@article{fdi:010085072,
  title = {{F}actors influencing adolescents' dietary behaviors in the school and home environment in {A}ddis {A}baba, {E}thiopia},
  author = {{T}rubswasser, {U}. and {T}alsma, {E}. {F}. and {E}kubay, {S}. and {P}oelman, {M}. {P}. and {H}oldsworth, {M}ichelle and {F}eskens, {E}. {J}. {M}. and {B}aye, {K}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {M}alnutrition affects many adolescents in {E}thiopia. {O}ver one-third of adolescent girls and two-thirds of boys are thin. {O}verweight and obesity in {E}thiopia is mostly a concern in urban populations of higher wealth quintiles. {U}rbanization and globalization of diets is shifting food environments. {T}he objective of this study was to assess whether food environments in and around schools in urban {E}thiopia influence dietary diversity, quality, {BMI} status or perceptions of adolescents. {M}ethods {T}welve high schools were selected in {A}ddis {A}baba (private/government). {F}rom each school, 20 pupils aged 15-19 years were randomly selected (n = 217) and interviewed about assets in their households, their diets (categorized into 10 food groups of the {M}inimum {D}ietary {D}iversity, the {G}lobal {D}ietary {R}ecommendations scores and four categories of the {NOVA} classification based on level of processing) and their use of pocket money. {I}n addition, food environment audits were conducted within the school compound and a 0.5 km radius around each school and types of food outlets. {R}esults{O}n average there were 436 food outlets and 246 food or drink advertisements around each school. {T}he majority of the advertisements (89.9%) were of ultra-processed foods, mostly sugar-sweetened beverages ({SSB}s). {M}ost were positioned on food outlets (89.1%). {SSB}s or sweets were visibly on display in 26.3% of the outlets and fresh fruits and vegetables in 17.9% of outlets. {D}ietary diversity of adolescents was poor with an average of 3.6 food groups out of 10 consumed in the last 24 h. {U}ltra-processed foods and beverages were consumed by 23.5% of adolescents. {T}he majority of adolescents spent their pocket money on {SSB}s, sweets or fried foods. {O}ur analysis found that higher assets in adolescents' households were associated with higher dietary diversity and consumption of healthy food groups. {W}e found no association between the food environment and dietary indicators or the {BMI}-z-score. {C}onclusion{W}hile the school food environments investigated were not conducive with promoting healthy dietary behaviors, we cannot conclude that these environmental factors directly influence adolescents' diets. {T}he pervasive advertising and availability of unhealthy foods and beverages requires policy action for healthy school food environments.},
  keywords = {food environment ; urban ; food advertising ; food outlet ; adolescents ; {ETHIOPIE} ; {ADDIS} {ABEBA}},
  booktitle = {},
  journal = {{F}rontiers in {P}ublic {H}ealth},
  volume = {10},
  numero = {},
  pages = {861463 [10 ]},
  year = {2022},
  DOI = {10.3389/fpubh.2022.861463},
  URL = {https://www.documentation.ird.fr/hor/fdi:010085072},
}