Measurement of food literacy among the adult population in urban Uganda and Kenya: development and validation of an East African food literacy scale
Abstract Objective: Food 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. Design: A mixed-method approach was applied: (1) item development...
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Cambridge University Press,
2024-01-01T00:00:00Z.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | doaj_c234b51fb6174be0aa8743a1b6f50fd5 | ||
042 | |a dc | ||
100 | 1 | 0 | |a Peter Yiga |e author |
700 | 1 | 0 | |a Moses Mokaya |e author |
700 | 1 | 0 | |a Tonny Kiyimba |e author |
700 | 1 | 0 | |a Patrick Ogwok |e author |
700 | 1 | 0 | |a Florence Kyallo |e author |
700 | 1 | 0 | |a Janna Lena Koole |e author |
700 | 1 | 0 | |a Tessy Boedt |e author |
700 | 1 | 0 | |a Christophe Matthys |e author |
245 | 0 | 0 | |a Measurement of food literacy among the adult population in urban Uganda and Kenya: development and validation of an East African food literacy scale |
260 | |b Cambridge University Press, |c 2024-01-01T00:00:00Z. | ||
500 | |a 10.1017/S136898002400168X | ||
500 | |a 1368-9800 | ||
500 | |a 1475-2727 | ||
520 | |a Abstract Objective: Food 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. Design: A 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). Setting: Urban Uganda and Kenya. Participants: Two cross-sectional cross-country surveys, adults >18 years (n = 214) and university students (n = 163), were conducted. Results: The 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 (r = 0·29 P = 0·003, Uganda; r = 0·26 P < 0·001, Kenya) and HEWSE (r = 0·32 P < 0·001, Uganda; r = 0·23, P = 0·017, Kenya). The FL-scale distinguishes populations with higher from those with lower FL (β = 14·54 (95 % CI: 10·27, 18·81), Uganda; β = 18·79 (95 % CI: 13·92, 23·68), Kenya). Conclusion: Provided culture-sensitive translation and adaptation are done, the scale may be used as a basis across East Africa. | ||
546 | |a EN | ||
690 | |a Food literacy scale | ||
690 | |a Development | ||
690 | |a Validation | ||
690 | |a Adult population | ||
690 | |a Uganda | ||
690 | |a Kenya | ||
690 | |a Public aspects of medicine | ||
690 | |a RA1-1270 | ||
690 | |a Nutritional diseases. Deficiency diseases | ||
690 | |a RC620-627 | ||
655 | 7 | |a article |2 local | |
786 | 0 | |n Public Health Nutrition, Vol 27 (2024) | |
787 | 0 | |n https://www.cambridge.org/core/product/identifier/S136898002400168X/type/journal_article | |
787 | 0 | |n https://doaj.org/toc/1368-9800 | |
787 | 0 | |n https://doaj.org/toc/1475-2727 | |
856 | 4 | 1 | |u https://doaj.org/article/c234b51fb6174be0aa8743a1b6f50fd5 |z Connect to this object online. |