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J Nutr Educ Behav. 2018 Nov 12. pii: S1499-4046(18)30798-X. doi: 10.1016/j.jneb.2018.09.007. [Epub ahead of print]

Factors Influencing Dietary Practices Among Ghanaian Residents and Liberians Living in a Protracted Refugee Situation in Ghana.

Author information

1
Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC. Electronic address: mandelbj@email.sc.edu.
2
Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT.
3
Buduburam Nutrition Program, National Catholic Secretariat, Accra, Ghana.
4
Buduburam Nutrition Program, National Catholic Secretariat, Accra, Ghana; Boston University School of Public Health, Boston, MA.
5
Department of Nutrition and Food Science, University of Ghana, Legon, Ghana.

Abstract

OBJECTIVE:

Examine dietary practices among Liberian refugees living in a protracted refugee situation and Ghanaians living among them.

DESIGN:

Qualitative data were collected via audio-taped in-depth interviews as part of a larger mixed-methods cross-sectional study.

SETTING:

Buduburam Refugee Settlement and neighboring villages, Ghana.

PARTICIPANTS:

Twenty-seven Liberian and Ghanaian women aged ≥16 years, who lived with ≥1 other female generation.

PHENOMENON OF INTEREST:

Similarities and differences in factors influencing dietary practices among Liberian refugees living in Buduburam Refugee Settlement and Ghanaians living in and around this settlement.

ANALYSIS:

Domains, themes, and subthemes were confirmed through a highly iterative coding and consensus process. ATLAS.ti (version 7.5.10) was used to finalize coding and extract quotations.

RESULTS:

Seven domains emerged forming direct and indirect pathways influencing dietary patterns among Liberian refugees and Ghanaians: social support, food availability, nutrition knowledge, cultural food beliefs, food access, food preparation, and national identity.

CONCLUSIONS AND IMPLICATIONS:

Findings provide important insights into crucial factors driving dietary practices among refugees and local communities in and around a former protracted refugee settlement. Results strongly suggest that nutrition education, food availability, and access issues should be addressed with culturally sensitive programs targeting both the refugee and host communities.

KEYWORDS:

cross-cultural comparison; diet; food; nutrition; refugees; women

PMID:
30442569
DOI:
10.1016/j.jneb.2018.09.007

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