Dietary health perceptions and sources of nutritional knowledge in an urban food environment: a qualitative study from Indonesia.

Abstract:

OBJECTIVE:To investigate dietary health understandings, healthy foods access perceptions and the main sources of nutritional knowledge of residents in three urban communities of varying socio-economic make-up. DESIGN:An ethnographic approach to primary qualitative data collection, involving frequent visits to study areas over 4 months and in-depth interviews. Interviews were recorded, transcribed verbatim and analysed through an iterative approach. SETTING:Yogyakarta, Indonesia. PARTICIPANTS:A purposive sample of 45 participants divided equally among the 3 communities. Participants were mostly female (93 %), aged between 27 and 75 years (mean 47·7) and largely identified as the person responsible for household food-related decisions (93 %). RESULTS:Three overarching themes emerged: (i) dietary health understandings; (ii) healthy foods access perceptions and (iii) sources of nutritional knowledge. Participants employed multifaceted conceptualisation of dietary health. Most identified healthy foods with traditional plant-based foods, inexpensive and locally available from multiple sources. Thus, all participants perceived healthy foods as highly available in the local environment and most (80 %) as affordable. Reported affordability issues referred to specific foods (particularly animal source products) and were independent of income levels. Participants acquired nutritional knowledge from multiple sources, including many community-based initiatives. These were overall perceived as useful, but also as presenting some limitations. CONCLUSIONS:The variety in dietary health understandings reported by study participants, and their high perceptions of healthy foods availability in the local environment reinforce the idea that individual- and food environment-level determinants of nutritional behaviours are highly contextual.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Colozza D

doi

10.1017/S1368980020003900

subject

Has Abstract

pub_date

2020-10-07 00:00:00

pages

1-11

eissn

1368-9800

issn

1475-2727

pii

S1368980020003900

pub_type

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