ArticlePublic health nutrition2024
Measurement of food literacy among the adult population in urban Uganda and Kenya: development and validation of an East African food literacy scale.
Article in Public health nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07476716 (The Effect of a Peer-modeled Complex Behavioural Change Intervention on the Cardio-metabolic Health of Women in Mbarara City, Uganda), which is not on this map. Cited by 2 papers.
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The Effect of a Peer-modeled Complex Behavioural Change Intervention on the Cardio-metabolic Health of Women in Mbarara City, Uganda
Who cites it
2 citing papers in PubMed.
- Development and psychometric validation of a questionnaire assessing perception and acceptance of micronutrient-fortified bouillon cubes among non-index household members aged ≥ 15 years in northern Ghana.BMC public health · 2026Article
- Development and validation of Tanzania's food literacy tool for adults: implications for healthy eating behaviours.The British journal of nutrition · 2025Article
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8 authors.
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Abstract
objectiveFood literacy (FL) is a potential approach to address the nutrition transition in Africa, but a validated tool is lacking. We developed and validated a scale to assess FL among Ugandan and Kenyan adult populations.
designA mixed-method approach was applied: (1) item development using literature, expert and target group insights, (2) independent country-specific validation (content, construct, criterion and concurrent) and (3) synchronisation of the two country-specific FL-scales. Construct validity was evaluated against the prime dietary quality score (PDQS) and healthy eating self-efficacy scale (HEWSE).
settingUrban Uganda and Kenya.
participantsTwo cross-sectional cross-country surveys, adults >18 years (
resultsThe initial development yielded a forty-eight-item FL-scale draft. In total, twenty-six items were reframed to fit the country contexts. Six items differed content-wise across the two FL-scales and were dropped for a synchronised East African FL-scale. Weighted kappa tests revealed no deviations in individuals' FL when either the East African FL-scale or the country-specific FL-scales are used; 0·86 (95 % CI: 0·83, 0·89), Uganda and 0·86 (95 % CI: 0·84, 0·88), Kenya. The FL-scale showed good reliability (0·71 (95 % CI: 0·60, 0·79), Uganda; 0·78 (95 % CI: 0·69, 0·84), Kenya) and positively correlated with PDQS (
conclusionProvided culture-sensitive translation and adaptation are done, the scale may be used as a basis across East Africa.
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