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Exploring influences on adolescent diet and physical activity in rural Gambia, West Africa; food insecurity, culture and the natural environment

Exploring influences on adolescent diet and physical activity in rural Gambia, West Africa; food insecurity, culture and the natural environment
Exploring influences on adolescent diet and physical activity in rural Gambia, West Africa; food insecurity, culture and the natural environment
Objective: to explore, from the perspectives of adolescents and caregivers, and using qualitative methods, influences on adolescent diet and physical activity in rural Gambia.

Design: six focus group discussions (FGDs) with adolescents and caregivers were conducted. Thematic analysis was employed across the dataset.
Setting: Rural region of The Gambia, West Africa.

Participants: participants were selected using purposive sampling. Four FGDs, conducted with 40 adolescents, comprised: girls aged 10-12 years; boys aged 10-12 years; girls aged 15-17 years, boys aged 15-17 years. Twenty caregivers also participated in two FGDs (mothers, fathers).

Results: all participants expressed an understanding of the association between salt and hypertension, sugary foods and diabetes, and dental health. Adolescents and caregivers suggested that adolescent nutrition and health were shaped by economic, social and cultural factors and the local environment. Adolescent diet was thought to be influenced by: affordability, seasonality and the receipt of remittances; gender norms, including differences in opportunities afforded to girls, and mother-led decision-making; cultural ceremonies and school holidays. Adolescent physical activity included walking or cycling to school, playing football and farming. Participants felt adolescent engagement in physical activity was influenced by gender, seasonality, cultural ceremonies and, to some extent, the availability of digital media.

Conclusions: these novel insights into local understanding should be considered when formulating future interventions. Interventions need to address these interrelated factors, including misconceptions regarding diet and physical activity that may be harmful to health.
Adolescents, Caregivers, Diet, Low-and-middle-income, Physical activity, The Gambia
1368-9800
1-11
Janha, Ramatoulie E.
1a14cb0a-33f3-47f7-8da4-3f7e431d555e
Hardy-Johnson, Polly
49276c2f-01a9-4488-9f30-dc359cf867e0
Kehoe, Sarah
534e5729-632b-4b4f-8401-164d8c20aa26
Mendy, Michael B.
b29a7fee-add2-4411-a33a-d551858bf823
Camara, Isatou
8ae3300f-f8a0-423d-84b1-38ff74d177e9
Jarjou, Landing M.
ca2935b3-3c0d-4541-bff7-afd191cf502b
Ward, Kathryn
39bd4db1-c948-4e32-930e-7bec8deb54c7
Moore, Sophie E.
bea65f65-3f11-45cd-96d2-c088a18ccc55
Fall, Caroline
7171a105-34f5-4131-89d7-1aa639893b18
Barker, Mary
374310ad-d308-44af-b6da-515bf5d2d6d2
Weller, Susan
6ad1e079-1a7c-41bf-8678-bff11c55142b
TALENT consortium
Janha, Ramatoulie E.
1a14cb0a-33f3-47f7-8da4-3f7e431d555e
Hardy-Johnson, Polly
49276c2f-01a9-4488-9f30-dc359cf867e0
Kehoe, Sarah
534e5729-632b-4b4f-8401-164d8c20aa26
Mendy, Michael B.
b29a7fee-add2-4411-a33a-d551858bf823
Camara, Isatou
8ae3300f-f8a0-423d-84b1-38ff74d177e9
Jarjou, Landing M.
ca2935b3-3c0d-4541-bff7-afd191cf502b
Ward, Kathryn
39bd4db1-c948-4e32-930e-7bec8deb54c7
Moore, Sophie E.
bea65f65-3f11-45cd-96d2-c088a18ccc55
Fall, Caroline
7171a105-34f5-4131-89d7-1aa639893b18
Barker, Mary
374310ad-d308-44af-b6da-515bf5d2d6d2
Weller, Susan
6ad1e079-1a7c-41bf-8678-bff11c55142b

Janha, Ramatoulie E., Hardy-Johnson, Polly, Kehoe, Sarah, Mendy, Michael B., Camara, Isatou, Jarjou, Landing M., Ward, Kathryn, Moore, Sophie E., Fall, Caroline, Barker, Mary and Weller, Susan , TALENT consortium (2020) Exploring influences on adolescent diet and physical activity in rural Gambia, West Africa; food insecurity, culture and the natural environment. Public Health Nutrition, 1-11. (doi:10.1017/s1368980020002669).

Record type: Article

Abstract

Objective: to explore, from the perspectives of adolescents and caregivers, and using qualitative methods, influences on adolescent diet and physical activity in rural Gambia.

Design: six focus group discussions (FGDs) with adolescents and caregivers were conducted. Thematic analysis was employed across the dataset.
Setting: Rural region of The Gambia, West Africa.

Participants: participants were selected using purposive sampling. Four FGDs, conducted with 40 adolescents, comprised: girls aged 10-12 years; boys aged 10-12 years; girls aged 15-17 years, boys aged 15-17 years. Twenty caregivers also participated in two FGDs (mothers, fathers).

Results: all participants expressed an understanding of the association between salt and hypertension, sugary foods and diabetes, and dental health. Adolescents and caregivers suggested that adolescent nutrition and health were shaped by economic, social and cultural factors and the local environment. Adolescent diet was thought to be influenced by: affordability, seasonality and the receipt of remittances; gender norms, including differences in opportunities afforded to girls, and mother-led decision-making; cultural ceremonies and school holidays. Adolescent physical activity included walking or cycling to school, playing football and farming. Participants felt adolescent engagement in physical activity was influenced by gender, seasonality, cultural ceremonies and, to some extent, the availability of digital media.

Conclusions: these novel insights into local understanding should be considered when formulating future interventions. Interventions need to address these interrelated factors, including misconceptions regarding diet and physical activity that may be harmful to health.

Text
Main_Document_TALENT_Gambia_final_2Jul20-1 - Accepted Manuscript
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More information

Accepted/In Press date: 6 July 2020
e-pub ahead of print date: 28 August 2020
Keywords: Adolescents, Caregivers, Diet, Low-and-middle-income, Physical activity, The Gambia

Identifiers

Local EPrints ID: 442387
URI: http://eprints.soton.ac.uk/id/eprint/442387
ISSN: 1368-9800
PURE UUID: a3858b97-3a5d-45f2-a67d-0c6336190dd7
ORCID for Sarah Kehoe: ORCID iD orcid.org/0000-0003-2584-7999
ORCID for Kathryn Ward: ORCID iD orcid.org/0000-0001-7034-6750
ORCID for Caroline Fall: ORCID iD orcid.org/0000-0003-4402-5552
ORCID for Mary Barker: ORCID iD orcid.org/0000-0003-2976-0217
ORCID for Susan Weller: ORCID iD orcid.org/0000-0002-6839-876X

Catalogue record

Date deposited: 14 Jul 2020 16:32
Last modified: 26 Nov 2021 06:57

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Contributors

Author: Ramatoulie E. Janha
Author: Polly Hardy-Johnson
Author: Sarah Kehoe ORCID iD
Author: Michael B. Mendy
Author: Isatou Camara
Author: Landing M. Jarjou
Author: Kathryn Ward ORCID iD
Author: Sophie E. Moore
Author: Caroline Fall ORCID iD
Author: Mary Barker ORCID iD
Author: Susan Weller ORCID iD
Corporate Author: TALENT consortium

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