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‘I should be disease free, healthy and be happy in whatever I do’: a cross-country analysis of drivers of adolescent diet and physical activity in different low- and middle-income contexts

‘I should be disease free, healthy and be happy in whatever I do’: a cross-country analysis of drivers of adolescent diet and physical activity in different low- and middle-income contexts
‘I should be disease free, healthy and be happy in whatever I do’: a cross-country analysis of drivers of adolescent diet and physical activity in different low- and middle-income contexts
Objective:
To explore perceptions of how context shapes adolescent diet and physical activity in eight low- and middle-income (LMIC) sites at different stages of societal and economic transition.

Design:
Novel qualitative secondary analysis of eight data sets generated as part of the international Transforming Adolescent Lives through Nutrition (TALENT) collaboration.

Setting:
Diverse sites in India and Sub-Saharan Africa.

Participants:
Fifty-two focus group discussions with 491 participants (303 adolescents aged 10–17 years; 188 caregivers).

Results:
Analysis of pooled qualitative data identified three themes: (1) transitions in generational nutrition education and knowledge; (2) transition in caregiver–adolescent power balance and (3) the implications of societal and economic transition for diet and physical activity. Adolescents in urban and peri-urban areas could readily access ‘junk’ food. Diets in rural settings were determined by tradition, seasonality and affordability. Physical activity was inhibited by site-specific factors including lack of space and crime in urban settings, and the prioritisation of academic performance. Gender influenced physical activity across all sites, with girls afforded fewer opportunities.

Conclusions:
Interventions to improve adolescent diet and physical activity in LMIC need to be complex, context-specific and responsive to transitions at the individual, economic and societal levels. Moreover, solutions need to acknowledge gender inequalities in different contexts, as well as structural and cultural influences on diet and physical activity in resource-limited settings. Programmes need to be effective in engaging and reconciling adolescents’ and caregivers’ perspectives. Consequently, there is a need for action at both the community-household level and also through policy.
1368-9800
1-11
Weller, Susie
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Hardy-Johnson, Polly
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Strommer, Sofia
a025047e-effa-4481-9bf4-48da1668649e
Fall, Caroline
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Banavali, Ulka
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Chopra, Harsha
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Janha, Ramatoulie E.
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Joseph, Shama
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Reddy, Kejal Joshi
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Mengistie, Mubarek Abera
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Wrottesley, Stephanie V.
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Kouakou, Egnon
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Barker, Mary
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Weller, Susie
6ad1e079-1a7c-41bf-8678-bff11c55142b
Hardy-Johnson, Polly
49276c2f-01a9-4488-9f30-dc359cf867e0
Strommer, Sofia
a025047e-effa-4481-9bf4-48da1668649e
Fall, Caroline
7171a105-34f5-4131-89d7-1aa639893b18
Banavali, Ulka
830138d5-56d1-4dd5-9b2c-a4c04cd3a82a
Chopra, Harsha
174374ab-3bc9-40bf-ab19-8e32685c0f12
Janha, Ramatoulie E.
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Joseph, Shama
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Reddy, Kejal Joshi
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Mengistie, Mubarek Abera
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Wrottesley, Stephanie V.
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Kouakou, Egnon
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Barker, Mary
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Weller, Susie, Hardy-Johnson, Polly, Strommer, Sofia, Fall, Caroline, Banavali, Ulka, Chopra, Harsha, Janha, Ramatoulie E., Joseph, Shama, Reddy, Kejal Joshi, Mengistie, Mubarek Abera, Wrottesley, Stephanie V., Kouakou, Egnon and Barker, Mary (2020) ‘I should be disease free, healthy and be happy in whatever I do’: a cross-country analysis of drivers of adolescent diet and physical activity in different low- and middle-income contexts. Public Health Nutrition, 0, 1-11. (doi:10.1017/S1368980020001810).

Record type: Article

Abstract

Objective:
To explore perceptions of how context shapes adolescent diet and physical activity in eight low- and middle-income (LMIC) sites at different stages of societal and economic transition.

Design:
Novel qualitative secondary analysis of eight data sets generated as part of the international Transforming Adolescent Lives through Nutrition (TALENT) collaboration.

Setting:
Diverse sites in India and Sub-Saharan Africa.

Participants:
Fifty-two focus group discussions with 491 participants (303 adolescents aged 10–17 years; 188 caregivers).

Results:
Analysis of pooled qualitative data identified three themes: (1) transitions in generational nutrition education and knowledge; (2) transition in caregiver–adolescent power balance and (3) the implications of societal and economic transition for diet and physical activity. Adolescents in urban and peri-urban areas could readily access ‘junk’ food. Diets in rural settings were determined by tradition, seasonality and affordability. Physical activity was inhibited by site-specific factors including lack of space and crime in urban settings, and the prioritisation of academic performance. Gender influenced physical activity across all sites, with girls afforded fewer opportunities.

Conclusions:
Interventions to improve adolescent diet and physical activity in LMIC need to be complex, context-specific and responsive to transitions at the individual, economic and societal levels. Moreover, solutions need to acknowledge gender inequalities in different contexts, as well as structural and cultural influences on diet and physical activity in resource-limited settings. Programmes need to be effective in engaging and reconciling adolescents’ and caregivers’ perspectives. Consequently, there is a need for action at both the community-household level and also through policy.

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More information

Accepted/In Press date: 13 May 2020
e-pub ahead of print date: 9 October 2020

Identifiers

Local EPrints ID: 441023
URI: http://eprints.soton.ac.uk/id/eprint/441023
ISSN: 1368-9800
PURE UUID: 7f720cba-8665-4ef6-bb5c-227d06978a55
ORCID for Susie Weller: ORCID iD orcid.org/0000-0002-6839-876X
ORCID for Caroline Fall: ORCID iD orcid.org/0000-0003-4402-5552
ORCID for Mary Barker: ORCID iD orcid.org/0000-0003-2976-0217

Catalogue record

Date deposited: 27 May 2020 16:55
Last modified: 26 Nov 2021 03:04

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Contributors

Author: Susie Weller ORCID iD
Author: Polly Hardy-Johnson
Author: Sofia Strommer
Author: Caroline Fall ORCID iD
Author: Ulka Banavali
Author: Harsha Chopra
Author: Ramatoulie E. Janha
Author: Shama Joseph
Author: Kejal Joshi Reddy
Author: Mubarek Abera Mengistie
Author: Stephanie V. Wrottesley
Author: Egnon Kouakou
Author: Mary Barker ORCID iD

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