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Food Environment in and around Primary School Children’s Schools and Neighborhoods in Two Urban Settings in Kenya

Author

Listed:
  • Constance Awuor Gewa

    (Department of Nutrition & Food Studies, College of Health & Human Services, George Mason University, 4408 Patriot Circle, Suite 4100, MSN 1F7, Fairfax, VA 22030, USA)

  • Agatha Christine Onyango

    (Department of Nutrition & Health, Maseno University, Maseno P.O. Box 333-40105, Kenya)

  • Rose Okoyo Opiyo

    (School of Public Health, University of Nairobi, Nairobi P.O. Box 30197-00100, Kenya)

  • Lawrence Cheskin

    (Department of Nutrition & Food Studies, College of Health & Human Services, George Mason University, 4408 Patriot Circle, Suite 4100, MSN 1F7, Fairfax, VA 22030, USA)

  • Joel Gittelsohn

    (Department of International Health, Bloomberg School of Public Health, John Hopkins University, Baltimore, MD 21205, USA)

Abstract

We conducted a cross-sectional study to provide an overview primary school children food environment in two urban settings in Kenya. Six schools, catering to children from low-, medium- and high-income households in the cities of Nairobi and Kisumu in Kenya, participated in the study. Data on types of food places and foods offered were collected and healthy and unhealthy food availability scores calculated for each place. We utilized prevalence ratio analysis to examine associations between food availability, food place characteristics and neighborhood income levels. Altogether, 508 food places, located within 1 km of the schools and the school children’s neighborhoods were observed. Open-air market sellers and kiosks were most common. The proportion of food places with high healthy food availability was 2.2 times greater among food places in Nairobi compared to Kisumu, 1.9 times greater in food places with multiple cashpoints, 1.7 times greater in medium/large sized food places and 1.4 times greater in food places located in high income neighborhoods. These findings highlight differences in availability of healthy foods and unhealthy foods across types of food places and neighborhood income levels and inform public health interventions aimed at promoting healthy food environments in Kenya.

Suggested Citation

  • Constance Awuor Gewa & Agatha Christine Onyango & Rose Okoyo Opiyo & Lawrence Cheskin & Joel Gittelsohn, 2021. "Food Environment in and around Primary School Children’s Schools and Neighborhoods in Two Urban Settings in Kenya," IJERPH, MDPI, vol. 18(10), pages 1-19, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5136-:d:553279
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    References listed on IDEAS

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    1. Ronette R. Briefel & Mary Kay Crepinsek & Charlotte Cabili & Ander Wilson & Philip M. Gleason, 2009. "School Food Environments and Practices Affect Dietary Behaviors of US Public School Children," Mathematica Policy Research Reports c6dbf718e7a54cb0ab738b653, Mathematica Policy Research.
    2. Campbell, Kayleigh B. & Rising, James A. & Klopp, Jacqueline M. & Mbilo, Jacinta Mwikali, 2019. "Accessibility across transport modes and residential developments in Nairobi," Journal of Transport Geography, Elsevier, vol. 74(C), pages 77-90.
    3. Makaiko G. Khonje & Matin Qaim, 2019. "Modernization of African Food Retailing and (Un)healthy Food Consumption," Sustainability, MDPI, vol. 11(16), pages 1-18, August.
    4. Rischke, Ramona & Kimenju, Simon C. & Klasen, Stephan & Qaim, Matin, 2015. "Supermarkets and food consumption patterns: The case of small towns in Kenya," Food Policy, Elsevier, vol. 52(C), pages 9-21.
    5. Neha Rathi & Lynn Riddell & Anthony Worsley, 2018. "Parents’ and Teachers’ Views of Food Environments and Policies in Indian Private Secondary Schools," IJERPH, MDPI, vol. 15(7), pages 1-14, July.
    6. Florian Kroll & Elizabeth Catherina Swart & Reginald Adjetey Annan & Anne Marie Thow & David Neves & Charles Apprey & Linda Nana Esi Aduku & Nana Ama Frimpomaa Agyapong & Jean-Claude Moubarac & Andrie, 2019. "Mapping Obesogenic Food Environments in South Africa and Ghana: Correlations and Contradictions," Sustainability, MDPI, vol. 11(14), pages 1-31, July.
    7. Hilmers, A. & Hilmers, D.C. & Dave, J., 2012. "Neighborhood disparities in access to healthy foods and their effects on environmental justice," American Journal of Public Health, American Public Health Association, vol. 102(9), pages 1644-1654.
    8. repec:mpr:mprres:6160 is not listed on IDEAS
    9. Bridle-Fitzpatrick, Susan, 2015. "Food deserts or food swamps?: A mixed-methods study of local food environments in a Mexican city," Social Science & Medicine, Elsevier, vol. 142(C), pages 202-213.
    10. Khonje, Makaiko G. & Qaim, Matin, 2019. "Modernization of African food retailing and (un)healthy food consumption: Insights from Zambia," 2019 Sixth International Conference, September 23-26, 2019, Abuja, Nigeria 295751, African Association of Agricultural Economists (AAAE).
    11. Reena das Nair & Shingie Chisoro, 2015. "The expansion of regional supermarket chains: Changing models of retailing and the implications for local supplier capabilities in South Africa, Botswana, Zambia, and Zimbabwe," WIDER Working Paper Series 114, World Institute for Development Economic Research (UNU-WIDER).
    12. Morland, K. & Wing, S. & Roux, A.D., 2002. "The contextual effect of the local food environment on residents' diets: The atherosclerosis risk in communities study," American Journal of Public Health, American Public Health Association, vol. 92(11), pages 1761-1767.
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