政治经济学框架与非传染性疾病的发生。“将加纳的饮食习惯视为容器”

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
B. Kwasi, T. Koranteng, Brenyah Florence, Edusei Anthony
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引用次数: 0

摘要

背景:心血管疾病、癌症、高血压、肾病和糖尿病等非传染性疾病在全球死亡人数中占相当大的比例。除了生物和遗传因素外,行为风险因素包括饮食习惯。导致非传染性疾病发生的不健康饮食习惯被认为是中低收入国家社会和经济发展受阻的原因。目的:本研究的重点是建立加纳政治经济框架(教育、职业、收入、居住地和大众媒体)、饮食习惯和非传染性疾病发生之间的联系。环境和设计:采用混合方法,采用加纳人口与健康调查(2014年),样本为4122人,来自四个地区的32次定性访谈。研究对象和方法:采用深度访谈、关键信息提供者访谈、焦点小组讨论和二手数据。采用主题内容分析法对定性臂进行分析。统计分析方法:采用描述性统计和概率回归的方法,利用个体的饮食摄入量来确定政治经济成分的影响。结果:本研究发现,收入水平(P < 0.05)、居住地点(P < 0.05)和大众传播媒介(P < 0.05)的差异对饮食习惯有统计学意义,对非传染性疾病的发生有重要影响。定性结果表明,个人的教育和职业状况可能影响饮食习惯。回归结果显示,女性的不健康饮食习惯增加了6.2%。此外,与城市住宅相比,农村住宅对不健康饮食习惯的影响适中(3.3%)。同样,专业人士、销售和服务类别的不健康行为得分分别为5.8%、5.7%和7.6%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Political economy framework and the occurrence of noncommunicable diseases. “Framing dietary practices in Ghana as the receptacle”
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.
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