ArticleInternational journal of environmental research and public health2022
School Food Environment in Urban Zambia: A Qualitative Analysis of Drivers of Adolescent Food Choices and Their Policy Implications.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 20 citations in OpenAlex.
- "It's where I buy lunch or anything that I want to buy": a participatory photo elicitation study on adolescents' experience of food choice and environment in Kisumu, Kenya.Journal of health, population, and nutrition · 2026Article
- Urban South African Adolescents' Perspectives on Healthy and Unhealthy Foods and the Drivers of Their Food Choices in Their School Food Environment: A Pilot Study.International journal of environmental research and public health · 2026Article
- Prevalence and Determinants of Eating Behaviors Among School-Going Children in Bangladesh: A Cross-Sectional Study.Nutrition and metabolic insights · 2026Article
- Drivers of food acquisition practices among adolescents in suburban food environments of Lao People's Democratic Republic.Global health action · 2025Article
- The impact of food and nonalcoholic beverage sponsorship and marketing in the school environment on the food choices of school-going children and adolescents: A scoping review, 2011-2023.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- How Children's Experiences and Perceptions of Their School Food Environment Influence Their Food-Related Decisions In-School in Urban Ghana.Maternal & child nutrition · 2025Article
- Drivers of Food Decision Making and Aspirations for the Future of the School Food Environment among Junior High School Students in Cape Coast, Ghana: a Photovoice Study.Current developments in nutrition · 2025Article
- The impact of the social media industry as a commercial determinant of health on the digital food environment for children and adolescents: a scoping review.BMJ global health · 2025Article
- Assessing the school food environment and its role on healthy eating behaviours among school age children in Dar es Salaam, Tanzania.PloS one · 2025Article
- Ultraprocessed Food Intake during the Transition to Adulthood Varies According to Sociodemographic Characteristics and Maternal Intake in Cebu, Philippines.The Journal of nutrition · 2024Article
- Nutrition policy reforms to address the double burden of malnutrition in Zambia: a prospective policy analysis.Health policy and planning · 2023Article
- Lived Experience and Perceptions of Adolescents on Prevention, Causes and Consequences of Double Burden of Malnutrition in Debre Berhan City, Ethiopia: A Qualitative Study.International journal of general medicine · 2023Article
- Diet Therapy and Public Health.International journal of environmental research and public health · 2022Article
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Authors and funding
4 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Identifying context specific points for reforming policy to promote healthier food environments and consumer behavior in critical life stages like adolescence is crucial in addressing the double burden of malnutrition. Using a qualitative study design, we conducted 20 focus group discussions with grade 10 pupils from ten secondary schools in Lusaka. Turner's framework which conceptualizes the food environment into two domains-the external domain (availability, pricing, vendor and product properties, and marketing and regulation of food) and the internal domain (accessibility, affordability, convenience, and desirability of food)-was used to guide thematic data analysis and results interpretation. Adolescents stated their food choices are largely based on personal preference linked to the need for social acceptability among peers. Adolescents felt their food choice is limited to 'cheap junk foods' which are affordable and readily available at school. Healthy foods like fruits were said to be inaccessible and unaffordable by the majority of adolescents. Some adolescents stated they were attracted to certain foods by adverts they see on TV and social media. School food environments in urban Lusaka do not support healthy food choices. Policy reforms are required to increase access to affordable healthy food options in schools, and to curb the indiscriminate marketing of unhealthy foods to adolescents.
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