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Household food sources and diarrhoea incidence in poor urban communities, Accra Ghana

Diarrhoeal diseases remain a significant cause of morbidity and mortality, particularly in poor urban communities in the Global South. Studies on food access and safety have however not considered the sources of discrete food categories and their propensity to harbour and transmit diarrhoeal disease...

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Autores principales: Larbi, Reuben Tete, Atiglo, D. Yaw, Peterson, Maame B., Biney, Adriana A. E., Dodoo, Naa Dodua, Dodoo, F. Nii-Amoo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7842991/
https://www.ncbi.nlm.nih.gov/pubmed/33508014
http://dx.doi.org/10.1371/journal.pone.0245466
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author Larbi, Reuben Tete
Atiglo, D. Yaw
Peterson, Maame B.
Biney, Adriana A. E.
Dodoo, Naa Dodua
Dodoo, F. Nii-Amoo
author_facet Larbi, Reuben Tete
Atiglo, D. Yaw
Peterson, Maame B.
Biney, Adriana A. E.
Dodoo, Naa Dodua
Dodoo, F. Nii-Amoo
author_sort Larbi, Reuben Tete
collection PubMed
description Diarrhoeal diseases remain a significant cause of morbidity and mortality, particularly in poor urban communities in the Global South. Studies on food access and safety have however not considered the sources of discrete food categories and their propensity to harbour and transmit diarrhoeal disease pathogens in poor urban settings. We sought to contribute to knowledge on urban food environment and enteric infections by interrogating the sources and categories of common foods and their tendency to transmit diarrhoea in low-income communities in Accra. We modelled the likelihood of diarrhoea transmission through specific food categories sourced from home or out of home after controlling for alternate transmission pathways and barriers. We used structured interviews where households that participated in the study were selected through a multi-stage systematic sampling approach. We utilized data on 506 households from 3 low-income settlements in Accra. These settlements have socio-economic characteristics mimicking typical low-income communities in the Global South. The results showed that the incidence of diarrhoea in a household is explained by type and source of food, source of drinking water, wealth and the presence of children below five years in the household. Rice-based staples which were consumed by 94.5% of respondents in the week preceding the survey had a higher likelihood of transmitting diarrhoeal diseases when consumed out of home than when eaten at home. Sources of hand-served dumpling-type foods categorized as “staple balls” had a nuanced relationship with incidence of diarrhoea. These findings reinforce the need for due diligence in addressing peculiar needs of people in vulnerable conditions of food environment in poor urban settlements in order to reap a co-benefit of reduced incidence of diarrhoea while striving to achieve the global development goal on ending hunger.
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spelling pubmed-78429912021-02-04 Household food sources and diarrhoea incidence in poor urban communities, Accra Ghana Larbi, Reuben Tete Atiglo, D. Yaw Peterson, Maame B. Biney, Adriana A. E. Dodoo, Naa Dodua Dodoo, F. Nii-Amoo PLoS One Research Article Diarrhoeal diseases remain a significant cause of morbidity and mortality, particularly in poor urban communities in the Global South. Studies on food access and safety have however not considered the sources of discrete food categories and their propensity to harbour and transmit diarrhoeal disease pathogens in poor urban settings. We sought to contribute to knowledge on urban food environment and enteric infections by interrogating the sources and categories of common foods and their tendency to transmit diarrhoea in low-income communities in Accra. We modelled the likelihood of diarrhoea transmission through specific food categories sourced from home or out of home after controlling for alternate transmission pathways and barriers. We used structured interviews where households that participated in the study were selected through a multi-stage systematic sampling approach. We utilized data on 506 households from 3 low-income settlements in Accra. These settlements have socio-economic characteristics mimicking typical low-income communities in the Global South. The results showed that the incidence of diarrhoea in a household is explained by type and source of food, source of drinking water, wealth and the presence of children below five years in the household. Rice-based staples which were consumed by 94.5% of respondents in the week preceding the survey had a higher likelihood of transmitting diarrhoeal diseases when consumed out of home than when eaten at home. Sources of hand-served dumpling-type foods categorized as “staple balls” had a nuanced relationship with incidence of diarrhoea. These findings reinforce the need for due diligence in addressing peculiar needs of people in vulnerable conditions of food environment in poor urban settlements in order to reap a co-benefit of reduced incidence of diarrhoea while striving to achieve the global development goal on ending hunger. Public Library of Science 2021-01-28 /pmc/articles/PMC7842991/ /pubmed/33508014 http://dx.doi.org/10.1371/journal.pone.0245466 Text en © 2021 Larbi et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Larbi, Reuben Tete
Atiglo, D. Yaw
Peterson, Maame B.
Biney, Adriana A. E.
Dodoo, Naa Dodua
Dodoo, F. Nii-Amoo
Household food sources and diarrhoea incidence in poor urban communities, Accra Ghana
title Household food sources and diarrhoea incidence in poor urban communities, Accra Ghana
title_full Household food sources and diarrhoea incidence in poor urban communities, Accra Ghana
title_fullStr Household food sources and diarrhoea incidence in poor urban communities, Accra Ghana
title_full_unstemmed Household food sources and diarrhoea incidence in poor urban communities, Accra Ghana
title_short Household food sources and diarrhoea incidence in poor urban communities, Accra Ghana
title_sort household food sources and diarrhoea incidence in poor urban communities, accra ghana
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7842991/
https://www.ncbi.nlm.nih.gov/pubmed/33508014
http://dx.doi.org/10.1371/journal.pone.0245466
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