Centre for Food Policy, School of Health Sciences, City, University of London, Rhind Building, St John Street, EC1R 0JD London, UK.
School of Public Health, University of the Western Cape, Robert Sobukwe Rd, Bellville, Cape Town 7535, South Africa.
Health Promot Int. 2021 Mar 12;36(1):120-131. doi: 10.1093/heapro/daaa035.
Diabetes, a serious disease resulting in significant morbidity and early mortality, is currently on the rise globally. A major contributor to this observed increase in low- and middle-income countries, such as South Africa, has been the observed change in diet at the population level-a shift from a traditional diet, to one consisting of more energy-dense, processed foods, with more added sugar, salt and fat. Implicated in this degradation of diet are changing local food environments. Participant-generated digital photographs and facilitated focus group discussion-style workshops were utilized to better understand diabetic community members' perspectives on their food environments in both an urban and rural setting in South Africa, and what (and how) aspects of these physical environments influence their food acquisition behaviours and diet. Qualitative data were analysed using a deductive thematic analysis approach. The resulting predominant themes of accessibility, availability and affordability are outlined and discussed. Findings from this study have implications beyond the self-management of diabetes and extend to the self-management and reduction of all diet-related non-communicable diseases.
糖尿病是一种严重的疾病，会导致高发病率和早亡率，目前在全球呈上升趋势。在南非等中低收入国家，糖尿病发病率上升的一个主要原因是人群饮食发生了变化——从传统饮食转向更富含能量、加工食品的饮食，其中添加了更多的糖、盐和脂肪。导致这种饮食恶化的原因是当地食物环境的变化。本研究采用参与者生成的数字照片和促进焦点小组讨论式研讨会，更好地了解南非城乡地区糖尿病社区成员对其食物环境的看法，以及这些物理环境的哪些（和如何）方面影响他们的食物获取行为和饮食。使用演绎主题分析方法对定性数据进行分析。概述并讨论了可及性、可得性和可负担性这三个主要主题。本研究的结果不仅对糖尿病的自我管理有影响，而且对所有与饮食相关的非传染性疾病的自我管理和减少也有影响。
