@article{fdi:010081524,
  title = {{T}he {A}frican urban food environment framework for creating healthy nutrition policy and interventions in urban {A}frica},
  author = {{O}sei-{K}wasi, {H}. {A}. and {L}aar, {A}. and {Z}otor, {F}. and {P}radeilles, {R}. and {A}ryeetey, {R}. and {G}reen, {M}. and {G}riffiths, {P}. and {A}kparibo, {R}. and {W}anjohi, {M}. {N}. and {R}ousham, {E}. and {B}arnes, {A}. and {B}ooth, {A}. and {M}ensah, {K}. and {A}siki, {G}. and {K}imani-{M}urage, {E}. and {B}ricas, {N}. and {H}oldsworth, {M}ichelle},
  editor = {},
  language = {{ENG}},
  abstract = {{T}his study developed, validated, and evaluated a framework of factors influencing dietary behaviours in urban {A}frican food environments, to inform research prioritisation and intervention development in {A}frica. {A} multi-component methodology, drawing on concept mapping, was employed to construct a framework of factors influencing dietary behaviours in urban {A}frica. {T}he framework adapted a widely used socio-ecological model (developed in a high-income country context) and was developed using a mixed-methods research approach that comprised: i. {E}vidence synthesis consisting of a systematic review of 39 papers covering 14 {A}frican countries; ii. {Q}ualitative interview data collected for adolescents and adults (n = 144) using photovoice in urban {G}hana and {K}enya; and iii. {C}onsultation with interdisciplinary {A}frican experts (n = 71) from 27 countries, who contributed to at least one step of the framework (creation, validation/evaluation, finalisation). {T}he final framework included 103 factors influencing dietary behaviours. {E}xperts identified the factors influencing dietary behaviours across all the four levels of the food environment i.e. the individual, social, physical and macro levels. {N}early half (n = 48) were individual-level factors and just under a quarter (n = 26) were at the macro environmental level. {F}ewer factors associated with social (n = 15) and physical (14) environments were identified. {A}t the macro level, the factors ranked as most important were food prices, cultural beliefs and seasonality. {F}actors ranked as important at the social level were household composition, family food habits and dietary practices. {T}he type of food available in the neighbourhood and convenience were seen as important at the physical level, while individual food habits, food preferences and socioeconomic status were ranked highly at the individual level. {A}bout half of the factors (n = 54) overlap with those reported in an existing socio-ecological food environment framework developed in a high-income country context. {A} further 49 factors were identified that were not reported in the selected high-income country framework, underlining the importance of contextualisation. {O}ur conceptual framework offers a useful tool for research to understand dietary transitions in urban {A}frican adolescents and adults, as well as identification of factors to intervene when promoting healthy nutritious diets to prevent multiple forms of malnutrition.},
  keywords = {{AFRIQUE}},
  booktitle = {},
  journal = {{PL}o{S} {O}ne},
  volume = {16},
  numero = {4},
  pages = {e0249621 [17 ]},
  ISSN = {1932-6203},
  year = {2021},
  DOI = {10.1371/journal.pone.0249621},
  URL = {https://www.documentation.ird.fr/hor/fdi:010081524},
}