Vaughan Megan, Dube Albert, Namadingo Hazel, Crampin Amelia, Gondwe Levie, Kapira Green, Mbughi Joyce, Nyasulu Maisha
Institute of Advanced Studies, University College London, London, WC1E 6BT, UK.
Malawi Epidemiology and Intervention Research Unit, MEIRU/KPS, Lilongwe, PO Box 148, Malawi.
Wellcome Open Res. 2018 Dec 11;3:158. doi: 10.12688/wellcomeopenres.14887.1. eCollection 2018.
Interviews were conducted with a small group of Malawians over the age of 60 in rural Karonga district and in Area 25 of the capital, Lilongwe. We asked their views on the changes in diet that had taken place over their lifetimes and also on the causes of 'noncommunicable' diseases, such as Type 2 diabetes and hypertension in their communities. Their answers generally confirmed research showing that dietary diversity is decreasing in Malawi, but many of our interviewees also recalled that hunger was more frequently experienced in the past. Our interviews revealed that though the essential rural diet based on either maize or cassava appears superficially largely unchanged, there have been significant changes in the varieties of crops grown, methods of production and food processing. Many of our interviewees were concerned that the application of chemical fertiliser and pesticides was harming their health.
我们对卡龙加区农村和首都利隆圭25区的一小群60岁以上的马拉维人进行了访谈。我们询问了他们对一生中饮食变化的看法，以及对他们社区中“非传染性”疾病（如2型糖尿病和高血压）病因的看法。他们的回答总体上证实了研究结果，即马拉维的饮食多样性正在下降，但我们的许多受访者也回忆说，过去更经常挨饿。我们的访谈显示，尽管以玉米或木薯为主的基本农村饮食表面上基本没有变化，但种植的作物品种、生产方法和食品加工都发生了重大变化。我们的许多受访者担心化肥和农药的使用正在损害他们的健康。
