Foodscapes, finance, and faith: Multi-sectoral stakeholder perspectives on the local population health and wellbeing in an urbanizing area in Kenya

被引：0

作者：

Wadende, Pamela ^{[1
]}

Francis, Oliver ^{[2
]}

Musuva, Rosemary ^{[3
]}

Mogo, Ebele ^{[2
]}

Turner-Moss, Eleanor ^{[2
]}

Were, Vincent ^{[3
]}

Obonyo, Charles ^{[3
]}

Foley, Louise ^{[2
]}

机构：

[1] Kisii Univ, Sch Educ & Human Resource Dev, Kisii, Kenya

[2] Univ Cambridge, MRC Epidemiol Unit, Inst Metab Sci, Box 285 Cambridge Biomed Campus, Cambridge, England

[3] Kenya Govt Med Res Ctr, Ctr Global Hlth Res, Kisumu, Kenya

来源：

FRONTIERS IN PUBLIC HEALTH | 2022年 / 10卷

关键词：

non-communicable diseases; health; stakeholders; diet; Kenya; NONCOMMUNICABLE DISEASES; URBANIZATION;

D O I：

10.3389/fpubh.2022.913851

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

IntroductionRapid urbanization (growth of cities) can upset the local population's health and wellbeing by creating obesogenic environments which increase the burden of non-communicable diseases (NCDs). It is important to understand how stakeholders perceive the impact of urbanizing interventions (such as the construction of a new hypermarket) on the health and wellbeing of local populations. Because low- and middle-income countries (LMICs) lack the reliable infrastructure to mitigate the effects of obesogenic environments, so engaging stakeholders who influence dietary habits is one population-level strategy for reducing the burden of NCDs caused by newly built developments. MethodsWe conducted key informant interviews with 36 stakeholders (25 regulatory and 11 local community stakeholders) from Kisumu and Homa Bay Counties of Western Kenya in June 2019. We collected stakeholders' perspectives on the impacts of a new Mall and supermarket in Kisumu, and existing supermarkets in Homa Bay on the health and wellbeing of local populations. ResultsThrough thematic discourse analysis, we noted that some stakeholders thought supermarkets enabled access to unhealthy food items despite these outlets being also reliable food sources for discerning shoppers. Others linked the changing physical environment to both an increase in pollution and different types of diseases. Stakeholders were unsure if the pricing and convenience of supermarkets would stop local populations from buying from their usual small-scale food vendors. The key finding of this study was that engaging relevant stakeholders as part of population health impact assessments of new developments in cities are important as it directs focus on health equity and prevention in instances of resource constraints. The findings highlight, also, that community members have a strong awareness of the potential for interventions that would improve the health and wellbeing of local populations.

引用

页数：10