CitationDake, Fidelia A. A.; Thompson, Amanda L.; Ng, Shu Wen; Agyei-Mensah, Samuel; & Codjoe, Samuel Nii Ardey (2016). The Local Food Environment and Body Mass Index among the Urban Poor in Accra, Ghana. Journal of Urban Health, 93(3), 438-455. PMCID: PMC4899328
AbstractObesity in the sub-Saharan Africa region has been portrayed as a problem of affluence, partly because obesity has been found to be more common in urban areas and among the rich. Recent findings, however, reveal rising prevalence among the poor particularly the urban poor. A growing body of literature mostly in Western countries shows that obesity among the poor is partly the result of an obesogenic-built environment. Such studies are lacking in the African context. This study examines the characteristics of the local food environment in an urban poor setting in Accra, Ghana and further investigates the associated risk of obesity for residents. Data on the local food environment was collected using geographic positioning system (GPS) technology. The body mass indices (BMI) of females (15-49 years) and males (15-59 years) were calculated from measured weight and height. Data on the socio-demographic characteristics and lifestyle behaviors of respondents was also collected through a household survey. Spatial analysis tools were used to examine the characteristics of the local food environment while the influence of the food environment on BMI was examined using a two-level multilevel model. The measures of the food environment constituted the level 2 factors while individual socio-demographic characteristics and lifestyle behaviors constituted the level 1 factors. The local food environment in the study communities is suggestive of an obesogenic food environment characterized by an abundance of out-of-home cooked foods, convenience stores, and limited fruits and vegetables options. The results of the multilevel analysis reveal a 0.2 kg/m
Reference TypeJournal Article
Journal TitleJournal of Urban Health
Author(s)Dake, Fidelia A. A.
Thompson, Amanda L.
Ng, Shu Wen
Codjoe, Samuel Nii Ardey