data. The results show that the adolescents (10-17 years) consumed cowpea (233.90 g/day) and cassava (666.96g/day) at a relatively higher level compared to children (3-9 years) and adults (18-64 years). Likewise, adults consumed yam (136.65g/day), maize (1739.37g/day), rice (1272.40g/day), pineapple (184.97g/day) and watermelon (656.55g/day) at a relatively higher level compared to children and adolescents. On the contrary, whereas children generally consumed lower quantities of food, they presented higher exposure frequency to cowpea (364 days/year), root tubers (36-364 days/year) and grains (286-364 days/year) compared to adults and adolescents. Both adolescent and adult population subgroups presented higher exposure frequency to vegetables (364 days/year) relative to children (104-364 days/year). The findings further show that, in increasing order rice and maize are the most consumed crops. The adult population subgroup, in the study area may be vulnerable to contaminants in maize grains than other dishes categories due to the high mass consumed and high exposure duration. Children may be vulnerable to contaminants in maize grains because of the high exposure frequency.

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Understanding the Drivers of Food Choice and Barriers to Diet Diversity in Madagascar

Cited by 19 publications

References 19 publications

Food purchasing decisions of Malawian mothers with young children in households experiencing the nutrition transition

Food purchasing decisions of Malawian mothers with young children in households experiencing the nutrition transition

Drivers of food choices among households in Kersa District, Eastern Ethiopia

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