关键词: Modern diet Nutrition transition Public health South Africa Traditional diet

来  源:   DOI:10.1016/j.heliyon.2024.e32055   PDF(Pubmed)

Abstract:
The prevalence of non-communicable diseases still represents a public health concern in South Africa, of which eating habits are some of the main risk factors. A modern diet consisting of the consumption of highly processed foods high in fat, salt and caloric sweeteners and low in fibre is recognised as unhealthy. This study was conducted to assess the penchant of the population for these types of foods rather than traditional indigenous foods known to be healthier. This research was undertaken in the Gauteng region, which is the most urbanized province in the country. This study consisted of a quantitative research survey conducted in 2019 with 1527 participants (Asians, Black, Coloured, Indians and White) aged 18 and above who had lived in the province for at least two years. The results revealed that 30-40 % were neutral on the issue. Despite half (54.4 %) indicating that it was good to mix traditional and modern foods, a clear preference for modern food was noticed for 35.7 % of respondents, with 32.2 % reporting not being concerned that traditional foods have been replaced by modern foods. The traditional indigenous food consumption (TIFC) appeared to depend on monthly total household income, residential area, and settlement category. Participants with specific economic comfort consumed less. Race and number of people in the participants\' households also significantly affected the TIFC (p < 0.05). Participants of white ethnicity and those living in a household of a maximum of 02 people displayed the lowest TIFC. In comparison to those who strongly disagree, participants with a neutral opinion about the idea of mixing eating habits were also the most neutral concerning preference for a modern diet (OR: 10.95, 95 % CI 7.00-17.12) and nutrition transition (OR: 14.66, 95 % CI 9.09-23.64). Sensitisation about healthy eating habits among the identified at-risk and target groups is undoubtedly a need in the region to avoid a resurgence of modern diet-related diseases.
摘要:
在南非,非传染性疾病的流行仍然是一个公共卫生问题。其中饮食习惯是一些主要的危险因素。一种现代饮食,包括食用高脂肪的高度加工食品,盐和热量甜味剂和低纤维被认为是不健康的。进行这项研究是为了评估人们对这些类型食物的偏好,而不是已知更健康的传统土著食物。这项研究是在豪登省地区进行的,这是全国城市化程度最高的省份。这项研究包括2019年对1527名参与者进行的定量研究调查(亚洲人,黑色,有色,印度人和白人)18岁及以上,在该省居住至少两年。结果显示,30-40%的人在这个问题上是中立的。尽管有一半(54.4%)的人表示将传统和现代食物混合在一起很好,35.7%的受访者明显偏爱现代食品,32.2%的人表示不担心传统食品已被现代食品取代。传统的土著食物消费(TIFC)似乎取决于每月的家庭总收入,住宅区,和结算类别。具有特定经济舒适度的参与者消耗较少。参与者家庭中的种族和人数也显著影响TIFC(p<0.05)。白人和居住在最多02人家庭中的参与者显示出最低的TIFC。与那些强烈反对的人相比,对混合饮食习惯持中立观点的参与者在对现代饮食(OR:10.95,95%CI7.00~17.12)和营养过渡(OR:14.66,95%CI9.09~23.64)的偏好方面也是最中立的.在已确定的高危人群和目标群体中,对健康饮食习惯的敏感性无疑是该地区避免现代饮食相关疾病死灰复燃的需要。
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