Perceived barriers and enablers for consuming a diverse diet in women residing in resource-poor communities in Cape Town, South Africa: a qualitative study

Background: Several studies have shown that South Africans consume a diet low in variety.Objective: To explore the barriers and enablers for consuming a diverse diet in resource-poor communities around Cape Town.Design: A qualitative study design was used. Data were collected from focus-group discus...

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Main Authors: Samukelisiwe S Madlala, Jillian Hill, Ernesta Kunneke, Mieke Faber
Format: Article
Language:English
Published: Taylor & Francis Group 2024-11-01
Series:The South African Journal of Clinical Nutrition
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Online Access:https://www.tandfonline.com/doi/10.1080/16070658.2024.2427979
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author Samukelisiwe S Madlala
Jillian Hill
Ernesta Kunneke
Mieke Faber
author_facet Samukelisiwe S Madlala
Jillian Hill
Ernesta Kunneke
Mieke Faber
author_sort Samukelisiwe S Madlala
collection DOAJ
description Background: Several studies have shown that South Africans consume a diet low in variety.Objective: To explore the barriers and enablers for consuming a diverse diet in resource-poor communities around Cape Town.Design: A qualitative study design was used. Data were collected from focus-group discussions (FGDs) conducted in Afrikaans, IsiXhosa, and English, using a semi-structured guide.Setting: Twelve community sites in Cape Town, South Africa.Subjects: Study participants were 24 Black and 21 Mixed-ancestry women (n = 45) with a mean age of 49.7 ± 7.8 years.Results: Fourteen FGDs were conducted with an average of three participants per FGD. Six themes were identified from the FGDs, which included nutrition knowledge, perceptions of dietary diversity and its impact on health, individual factors, and social, physical environment, and societal influences on food choices. Perceived barriers to consuming a diverse diet included financial constraints, high food prices, and family taste preferences. Perceived enablers identified were individual taste preferences, access to food stores, community food aid, and food-store specials. Proposed facilitators to achieving a diverse diet included budgeting, income-generation activities, lowering food prices, and increasing community food aid.Conclusions: The findings of this study suggest that financial constraints, high food prices, and social factors limit the ability of women from resource-poor communities to consume a diverse diet and make healthy food choices. Public health interventions aimed at promoting healthier food choices and reducing diet-related diseases should address financial barriers and the cost of food.
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spelling doaj-art-0fe8e907f22b4cfdbb2c278a0c8bbe4e2025-08-20T02:32:12ZengTaylor & Francis GroupThe South African Journal of Clinical Nutrition1607-06582221-12682024-11-0137418419210.1080/16070658.2024.2427979Perceived barriers and enablers for consuming a diverse diet in women residing in resource-poor communities in Cape Town, South Africa: a qualitative studySamukelisiwe S Madlala0Jillian Hill1Ernesta Kunneke2Mieke Faber3Non-Communicable Diseases Research Unit, South African Medical Research Council, Cape Town, South AfricaNon-Communicable Diseases Research Unit, South African Medical Research Council, Cape Town, South AfricaDepartment of Dietetics and Nutrition, University of the Western Cape, Bellville, South AfricaNon-Communicable Diseases Research Unit, South African Medical Research Council, Cape Town, South AfricaBackground: Several studies have shown that South Africans consume a diet low in variety.Objective: To explore the barriers and enablers for consuming a diverse diet in resource-poor communities around Cape Town.Design: A qualitative study design was used. Data were collected from focus-group discussions (FGDs) conducted in Afrikaans, IsiXhosa, and English, using a semi-structured guide.Setting: Twelve community sites in Cape Town, South Africa.Subjects: Study participants were 24 Black and 21 Mixed-ancestry women (n = 45) with a mean age of 49.7 ± 7.8 years.Results: Fourteen FGDs were conducted with an average of three participants per FGD. Six themes were identified from the FGDs, which included nutrition knowledge, perceptions of dietary diversity and its impact on health, individual factors, and social, physical environment, and societal influences on food choices. Perceived barriers to consuming a diverse diet included financial constraints, high food prices, and family taste preferences. Perceived enablers identified were individual taste preferences, access to food stores, community food aid, and food-store specials. Proposed facilitators to achieving a diverse diet included budgeting, income-generation activities, lowering food prices, and increasing community food aid.Conclusions: The findings of this study suggest that financial constraints, high food prices, and social factors limit the ability of women from resource-poor communities to consume a diverse diet and make healthy food choices. Public health interventions aimed at promoting healthier food choices and reducing diet-related diseases should address financial barriers and the cost of food.https://www.tandfonline.com/doi/10.1080/16070658.2024.2427979adultsbarriersdietary diversityenablersfood choicesqualitative research
spellingShingle Samukelisiwe S Madlala
Jillian Hill
Ernesta Kunneke
Mieke Faber
Perceived barriers and enablers for consuming a diverse diet in women residing in resource-poor communities in Cape Town, South Africa: a qualitative study
The South African Journal of Clinical Nutrition
adults
barriers
dietary diversity
enablers
food choices
qualitative research
title Perceived barriers and enablers for consuming a diverse diet in women residing in resource-poor communities in Cape Town, South Africa: a qualitative study
title_full Perceived barriers and enablers for consuming a diverse diet in women residing in resource-poor communities in Cape Town, South Africa: a qualitative study
title_fullStr Perceived barriers and enablers for consuming a diverse diet in women residing in resource-poor communities in Cape Town, South Africa: a qualitative study
title_full_unstemmed Perceived barriers and enablers for consuming a diverse diet in women residing in resource-poor communities in Cape Town, South Africa: a qualitative study
title_short Perceived barriers and enablers for consuming a diverse diet in women residing in resource-poor communities in Cape Town, South Africa: a qualitative study
title_sort perceived barriers and enablers for consuming a diverse diet in women residing in resource poor communities in cape town south africa a qualitative study
topic adults
barriers
dietary diversity
enablers
food choices
qualitative research
url https://www.tandfonline.com/doi/10.1080/16070658.2024.2427979
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