在加纳阿克拉，营养教育提高了家庭对消费本土绿叶蔬菜和豆类的知识、态度和做法

IF 2.7 Q2 MULTIDISCIPLINARY SCIENCES

Scientific African Pub Date : 2025-04-16 DOI:10.1016/j.sciaf.2025.e02710

Patience Atitsogbey , Emmanuel Kyereh , Matilda Steiner-Asiedu

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引用次数: 0

摘要

目标与理由我们量化了营养教育对大阿克拉大都市家庭中绿叶蔬菜和豆类消费的家庭知识和行为的影响。阿克拉的家庭，特别是妇女和儿童仍然患有贫血症。大约51%的孕妇患有贫血症，其中40%的孕妇缺铁。城市贫困社区对本地绿叶蔬菜和豆类的低消费受到知识、态度和实践不足的阻碍。方法采用准实验设计的纵向研究（前测后测对照组）在阿克拉市区进行。共有来自两个社区的120个家庭参与了这项研究。干预家庭（60对亲子）进行6个月营养教育，对照组家庭（60对亲子）不进行营养教育。研究地点是大阿克拉都会区。在实施干预之前，使用Haemocue设备（URIT-12血红蛋白计）测量干预家庭的基线血红蛋白水平。收集知识、态度和实践（KAP）数据，并使用重复方差分析和卡方检验进行定量分析。结果干预组KAP与对照组基线无显著差异（p = 0.92, 0.07, 0.23）。然而，与对照组相比，干预组在终点线的KAP显著改善（p = 0.00, 0.03, 0.03）。同样，在干预组中，良好知识从55%（基线）增加到100%（终点线），而在对照组中，良好知识从基线的56%下降到终点线的20%。良好的态度和实践表现出类似的趋势。基线时妇女和儿童的贫血患病率分别为62%和57%。结论营养教育提高了家庭对绿叶蔬菜和豆类消费的知识、态度和行为。这些发现对可持续发展目标2和3以及加纳的健康促进具有影响。

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Nutrition education improves households’ knowledge, attitudes, and practices towards consuming indigenous green leafy vegetables and legumes in Accra, Ghana

Objective and rationale

We quantify the effect of nutrition education on knowledge and behaviour of households towards the consumption of green leafy vegetables and legumes among households in the Greater Accra metropolis. Anaemia persists among households in Accra, particularly among women and children. About 51 % of pregnant women were anaemic and 40 % of these anaemic women were iron deficient. Low consumption of indigenous leafy greens and legumes among urban poor communities is hindered by inadequate knowledge, attitude, and practice.

Methods

A longitudinal study using a quasi-experimental design (pretest-posttest control group) was conducted in the Accra Metropolitan Area. A total of 120 households in two communities were involved in the study. The intervention households (60 parent-child pairs) were given six-month nutrition education, while the control households (60 parent-child pairs) received no nutrition education. The study setting was the Greater Accra Metropolitan Area. Baseline haemoglobin levels were measured among the intervention households using a Haemocue device (URIT-12 haemoglobin meter) following standard practice before the implementation of the intervention. Knowledge, Attitude, and Practice (KAP) data were collected and analysed quantitatively using repeated ANOVA and Chi-Square tests.

Results

No significant differences were found between the intervention and the control group at baseline for KAP (p = 0.92, 0.07, 0.23). However, KAP substantially improved among the intervention group compared to the control group at the end line (p = 0.00, 0.03, 0.03). Similarly, good knowledge increased from 55 % (baseline) to 100 % (end line) among the intervention group, while a decrease in good knowledge was observed in the control group from 56 % baseline to 20 % at the end line. Good attitude and practice showed similar trends. Prevalence of anaemia at baseline was 62 % and 57 % among women and children respectively.

Conclusion

Nutrition education improved households’ knowledge, attitude, and practice toward the consumption of green leafy vegetables and legumes. These findings have implications for sustainable development goals two and three and for health promotion in Ghana.

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