Scoping review protocol exploring the relationship between food insecurity, mental health and diet intake among adolescents across the globe

Introduction Studies, exploring the effect of food insecurity on physical and mental health, have shown that food insecurity is associated with lower self-reports of physical and mental health. With the COVID-19 pandemic, food insecurity has increased leading to higher risks of poor mental health. Despite evidence of the negative implications of food insecurity on mental health, there is a paucity of research on these variables for adolescents specifically. The current evidence shows there is a gap in adolescent centred research linking mental health and food insecurity globally. Adolescence is a crucial period of development where habits, nutritional inadequacies linked to food insecurity and mental health problems formed due to these inadequacies can be conveyed into adulthood. The aim of this study is to systematically scope the literature exploring the relationship between mental health, food (in)security and/or diet intake of adolescents. Methods This review will be guided by Arksey and O'Malley's extended framework. The search strategy was developed by two of the authors and will be used to search literature from January 2012 to December 2022 in PubMed, Academic search complete, PsychARTICLES, Google, ScienceDirect, Scopus and Web of science core collection. Searching published and unpublished literature will be done in the chosen databases. References used in included literature will be reviewed for additional studies/sources. Articles will be assessed for eligibility by two reviewers, and any discrepancies reviewed by a third reviewer. The inclusion and exclusion criteria will be used for screening. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram will be used to document the selection process. A narrative summary and descriptive analysis will be used to summarise and report the extracted data. Ethics and dissemination Approval for this study has been granted by the University of the Western Cape Biomedical Research Ethics Committee (BM21/8/3). Strict measures will be followed to ensure methodological rigour

Use of social media platforms by manufacturers to market breast-milk substitutes in South Africa

In South Africa (SA), exclusive breast feeding remains rare, with breast-milk substitutes (BMS) commonly being used in ways that are detrimental to infant and young child nutrition, health and survival. The use of internet, digital and mobile platforms has increased, including in low-income and middle-income countries, like SA and these platforms are avenues for BMS marketing. SA has national legislation (Regulation R991) to enforce the International Code of Marketing of BMS. This paper aims to provide pertinent examples of how BMS manufacturers in SA use social media to market their products thus violating national regulations. A digital (and social media) ethnography approach was used to study BMS organisations' activity on Facebook and Instagram

The management of South African landfills and waste pickers on them : impacting lives and livelihoods

Abstract: Effective management of waste and the promotion and management of recycling activities are necessary for sustainable and liveable cities. A key but unrecognised element in promoting recycling is the efforts of waste pickers who make a living from recycling mainline recyclables. This article aims to describe the approaches used on ten landfills in South Africa to manage waste pickers’ access to recyclables and their daily activities on the landfills. A multiple case study design and cross-case analysis were used in this study. The sustainable livelihoods framework (SLF) was used to analyse and explain the data. The results showed that waste management policies and practices directly influence the waste pickers’ access to recyclable waste and their livelihoods. Finally, some inclusionary and exclusionary practices are highlighted that could guide inclusive, participatory and co-productive practices for waste pickers in South Africa towards increased recognition, access, dignity and income

The association between dietary consumption, anthropometric measures and body composition of rural and urban Ghanaian adults: A comparative cross-sectional study

Overweight and obesity have become threats to public health in all regions across the globe including sub-Saharan Africa where prevalence used to be low. Policies to regulate the food environment and promote healthy food consumption look promising to reducing the prevalence of obesity but in Ghana there is not enough data to elicit a policy response. This study assessed the association between dietary consumption, anthropometric measures, body composition and physical activity among rural and urban Ghanaian adults

Exploring the potential health risks faced by waste pickers on landfills in South Africa: a A socio-ecological perspective

Landfill and street waste pickers in South Africa are responsible for collecting substantial volumes of recyclable material, saving municipalities millions and contributing to a generally healthier and cleaner environment. Yet waste pickers continue to operate on the fringes of the economy and are exposed to many risks, particularly health risks which have a direct impact on the sustainability of their livelihoods. This article, using a mixed-methods approach, explores the health risks to which waste pickers working on nine different landfills in the country are exposed. The socio-ecological framework was used to analyse and present the results. A key finding was that waste picking, by its very nature, lends itself to innumerable health risks, but that these can be lessened through concerted and collaborative efforts on the part of landfill operators, local authorities and other stakeholders. Integrating the ‘self-employed’ waste pickers into the formal waste management system should be comprehensive in order to limit health risks. Waste pickers will never have a risk-free environment, but facilitative policies and supportive institutions can collaboratively help to mitigate these risks and create a more sustainable and dignified working environment towards sustaining their livelihoods

Mapping Obesogenic food environments in South Africa and Ghana: Correlations and contradictions

In sub-Saharan Africa, urbanisation and food systems change contribute to rapid dietary transitions promoting obesity. It is unclear to what extent these changes are mediated by neighbourhood food environments or other factors. This paper correlates neighbourhood food provision with household consumption and poverty in Khayelitsha, South Africa and Ahodwo, Ghana. Georeferenced survey data of food consumption and provision were classified by obesity risk and protection. Outlets were mapped, and density and distribution correlated with risk classe

Social work and food security: Case study on the nutritional capabilities of the landfill waste pickers in South Africa

Food security (or the lack of it) has a direct impact on people’s well-being and is of great concern to many disciplines. The study on which the article is based used Drèze and Sen’s ‘nutritional capability’ concept as a theoretical framework to explain the food (in)security of landfill waste pickers. A cross-sectional research approach was followed, coupled with a triangulation mixed method research design. Viewing the waste pickers against the nutritional capability framework highlighted the important role that social work should play in focusing on people’s capabilities within their particular context

The effects of internal migration and related factors on nutrient intake and anthropometric status of children aged 1-9 years in South Africa, 1999

Philosophiae Doctor - PhDThe purpose of this study was to provide a national overview on internal migration of children and to relate these migration patterns to the nutritional status of children. This study specifically investigated the internal migration that took place during the life span of the National Food Consumption Survey study population and relates that to their dietary intake and anthropometric status.South Afric

BACKGROUND COMMENTARY ON THE RESEARCHING THE OBESOGENIC FOOD ENVIRONMENT (ROFE) PROJECT

Abstract Objective: The objective of this commentary is to provide an overview of the rationale and objectives of the Researching the Obesogenic Food Environment (ROFE) project that was conducted in Ghana and South Africa. Design: Narration has been used to describe the main objectives, phases as well as the methods used for the conduct of this project. Setting: The project described in this commentary was conducted in Khayelitsha and Mount Frere in South Africa and Ahodwo and Ejuratia for Ghana. Participant: Participants of the study described here include households in South Africa and Ghana, stakeholders and policy makers and various actors within the food chain in both countries. Results: The ROFE findings provide a good understanding of the extent of the impact of the food environment on consumption, characteristics of value chains of healthy and unhealthy foods, as well as the potential for improved governance and policy that is relevant to the region. The supplement provides the opportunity to share the extensive findings of the ROFE project. Nine papers that describe the process and findings of the three phases of the ROFE project have been presented. Some of the papers focus on phases of the ROFE while others cut across different phases and explore the linkages between the phases. Briefly descriptions of key findings of some of the papers in the Supplement are provided. Conclusion: Together, the findings of the ROFE study presented in this supplement have increased understanding of how communities in SA and Ghana interact with their food supplies, and has led to identification of specific opportunities to improve food supply policies, in ways that create incentives for the production and consumption of healthy, relative to unhealthy foods