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dc.contributor.authorMushtaq, Sohail
dc.contributor.authorMoss, Jennifer
dc.date.accessioned2021-01-06T14:26:42Z
dc.date.available2021-01-06T14:26:42Z
dc.identifierhttps://chesterrep.openrepository.com/bitstream/handle/10034/624152/estimation-of-fruit-and-vegetable-consumption-in-a-cohort-of-ghanaian-women-and-evaluation-of-knowledge-attitudes-and-practice.pdf?sequence=1
dc.identifier.citationMoss, J., & Mushtaq, S. (2013). Estimation of fruit and vegetable consumption in a cohort of Ghanaian women and evaluation of knowledge, attitudes and practice. Proceedings of the Nutrition Society, 72(OCE4), E304. doi:10.1017/S0029665113003315en_US
dc.identifier.urihttp://hdl.handle.net/10034/624152
dc.descriptionThis article has been accepted for publication and will appear in a revised form, subsequent to peer review and/or editorial input by Cambridge University Press, in Proceedings of the Nutrition Society published by Cambridge University Press. Copyright The Authors 2013 .en_US
dc.description.abstractNon-communicable diseases (NCDs), previously confined to industrialised nations, are spreading through the developing world at unprecedented rates( 1 ). With communicable diseases still prevalent, this imposes a double-burden of disease in countries with limited resources and ill-equipped health systems( 2 ). An unhealthy diet, including insufficient consumption of fruit and vegetables is one of four main behavioural risk factors in the development of NCDs. However, consumption across the world, including Ghana, is below recommended levels( 3 ). Despite a wealth of research in developed countries, few studies have investigated barriers to fruit and vegetable consumption in Ghana. The aim of the present study was to assess fruit and vegetable consumption and evaluate knowledge, attitudes and practice in a cohort of Ghanaian women. A mixed-methods approach, incorporating a survey delivered in a guided interview format was utilised to investigate patterns and determinants of fruit and vegetable consumption in a cohort of Ghanaian women. Data were collected from female environmental health and nursing students aged 18–33 years (n=74, response rate 98.7%), residing in the Korle-Bu district of Accra, Ghana. A 24-hour recall questionnaire, local handy measures and a specially designed portion size assessment sheet allowed estimation of fruit and vegetable consumption, whilst a questionnaire comprising both qualitative and quantitative questions enabled investigation of barriers to consumption in Ghanaian society. A significantly greater level of low fruit and vegetable consumption was found in the present study (69%), than detailed in the World Health Survey 2002–03 (p⩽0.001). There was a significant positive association between meal frequency and consumption levels (p=0.025), however, no association was found between consumption and knowledge levels, income, home-production or perceived adequate consumption. Themes emerging from the research related to barriers affecting consumption included cost, availability, quality, and health and safety issues. Unhealthy snacking was found to be common, as were unhealthy substitutions during periods of scarcity. Numerous barriers causing the observed decrease in fruit and vegetable consumption were identified in the present study. The interrelating nature of the barriers identified suggests a multidirectional approach to address these issues would offer the greatest benefits for consumption levels. Increasing agricultural infrastructure is key, whilst educational initiatives should also play a major role in future strategies to increase fruit and vegetable consumption. Future investment and policy in Ghana should focus on prevention rather than cure, if the growing NCD burden is to be halted.en_US
dc.publisherCambridge University Pressen_US
dc.relation.urlhttps://www.cambridge.org/core/journals/proceedings-of-the-nutrition-society/article/estimation-of-fruit-and-vegetable-consumption-in-a-cohort-of-ghanaian-women-and-evaluation-of-knowledge-attitudes-and-practice/D199459DF8E8F4172AF78C880EC124E1en_US
dc.rightsAttribution-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nd/4.0/en_US
dc.titleEstimation of fruit and vegetable consumption in a cohort of Ghanaian women and evaluation of knowledge, attitudes and practiceen_US
dc.typeConference Proceedingen_US
dc.identifier.eissn1475-2719en_US
dc.contributor.departmentUniversity of Chesteren_US
dc.identifier.journalProceedings of the Nutrition Societyen_US
or.grant.openaccessYesen_US
rioxxterms.funderunfundeden_US
rioxxterms.identifier.projectunfundeden_US
rioxxterms.versionCVoRen_US
rioxxterms.versionofrecord10.1017/S0029665113003315en_US
rioxxterms.licenseref.startdate2014-08-30
dcterms.dateAccepted2013-08-30
rioxxterms.publicationdate2013-08-30
dc.date.deposited2021-01-06en_US
dc.indentifier.issn0029-6651en_US


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