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Determinants of dietary and physical activity behaviours among women of reproductive age in urban Uganda, a qualitative study

Bibliographic Data

ID15095658
AuthorsPeter Yiga (0000-0001-7809-3495, Kyambogo University), Patrick Ogwok (0000-0001-7312-3333, Kyambogo University), Julian Achieng (Kyambogo University), Mary Devota Auma (Kyambogo University), Jan Seghers (0000-0002-2930-1259, KU Leuven), Christophe Matthys (0000-0003-1770-6862, KU Leuven, corresponding author)
Year2021
Volume24
Issue12
Pages3624-3636
Publication date2021-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980020003432
PMID33000718
OpenAlexW3090624319
LanguageEN
Citations received7
References cited49

Objective: To explore determinants of dietary and physical activity behaviours among women of reproductive age. Design: Data were collected through focus group discussions (FGD). The FGD guide was based on a modified theoretical framework; theory of planned behaviour was incorporated with constructs of health belief model, precaution adoption process model, social cognitive and social support theory. Discussions were audio recorded, transcribed verbatim and analysed thematically. Setting: Kampala, Uganda. Participants: Women were categorised into young adults; 18–34 years and adults; 35–45 years Results: Separate FGD with independent participants were conducted for dietary and physical activity behaviours until data saturation was achieved. Six FGD were conducted per behaviour. Determinants of dietary behaviours at intra-individual level included gaps in food skills, knowledge and self-efficacy, food safety concerns, convenience, finances and physiological satisfaction. The social-cultural norms were relationship between vegetable consumption and low social status, consideration of fruits as a snack for children and not food and habitual orientation towards carbohydrate foods. At environment level, social networks and increased availability of energy-dense, nutrient poor, street and processed foods influence dietary behaviour. For physical activity, intra-individual determinants were knowledge gaps and self-efficacy, while socio-cultural norms included gender stereotypes. Home (limited space and sedentary entertainment like social media and TV) and physical environment (cheap motorised transportation) influence physical activity. Conclusion: The existing cultural beliefs promote dietary and physical activity behaviours which are divergent from healthy recommendations. Therefore, a comprehensive intervention is needed to address socio-cultural misconceptions, financial and time limitations in urban Uganda

Environmental health · Geography · Physical activity · Qualitative research · Sociology · Demography · Medicine · Mobile Health and mHealth Applications · Obesity, Physical Activity, Diet · Physical Activity and Health · Gerontology

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Unique citing works7
Citations per year1,4
Citation span2021 - 2025 (5)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 7

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