The Socio-Ecological Context of the Nutrition Transition in Indonesia: A Qualitative Investigation of Perspectives from Multi-Disciplinary Stakeholders

Anyanwu, Oyedolapo; Naumova, Elena N.; Chomitz, Virginia R.; Zhang, Fang Fang; Chui, Kenneth; Kartasurya, Martha Irene; Folta, Sara C.

doi:10.3390/nu15010025

Cited by 10 publications

(20 citation statements)

References 37 publications

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“…The qualitative data was extracted from a larger qualitative study based on the socioecological model (SEM) [ 49 ]. We sought the perspectives of key-informants on diets and health outcomes, particularly risk factors for cardiovascular disease (CVD) in Indonesia [ 23 , 40 ]. The research guidelines of the Consolidated Criteria for Reporting Qualitative (COREQ) were used to report this study [ 50 ].…”

Section: Methodsmentioning

confidence: 99%

“…The team was multi-disciplinary, with many years of research experience in the fields of nutrition, epidemiology, public health, and environmental health. Details of roles and the contributions of each team member to the study have been previously documented [ 23 , 40 ].…”

Section: Methodsmentioning

confidence: 99%

“…We conducted in-depth interviews via Zoom with a purposive sample of key informants from across Indonesia ( n = 27), between April and June 2021, using a snowball recruitment strategy. The criteria for recruitment have been previously published [ 23 , 40 ]. The major requirements were English-language proficiency and appropriate expertise to respond to the research questions.…”

Section: Methodsmentioning

confidence: 99%

“…These marked changes in diets have been linked to the global epidemic of chronic diseases, with many LMICs, including Indonesia, shouldering the largest burdens of related economic and health costs [ 20 , 21 ]. Undergirding the rapid nutritional transition are economic development and demographic transition, with increasing urbanization and globalization of food-distribution systems [ 9 , 22 , 23 ]. Multinational supermarkets and fast-food chains have penetrated the food retail outlets in many urban centers, displacing local markets where people typically get fresh produce [ 22 , 23 , 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

“…Undergirding the rapid nutritional transition are economic development and demographic transition, with increasing urbanization and globalization of food-distribution systems [ 9 , 22 , 23 ]. Multinational supermarkets and fast-food chains have penetrated the food retail outlets in many urban centers, displacing local markets where people typically get fresh produce [ 22 , 23 , 24 , 25 ]. These changes have also favored higher consumption of animal-source foods [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

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Fish—To Eat or Not to Eat? A Mixed-Methods Investigation of the Conundrum of Fish Consumption in the Context of Marine Pollution in Indonesia

Anyanwu

Folta

Zhang

et al. 2023

IJERPH

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Background: The Indonesian government faces a dilemma of promoting fish consumption for its health benefits and to ease food insecurity, while at the same time seeking effective approaches to reduce the high levels of marine pollution. However, the factors associated with fish consumption in the face of persistent high levels of marine pollution are not well elucidated in the literature. Objectives: This was an explorative study to investigate the sociodemographic factors related to fish consumption and to understand the perspectives of expert informants on marine pollution and its impact on fish quality and availability in Indonesia. Methods: We characterized fish consumption among respondents aged 15 years and older in the fifth wave of the Indonesian Family Life Survey (n = 31,032), based on their sociodemographic profiles, and developed multinomial regression models to assess the relationship between respondents’ sociodemographic profiles and quintiles of fish consumption. We also conducted in-depth interviews on fish consumption and marine pollution with key informants from Indonesia (n = 27). We then used a convergent mixed-methods design to synthesize the results of both datasets. Results: Fish was the most frequently consumed animal-source food reported by survey respondents: 2.8 (±2.6) days/week. More younger respondents (15–19 years) reported relatively lower consumption of fish (9.3% in Q1 versus 5.9% in Q5) compared to respondents 50 years and older (37% in Q1 versus 39.9% in Q5; p < 0.01). When classified by region, more respondents from the Java region reported lower consumption of fish (86.5% in Q1 versus 53% in Q5; p < 0.01). Key-informants’ perspectives corroborated the survey results by indicating that the younger generation tends not to want to consume fish; informants expanded the survey results by suggesting that fish is scarce in the Java region due to high levels of marine pollution. Informants further implied that there is low awareness about the impact of marine pollution on fish quality among most of the Indonesian population. Conclusion: Evidence from both data sources converge on differential preference for fish consumption by age group. Informants’ perspectives also link marine pollution to fish scarcity, which poses a threat to food security among low-income Indonesians and to human health globally. More studies are needed to corroborate our findings and inform policy guidelines to reduce marine pollution while promoting fish consumption in Indonesia.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Fish—To Eat or Not to Eat? A Mixed-Methods Investigation of the Conundrum of Fish Consumption in the Context of Marine Pollution in Indonesia

Anyanwu

Folta

Zhang

et al. 2023

IJERPH

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Triple burden of malnutrition among Vietnamese 0·5–11-year-old children in 2020–2021: results of SEANUTS II Vietnam

Tran,

Tran

et al. 2024

Public Health Nutr.

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Objective: SEANUTS II Vietnam aims to obtain an in-depth understanding of the nutritional status and nutrient intake of children between 0.5-11.9 years old Design: Cross-sectional survey Setting: A multistage cluster systematic random sampling method was implemented in different regions in Vietnam: North Mountainous, Central Highlands, Red River Delta, North Central and Coastal Area, Southeast and Mekong River Delta. Participants: 4001 children between 6 months and 11.9 years of age Results: Prevalence of stunting and underweight was higher in rural than in urban children, whereas overweight and obese rates were higher in urban areas. 12.0% of the children had anemia and especially children 0.5-1-year-old were affected (38.6%). Low serum retinol was found in 6.2% of children ≥ 4 years old. Prevalence of vitamin D insufficiency was 31.1% while 60.8% had low serum zinc. For nutrient intake, overall, 80.1% of the children did not meet the estimated energy requirements. For calcium intake, ∼60% of the younger children did not meet the RNI while it was 92.6% in children >7 years old. For vitamin D intake, 95.0% of the children did not meet RNI. Conclusions: SEANUTS II Vietnam indicated that overnutrition was more prevalent than undernutrition in urban areas, while undernutrition was found more in rural areas. The high prevalence of low serum zinc, vitamin D insufficiency and the inadequate intakes of calcium and vitamin D are of concern. Nutrition strategies for Vietnamese children should consider three sides of malnutrition and focus on approaches for the prevention malnutrition.

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Nutrition transition era: how does nutritional balance of West Sumatra fishermen’s families perform?

Yuliana,

Fatimah,

Tasrif

et al. 2023

IJPHS

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The purpose of this study is to observe the nutritional balance of fisherman's families in the Mandeh area of West Sumatra, Indonesia, in terms of food diversity, a clean and healthy lifestyle, physical activity, and nutritional status during the nutritional transition period. The sample size was 119 fishermen's families from the Mandeh area who were chosen randomly. An interview method that included a questionnaire and anthropometric measurements was used as the data collection technique. The interaction trend of nutritional status with food diversity, a clean and healthy lifestyle, and physical activity was seen by Chi-square analysis. The results found a significant relationship between physical activity and the nutritional status of fishermen's families, with a p-value of 0.020. Meanwhile, there was no correlation between food diversity, a clean and healthy lifestyle, and nutritional status (p>0.05). Additionally, nutritional problems, particularly obesity and malnutrition cases in fishermen's families in the Mandeh area of West Sumatera during the nutritional transition period, require attention; for instance, increasing prevention strategies to maintain nutritional balance.

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The Socio-Ecological Context of the Nutrition Transition in Indonesia: A Qualitative Investigation of Perspectives from Multi-Disciplinary Stakeholders

Cited by 10 publications

References 37 publications

Fish—To Eat or Not to Eat? A Mixed-Methods Investigation of the Conundrum of Fish Consumption in the Context of Marine Pollution in Indonesia

Fish—To Eat or Not to Eat? A Mixed-Methods Investigation of the Conundrum of Fish Consumption in the Context of Marine Pollution in Indonesia

Triple burden of malnutrition among Vietnamese 0·5–11-year-old children in 2020–2021: results of SEANUTS II Vietnam

Nutrition transition era: how does nutritional balance of West Sumatra fishermen’s families perform?

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