The Social Stratification of Availability, Affordability, and Consumption of Food in Families with Preschoolers in Addis Ababa; The EAT Addis Study in Ethiopia

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The Social Stratification of Availability, Affordability, and Consumption of Food in Families with Preschoolers in Addis Ababa; The EAT Addis Study in Ethiopia. / Abdelmenan, Semira; Berhane, Hanna Y.; Jirström, Magnus; Trenholm, Jill; Worku, Alemayehu; Berhane, Yemane; Ekström, Eva-Charlotte.

In: Nutrients, Vol. 12, No. 10, 3168, 16.10.2020.

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Abdelmenan, Semira ; Berhane, Hanna Y. ; Jirström, Magnus ; Trenholm, Jill ; Worku, Alemayehu ; Berhane, Yemane ; Ekström, Eva-Charlotte. / The Social Stratification of Availability, Affordability, and Consumption of Food in Families with Preschoolers in Addis Ababa; The EAT Addis Study in Ethiopia. In: Nutrients. 2020 ; Vol. 12, No. 10.

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TY - JOUR

T1 - The Social Stratification of Availability, Affordability, and Consumption of Food in Families with Preschoolers in Addis Ababa; The EAT Addis Study in Ethiopia

AU - Abdelmenan, Semira

AU - Berhane, Hanna Y.

AU - Jirström, Magnus

AU - Trenholm, Jill

AU - Worku, Alemayehu

AU - Berhane, Yemane

AU - Ekström, Eva-Charlotte

PY - 2020/10/16

Y1 - 2020/10/16

N2 - The aim of this study was to understand the quality of diet being consumed among families in Addis Ababa, and to what extent social stratification and perceptions of availability and affordability affect healthy food consumption. Data were collected from 5467 households in a face-to-face interview with mothers/caretakers and analyzed using mixed effect logistic regression models. All family food groups, except fish were perceived to be available by more than 90% of the participants. The food groups cereals/nuts/seeds, other vegetables, and legumes were considered highly affordable (80%) and were the most consumed (>75%). Households with the least educated mothers and those in the lowest wealth quintile had the lowest perception of affordability and also consumption. Consumption of foods rich in micronutrients and animal sources were significantly higher among households with higher perceived affordability, the highest wealth quintile, and with mothers who had better education. Households in Addis Ababa were generally seen to have a monotonous diet, despite the high perceived availability of different food groups within the food environment. There is a considerable difference in consumption of nutrient-rich foods across social strata, hence the cities food policies need to account for social differences in order to improve the nutritional status of the community

AB - The aim of this study was to understand the quality of diet being consumed among families in Addis Ababa, and to what extent social stratification and perceptions of availability and affordability affect healthy food consumption. Data were collected from 5467 households in a face-to-face interview with mothers/caretakers and analyzed using mixed effect logistic regression models. All family food groups, except fish were perceived to be available by more than 90% of the participants. The food groups cereals/nuts/seeds, other vegetables, and legumes were considered highly affordable (80%) and were the most consumed (>75%). Households with the least educated mothers and those in the lowest wealth quintile had the lowest perception of affordability and also consumption. Consumption of foods rich in micronutrients and animal sources were significantly higher among households with higher perceived affordability, the highest wealth quintile, and with mothers who had better education. Households in Addis Ababa were generally seen to have a monotonous diet, despite the high perceived availability of different food groups within the food environment. There is a considerable difference in consumption of nutrient-rich foods across social strata, hence the cities food policies need to account for social differences in order to improve the nutritional status of the community

KW - social stratification

KW - dietary diversity

KW - availability

KW - affordability

KW - food environment

KW - Ethiopia

U2 - 10.3390/nu12103168

DO - 10.3390/nu12103168

M3 - Article

C2 - 33081262

VL - 12

JO - Nutrients

JF - Nutrients

SN - 2072-6643

IS - 10

M1 - 3168

ER -