@article{fdi:010080021,
  title = {{F}actors influencing dietary practices in a transitioning food environment : a cross-sectional exploration of four dietary typologies among rural and urban {U}gandan women using {P}hotovoice},
  author = {{A}uma, {C}. {I}. and {P}radeilles, {R}. and {B}lake, {M}. {K}. and {M}usoke, {D}. and {H}oldsworth, {M}ichelle},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {H}ealthy and sustainable dietary practices offer a possible solution to competing tensions between health and environmental sustainability, particularly as global food systems transition. {T}o encourage such dietary practices, it is imperative to understand existing dietary practices and factors influencing these dietary practices. {T}he aim of this study was to identify multi-level factors in lived rural and urban {U}gandan food environments that influence existing dietary practices among women of reproductive age ({WRA}). {M}ethods {A} mixed methods study was conducted. {M}ultiple correspondence analysis followed by hierarchical cluster analysis were performed on dietary data collected among a sample (n = 73) of {U}gandan {WRA} in {K}ampala (urban) and {W}akiso (rural) districts to elicit dietary clusters. {D}ietary clusters, which were labelled as dietary typologies based on environmental impact and nutrition transition considerations, were reflective of dietary practices. {F}ollowing this, a smaller sample of {WRA} (n = 18) participated in a {P}hotovoice 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. {R}esults {F}our 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'. {A}lthough 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. {S}easonality (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. {C}onclusion {P}articipants displayed a range of dietary typologies, and therefore dietary practices. {F}amily provides an avenue through which interventions aimed at encouraging healthier and lower environmental impact dietary practices can be targeted. {H}ome gardens, urban farming and improved transportation could address challenges in availability and access to healthier, lower environmental impact plant-based foods among urban {WRA}.},
  keywords = {{D}ietary practices ; {D}ietary clusters ; {D}ietary typologies ; {P}hotovoice ; {E}nvironmental sustainability ; {F}actors ; {W}omen ; {U}ganda ; {OUGANDA}},
  booktitle = {},
  journal = {{N}utrition {J}ournal},
  volume = {19},
  numero = {1},
  pages = {127 [15p.]},
  year = {2020},
  URL = {https://www.documentation.ird.fr/hor/fdi:010080021},
}