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Food environment and food systems influence on food choices and nutrition transition in Limpopo Province
Thesis (MNutr)--Stellenbosch University, 2022.
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| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2022
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| _version_ | 1867614140455976960 |
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| access_status_str | Open Access |
| author | Nedzingahe, Vhushavhelo |
| author2 | Mbhenyane, Xikombiso |
| author_browse | Mbhenyane, Xikombiso Nedzingahe, Vhushavhelo |
| author_facet | Mbhenyane, Xikombiso Nedzingahe, Vhushavhelo |
| author_sort | Nedzingahe, Vhushavhelo |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MNutr)--Stellenbosch University, 2022. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/125026 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:47:18.472Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/125026 Food environment and food systems influence on food choices and nutrition transition in Limpopo Province Nedzingahe, Vhushavhelo Mbhenyane, Xikombiso Tambe, Ayuk Betrand Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Global Health. Human Nutrition. Food security -- Limpopo (South Africa) Food supply -- Environmental aspects -- Limpopo (South Africa) Food security -- Limpopo (South Africa) Sustainable agriculture -- Limpopo (South Africa) Nutrition policy -- Limpopo (South Africa) UCTD Thesis (MNutr)--Stellenbosch University, 2022. ENGLISH SUMMARY: Introduction: The food environment interacts with the food system, as it influences a person’s food procurement and consumption and includes dimensions such as the availability, accessibility, affordability, desirability, convenience, marketing and properties of food sources and products. Consumers are not making food choices compatible with health and nutrition, and now poor diets have become significant risk factors for disability and death globally. Aim: The study aimed to investigate how food environments and food systems influence food choices and nutrition transition in Limpopo Province. Methodology: The study design was a cross-sectional analytical study using quantitative techniques. A sample of 440 households was randomly selected from the three districts in Limpopo Province, which were purposively selected. Food environments, food systems, food choices and nutritional measurements of the households were measured and assessed using a questionnaire. IBM Statistical Package for Social Sciences (SPSS) version 27 was used for data analysis. Results: A majority of the households (84.4%, n = 362) had a person in the category 18 - 35 years. Almost half (49.4%) of the women were breadwinners. Spaza shops (88.3%, n = 379) were common in the communities as reported by the household informants, with open markets/street vendors and convenience/corner stores at 79.3% and 75.5%, respectively. There was a positive and significant association (r = 0.225, p < 0.001) between proximity to food stores and dietary diversity of the households. It was shown that 57.3% of children had breakfast at home, while 44.8% (n = 192) got their lunch from school. Staple foods were available in almost all surveyed households (95.6%, n = 409). Various factors were reported that influenced the households’ food choices, of which 77.2% of household informants mentioned food prices. A total of 80.4% (n = 345) of household informants bought food from street vendors. More than half of the study’s households (59.8%, n = 256) had home gardens in their yards and more than half (58.6%, n = 253) did not have any livestock. Almost half of the households (48.4%, n = 207) had a low DDS score (score of 4 to 7) and 0.2% (n = 1) had an adequate score (score of 12 to 13). Households with a medium score (score of 8 to11) were 19.2% (n = 82). The study revealed that 46.0% of households were food secure, 23.8% were mildly food insecure and 26.3% were moderately food insecure, while only 4.0% of households faced severe food insecurity. All the households had used some form of coping strategy during times of food shortages. Over a third (36.2%, n = 155) of households’ informants were found to be obese and 32.5% (n = 134) were diabetic. Most of the informants had normal systolic blood pressure levels (63%, n = 269), with just over half who had high diastolic levels (57%, n = 134). The current study revealed that there is a shift from consuming more of traditional foods, fruits and vegetables to more of refined carbohydrates, sweets, animal source foods and sugar sweetened beverages. Conclusion: Food prices/Affordability were determinants in the households’ dietary diversity and food security status. NCDs prevalence was an indicator of nutrition transition. Many households depended on social grants as a source of income. Thus, these findings urge for targeted programmes to reduce high unemployment and poverty levels. The associations between food environments, the role of the food industry and consumers' food choices and behaviour remain under-researched; thus, prospective research studies focussing on these concerns are critically important. AFRIKAANSE OPSOMMING: Inleiding: Die voedselomgewing het 'n interaksie met die voedselsisteem aangesien dit 'n mens se voedselverkryging en -verbruik beinvloed en fasette insluit soos die beskikbaarheid, toeganklikheid, bekostigbaarheid, wenslikheid, gemak van verbruik, bemarking en eienskappe van voedselbronne en produkte. Die beskikbare voedselsisteme verseker 'n gesonde lewe indien dit bekostigbare en aanvaarbare voedsel van voldoende kwaliteit en hoeveelheid bied. Verbruikers maak nie voortdurend voedselkeuses wat versoenbaar is met gesondheid en voeding nie, en nou het swak diete 'n beduidende risikofaktor geword vir gestremdheid en sterftes wereldwyd. Doel: Die studie het ten doel gehad om te bepaal hoe die voedselomgewings en voedselstelsels die voedselkeuses en voedingsoorgang in die Limpopo Provinsie beinvloed. Metode: Die studieontwerp was 'n deursnee analitiese studie wat gebruik gemaak het van kwantitatiewe tegnieke. 'n Steekproef van 440 huishoudings is spesifiek uit die drie distrikte in die Limpopo Provinsie gekies. Voedselomgewings, voedselstelsels, voedselkeuses en nutrientmaatstawe van die huishoudings is met behulp van 'n vraelys gemeet en beoordeel. ‘IBM Statistical Package for Social Sciences (SPSS)’ weergawe 27 is gebruik vir data analise. Resultate: Meeste van die huishoudings (84,4%, n = 362) het 'n persoon in die kategorie 18 - 35 jaar gehad. Byna die helfte (49,4%) van die vroue was broodwinners. Spaza-winkels (88,3%, n = 379) was algemeen in die gemeenskappe met oop markte/straatverkopers en geriefs-/hoekwinkels teen onderskeidelik 79,3% en 75,5%. Daar was 'n positiewe en beduidende verband (r = 0,225, p = 0,001) tussen die nabyheid aan voedselwinkels en die dieetverskeidenheid van die huishoudings. Daar is waargeneem dat 57,3% van die kinders tuis ontbyt gekry het, terwyl 44,8% (n = 192) hul middagete by die skool gekry het. Stapelvoedsel was beskikbaar in bykans alle ondervraagde huishoudings (95,6%, n = 409). Verskeie faktore is aangemeld wat die huishoudings se voedselkeuse beinvloed het, waarvan 77,2% van die huishoudelike informante voedselpryse genoem het. Altesaam 80,4% (n = 345) van die huishoudelike informante het kos by straatverkopers gekoop. Meer as die helfte van die huishoudings (59,8%, n = 256) het tuine in hul erwe gehad, en meer as die helfte (58,6%, n = 253) het geen vee gehad nie. Byna die helfte van die huishoudings (48,4%, n = 207) het 'n lae dieet diversiteits telling (telling van 4 tot 7) en 0,2% (n = 1) het 'n voldoende telling (telling van 12 tot 13) gehad. Huishoudings met 'n gemiddelde telling (telling van 8 tot 11) was 19,2% (n = 82). Die studie het aan die lig gebring dat 46,0% van die huishoudings voedselversekerd was, 23,8% matig voedselonseker was en 26,3% baie voedselonseker, terwyl slegs 4,0% van die huishoudings ernstige voedselonsekerheid ondervind. Al die huishoudings het 'n hanteringstrategie gebruik tydens tye van voedseltekorte. Meer as 'n derde (36,2%, n = 155) van die huishoudelike informante was vetsugtig en 32,5% (n = 134) het diabetes. Die meeste informante het normale sistoliese bloeddrukvlakke (63%, n = 269) gehad, met net meer as die helfte met hoe diastoliese vlakke (57%, n = 134). Gevolgtrekking: Sosio-ekonomiese status was 'n bepalende faktor in die huishoudings se dieetverskeidenheid en voedselsekerheidstatus. Baie huishoudings was afhanklik van maatskaplike toelaes as 'n bron van inkomste. Hierdie bevindings dring dus aan op doelgerigte programme om hoe werkloosheids- en armoedevlakke te verminder. Die verband tussen voedselomgewings, die rol van die voedselbedryf en verbruikers se voedselkeuses en -gedrag bly onder-ondersoek. Daarom is voornemende navorsingstudies wat op hierdie bekommernisse fokus, van kritieke belang. Masters 2022-03-01T13:33:47Z 2022-04-29T12:50:55Z 2022-03-01T13:33:47Z 2022-04 Thesis http://hdl.handle.net/10019.1/125026 en_ZA Stellenbosch University xxi, 235 pages : illustrations, map, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Food security -- Limpopo (South Africa) Food supply -- Environmental aspects -- Limpopo (South Africa) Food security -- Limpopo (South Africa) Sustainable agriculture -- Limpopo (South Africa) Nutrition policy -- Limpopo (South Africa) UCTD Nedzingahe, Vhushavhelo Food environment and food systems influence on food choices and nutrition transition in Limpopo Province |
| title | Food environment and food systems influence on food choices and nutrition transition in Limpopo Province |
| title_full | Food environment and food systems influence on food choices and nutrition transition in Limpopo Province |
| title_fullStr | Food environment and food systems influence on food choices and nutrition transition in Limpopo Province |
| title_full_unstemmed | Food environment and food systems influence on food choices and nutrition transition in Limpopo Province |
| title_short | Food environment and food systems influence on food choices and nutrition transition in Limpopo Province |
| title_sort | food environment and food systems influence on food choices and nutrition transition in limpopo province |
| topic | Food security -- Limpopo (South Africa) Food supply -- Environmental aspects -- Limpopo (South Africa) Food security -- Limpopo (South Africa) Sustainable agriculture -- Limpopo (South Africa) Nutrition policy -- Limpopo (South Africa) UCTD |
| url | http://hdl.handle.net/10019.1/125026 |
| work_keys_str_mv | AT nedzingahevhushavhelo foodenvironmentandfoodsystemsinfluenceonfoodchoicesandnutritiontransitioninlimpopoprovince |