Political economy framework and the occurrence of noncommunicable diseases. “Framing dietary practices in Ghana as the receptacle”

Abstract

Context: Noncommunicable diseases (NCDs) such as cardiovascular diseases, cancers, hypertension, kidney diseases, and diabetes account for sizeable proportion of global deaths. The proximate causes aside biological and genetics are behavioral risk factors include dietary practices. Unhealthy dietary practice leading to the occurrence of NCDs blamed for the drawback of social and economic development of lower- and middle-income countries. Aims: This research focuses on establishing links among the political economy framework (education, occupation, income, residential place, and mass media), dietary practices, and the occurrence of NCDs in Ghana. Settings and Design: It adopted a mixed method approach using the Ghana Demographic and Health Survey (2014), with a sample of 4122 and 32 qualitative interviews from four regions. Subjects and Methods: In-depth, key informant interviews, focus groups discussions, and secondary data were used. The qualitative arm was analyzed using the thematic content analysis. Statistical Analysis Used: Descriptive statistics and probit regression were used to ascertain the influences of the constituents of political economy using individual's dietary intakes. Results: The present study found that, differences in income levels (P < 0.05), residential place of stay (P < 0.05), and access to mass media (P < 0.05) were statistically significant to dietary practices and had major implications for NCDs occurrence. The qualitative outcome revealed that, educational and occupational status of individuals may influence dietary practices. The regression revealed that females are exposed to unhealthy dietary practices by 6.2% points. Moreover, rural dwelling had moderate influence on unhealthy dietary practices (3.3% points) than urban dwelling. Again, professionals, sales, and service categories have 5.8%, 5.7%, and 7.6% points unhealthy practices, respectively.