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FRUIT AND VEGETABLE CONSUMPTION BY ECOLOGICAL ZONE AND SOCIOECONOMIC STATUS IN GHANA

Published online by Cambridge University Press:  03 July 2014

JOSHUA AMO-ADJEI  and
AKWASI KUMI-KYEREME
JOSHUA AMO-ADJEI*
Affiliation:
Department of Population and Health, University of Cape Coast, Ghana
AKWASI KUMI-KYEREME
Affiliation:
Department of Population and Health, University of Cape Coast, Ghana
*
1Corresponding author. Email: [email protected]
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Summary

The disease burden in both developed and developing countries is moving towards higher proportions of chronic diseases, and diseases such as cancers are now considered to be of public health concern. In sub-Saharan Africa, healthy behaviours such as fruit and vegetable consumption are recommended to reduce the chances of onset of chronic diseases. This paper examines the determinants of fruit and vegetable consumption in Ghana with particular emphasis on consumption by ecological zone. Data were from the 2008 Ghana Demographic and Health Survey (n=4916 females; n=4568 males). Univariate and multivariate analyses were performed using basic descriptive and Poisson regression. The main independent variable was ecological zone and the dependent variables were levels of fruit and vegetable consumption. The mean number of fruits and vegetables consumed in a week was higher among females (fruits: 7.5, 95% CI=7.3–7.7; vegetables: 8.1, 95% CI=7.8–8.3) than males (fruits: 6.2, 95% CI=6.0–6.4; vegetables: 7.9, 95% CI=7.7–8.2). There were significant differences in consumption by ecological zone. Respondents in the Savannah zone consumed less fruit than those in the Coastal and Forest zones, but the differences in fruit and vegetable consumption between the Coastal and Savannah zones were not consistent, especially for vegetable consumption. The findings suggest that one of the key interventions to improve fruit and vegetable consumption could lie in improving distribution systems since their consumption is significantly higher in the Forest zone, where the production of fruit and vegetables is more developed than in the Savannah and Coastal zones. The findings relating to household wealth challenge conventional knowledge on fruit and vegetable consumption, and rather argue for equal consideration of spatial differences in critical health outcomes.

Type
Articles
Information
Journal of Biosocial Science , Volume 47 , Issue 5 , September 2015 , pp. 613 - 631
Copyright
Copyright © Cambridge University Press 2014 

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References

Ali, M. & Tsou, S. C. S. (1997) Combating micronutrient deficiencies through vegetables – a neglected food frontier in Asia. Food Policy 22, 18–38.Google Scholar
Asfaw, A. (2008) Fruits and vegetables availability for human consumption in Latin American and Caribbean countries: patterns and determinants. Food Policy 33, 444–454.CrossRefGoogle Scholar
Azagba, S. & Sharaf, M. F. (2011) Disparities in the frequency of fruit and vegetable consumption by socio-demographic and lifestyle characteristics in Canada. Nutrition Journal 10, 118.Google Scholar
Boeing, H., Bechthold, A. & Bub, A. (2012) Critical review: vegetables and fruit in the prevention of chronic diseases. European Journal of Nutrition 51, 637–663.Google Scholar
Boynton-Jarrett, R., Thomas, T. N., Peterson, K. E., Wiecha, J. S. & Gortmaker, S. L. (2003) Impact of television viewing patterns on fruit and vegetable consumption among adolescents. Paediatrics 112, 1321–1326.Google Scholar
Cullen, K. W., Baranowski, T., Owens, E., Marsh, T., Rittenberry, L. & de Moor, C. (2003) Availability, accessibility, and preferences for fruit, 100% fruit juice, and vegetables influence children's dietary behaviour. Health Education Behaviour 30, 615–626.Google Scholar
Cullen, K. W., Eagan, J., Baranowski, T., Owens, E. & de Moor, C. (2000) Effect of a la carte and snack bar foods at school on children's lunch time intake of fruits and vegetables. Journal of American Dietetic Association 100, 1482–1486.Google Scholar
Darvin, M. E., Patzelt, A., Knorr, F., Blume-Peytavi, U., Sterry, W. & Lademann, J. (2008) One-year study on the variation of carotenoid antioxidant substances in living human skin: influence of dietary supplementation and stress factors. Journal of Biomedical Optics 13(4), 44028.Google Scholar
Dave, J. M., Evansc, A. E., Pfeiffer, K. A., Watkins, K. W. & Saunders, R. P. (2010) Correlates of availability and accessibility of fruits and vegetables in homes of low-income Hispanic families. Health Education Research 25(1), 97–108.CrossRefGoogle ScholarPubMed
de Graft Aikins, A. (2007) Ghana's neglected chronic disease epidemic: a developmental challenge. Ghana Medical Journal 114(4), 154–159.Google Scholar
Dickson, K. B. & Benneh, G. (1988) A New Geography of Ghana. Longman Group UK Limited. Longman House, Harlow, Essex, UK.Google Scholar
Doku, D., Koivusilta, L., Raisamo, S. & Rimpelä, A. (2013) Socioeconomic differences in adolescents' breakfast eating, fruit and vegetable consumption and physical activity in Ghana. Public Health Nutrition 16(05), 864–872.Google Scholar
Domel, S. B. & Thompson, W. O. (2002) Fourth-grade children's consumption of fruit and vegetable items available as part of school lunches is closely related to preferences. Journal of Nutrition Education & Behaviour 34, 166–171.Google Scholar
Forshee, R. A. & Storey, M. L. (2004) Controversy and statistical issues in the use of nutrient densities in assessing diet quality. Journal of Nutrition 134(10), 2733–2737.Google Scholar
Franchini, B., Poínhos, R., Klepp, K. I. & Vaz de Almeida, M. D. (2013) Fruit and vegetables: intake and sociodemographic determinants among Portuguese mothers. Annals of Nutrition and Metabolism 63(1–2), 131–138.Google Scholar
Ghana Statistical Service (2000) 2000 Population and Housing Census. Accra.Google Scholar
Ghana Statistical Service (2010) 2010 Population and Housing Census. Accra.Google Scholar
Ghana Statistical Service, Ghana Health Service & ICF Macro (2009) Ghana Demographic and Health Survey, 2008. ICF Macro, Calverton, MD.Google Scholar
Gibson, E., Wardle, J. & Watts, C. (1998) Fruit and vegetable consumption, nutritional knowledge and beliefs in mothers and children. Appetite 31, 205–228.Google Scholar
Grossman, M. (2008) The relationship between health and schooling. Eastern Economics Journal 34(3), 281–292.Google Scholar
Gyimah, S. O. (2006) Cultural background and infant survival in Ghana. Ethnicity and Health 11(2), 101–120.Google Scholar
Gyimah, S. O. (2007) What has faith got to do with it? Religion and child survival in Ghana. Journal of Biosocial Science 39, 923–937.Google Scholar
Hall, J. N., Moore, S., Harper, S. B. & Lynch, J. W. (2009) Global variability in fruit and vegetable consumption. American Journal of Preventive Medicine 36(5), 402–409.e5.Google Scholar
Hoff, A., Johannessen-Henry, C. T., Ross, L., Hvidt, C. N. & Johansen, C. (2008) Religion and reduced cancer risk – what is the explanation? A review. European Journal of Cancer 44(17), 2573–2579.CrossRefGoogle ScholarPubMed
Kamphuis, C. B. M., Giskes, K., de Bruijn, G., Wendel-Vos, W., Brug, J. & van Lenthe, F. J. (2006) Environmental determinants of fruit and vegetable consumption among adults: a systematic review. British Journal of Nutrition 96, 620–635.Google Scholar
Lademann, J., Meinke, M. C., Sterry, W. & Darvin, M. E. (2011) Carotenoids in human skin. Experimental Dermatology 20(5), 377–382.CrossRefGoogle ScholarPubMed
Lallukka, T., Pitkäniemi, J., Rahkonen, O., Roos, E., Laaksonen, M. & Lahelma, E. (2010) The association of income with fresh fruit and vegetable consumption at different levels of education. European Journal of Clinical Nutrition 64, 324–327.Google Scholar
Lazzeri, G., Pammolli, A., Azzolini, E., Simi, R., Meoni, V., de Wet, D. R. & Giacchi, M. V. (2013) Association between fruits and vegetables intake and frequency of breakfast and snacks consumption: a cross-sectional study. Nutrition Journal 12(1), 123.Google Scholar
Ledoux, T. A., Hingle, M. D. & Baranowski, T. (2010) Relationship of fruit and vegetable intake with adiposity: a systematic review. Obesity Reviews 12(5), e143–150.Google Scholar
Lock, L., Pomerleau, J., Causer, L., Altmam, D. R. & McKee, M. (2005) The global burden of diseases attributable to low consumption of fruits and vegetables: implications for the global strategy on diet. Bulletin of World Health Organization 83, 100–108.Google Scholar
Ministry of Food and Agriculture (2010) Ghana Medium Term Agricultural Development program (MTADP). An agenda for sustained agricultural growth and development (1991–2000), Accra, Ghana.Google Scholar
Nepal, V. P., Mgbere, O., Banerjee, D. & Arafat, R. R. (2011) Disparities in fruits and vegetables consumption in Houston, Texas: implications for health promotion. Journal of Primary Care & Community Health 2(3), 142–147.Google Scholar
Nude, C. E. (2007) Fruits and vegetables consumption by South African children aged 12–108 months. Master's Dissertation, University of Stellenbosch, South Africa.Google Scholar
Oliveira, A., Maia, B. & Lopes, C. (2013) Determinants of inadequate fruit and vegetable consumption amongst Portuguese adults. Journal of Human Nutrition and Dietetics 27 (supplment 2), 194–203.Google Scholar
Pollard, J., Kirk, S. F. L. & Cade, J. E. (2002) Factors affecting food choice in relation to fruit and vegetable intake: a review. Nutrition Research Reviews 15, 373–387.CrossRefGoogle ScholarPubMed
Prescott, C. N. & Pradham, M. (1999) Poverty Profile for Cambodia. World Bank Discussion Paper No. 373. The World Bank, Washington, DC.Google Scholar
Shabaya, J. & Konadu-Agyemang, K. (2004) Unequal access, unequal participation: some spatial and socio-economic dimensions of the gender gap in education in Africa with special reference to Ghana, Zimbabwe and Kenya. Compare 34(4), 395–424.Google Scholar
Shohaimi, S., Welch, A., Bingham, S., Luben, R., Day, N., Wareham, N. & Khaw, K. T. (2004) Residential area deprivation predicts fruit and vegetable consumption independently of individual educational level and occupational social class: a cross sectional population study in the Norfolk cohort of the European Prospective Investigation into Cancer (EPIC-Norfolk). Journal of Epidemiology and Community Health 58, 686–691.Google Scholar
Stephen, I. D., Coetzee, V. & Perrett, D. I. (2011) Carotenoid and melanin pigment coloration affect perceived human health. Evolution and Human Behaviour, 32(3), 216–227.Google Scholar
Story, M. & French, S. (2004) Food advertising and marketing directed at children and adolescents in the US. International Journal of Behavioural Nutrition and Physical Activity. URL: http://www.biomedcentral.com/content/pdf/1479-5868-1-3.pdf.Google ScholarPubMed
Tak, N. I., te Velde, S. J., Kamphuis, C., Ball, K., Crawford, D., Brug, J. & van Lenthe, F. J. (2013) Associations between neighbourhood and household environmental variables and fruit consumption: exploration of mediation by individual cognitions and habit strength in the GLOBE study. Public Health Nutrition 16(3), 505–514.Google Scholar
Thompson, R. L., Margets, B. M., Speller, V. M. & McVey, D. (1999) The health education authority's health and lifestyle survey 1993: who are the low fruit and vegetable consumers? Journal of Epidemiology Community Health 53, 294–299.Google Scholar
Vainio, H. & Bianchini, F. (2003) Handbooks of Cancer Prevention. Vol. 8: Fruits and Vegetables. International Agency for Research on Cancer (IARC) Press, Lyon.Google Scholar
van Ansem, W. J., Schrijvers, C., Rodenburg, G. & van de Mheen, D. (2013) Is there an association between the home food environment, the local food shopping environment and children's fruit and vegetable intake? Results from the Dutch INPACT study. Public Health Nutrition 16(7), 1206–1214.Google Scholar
Whitehead, R. D., Re, D., Xiao, D., Ozakinci, G. & Perrett, D. I. (2012) You are what you eat: within-subject increases in fruit and vegetable consumption confer beneficial skin-color changes. PLoS ONE 7(3), e32988. doi:10.1371/journal.pone.0032988.Google Scholar
WHO (2002a) World Health Survey: Guide to Administration and Question-by-Question Specifications. WHO, Geneva.Google Scholar
WHO (2002b) World Health Report 2002 – Reducing Risks, Promoting Healthy Life. WHO, Geneva.Google Scholar
Yen, S. T., Tan, A. K. G. & Nayga, R. M. (2011) Determinants of fruit and vegetable consumption in Malaysia: an ordinal system approach. Australian Journal of Agricultural Research and Economics 55(2), 239–256.CrossRefGoogle Scholar