Dietary behaviour among adults in Northern Ghana: a polytomous logistic regression model approach

Objectives: This study determined the predictors of dietary behaviour among adults living in an urban and rural location in northern Ghana.Design: A cross-sectional study.Setting: An urban and rural settlement in the Northern Region of Ghana.Outcome measures: Dietary behaviour levels and their predi...

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Main Authors: Kwame Opare-Asamoah, Daniel Edem Kpewou, Jerry Xola Sosu, Vicentia Esinam Degbey, Ezekiel Kofi Vicar, Julius T Dongdem, Saeed F. Majeed, Kwadwo Fosu Antwi
Format: Article
Language:English
Published: Taylor & Francis Group 2025-04-01
Series:The South African Journal of Clinical Nutrition
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/16070658.2025.2467850
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author Kwame Opare-Asamoah
Daniel Edem Kpewou
Jerry Xola Sosu
Vicentia Esinam Degbey
Ezekiel Kofi Vicar
Julius T Dongdem
Saeed F. Majeed
Kwadwo Fosu Antwi
author_facet Kwame Opare-Asamoah
Daniel Edem Kpewou
Jerry Xola Sosu
Vicentia Esinam Degbey
Ezekiel Kofi Vicar
Julius T Dongdem
Saeed F. Majeed
Kwadwo Fosu Antwi
author_sort Kwame Opare-Asamoah
collection DOAJ
description Objectives: This study determined the predictors of dietary behaviour among adults living in an urban and rural location in northern Ghana.Design: A cross-sectional study.Setting: An urban and rural settlement in the Northern Region of Ghana.Outcome measures: Dietary behaviour levels and their predictors.Subjects: Adults aged ≥ 18 residing in the Tamale Metropolis and the Tolon District of the Northern Region of Ghana.Results: The median age (25th–75th percentile) of all the respondents was 31 (25–39) years, with 44.8% (358) of the respondents aged 20–30 years. There was no statistically significant difference in the respondents’ ages in the two study areas. The median body mass index (BMI) (25th–75th percentile) was 22.0 (20.4–24.0) kg/m2 and did not differ significantly (p-value = 0.23) across the two study areas. Most (74.8%; 598) of the respondents were of normal nutritional status, with half (51.6%) exhibiting good dietary behaviour. Being married (OR = 0.64, p = 0.04) reduces the odds of being at higher dietary behaviour levels. Conversely, being employed (OR  = 1.83, p = 0.003) and aged 50–60 years (OR = 2.80, p = 0.05) increases the odds of being in the higher dietary behaviour categories according to the partially proportional odds model (PPOM). These relationships come with various marginal effects. The relationship between the place of residence of participants and dietary behaviour levels is bidirectional at different dietary levels.Conclusions: This study revealed a complex relationship between dietary behaviour levels and their predictors. This relationship should be considered during interventional and further investigations into dietary behaviours.
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series The South African Journal of Clinical Nutrition
spelling doaj-art-77b1cda0bbea4916ada283fb18e49a362025-08-20T02:37:10ZengTaylor & Francis GroupThe South African Journal of Clinical Nutrition1607-06582221-12682025-04-01382647210.1080/16070658.2025.2467850Dietary behaviour among adults in Northern Ghana: a polytomous logistic regression model approachKwame Opare-Asamoah0Daniel Edem Kpewou1Jerry Xola Sosu2Vicentia Esinam Degbey3Ezekiel Kofi Vicar4Julius T Dongdem5Saeed F. Majeed6Kwadwo Fosu Antwi7Department of Biological Sciences, University for Development Studies, Tamale, GhanaDepartment of Nutritional Sciences, University for Development Studies, Tamale, GhanaDepartment of Pharmaceutical Chemistry, University for Development Studies, Tamale, GhanaDepartment of Nutritional Sciences, University for Development Studies, Tamale, GhanaDepartment of Clinical Microbiology, University for Development Studies, Tamale, GhanaDepartment of Biochemistry and Molecular Medicine, University for Development Studies, Tamale, GhanaDepartment of Biological Sciences, University for Development Studies, Tamale, GhanaDepartment of Ear, Nose and Throat, University for Development Studies, Tamale, GhanaObjectives: This study determined the predictors of dietary behaviour among adults living in an urban and rural location in northern Ghana.Design: A cross-sectional study.Setting: An urban and rural settlement in the Northern Region of Ghana.Outcome measures: Dietary behaviour levels and their predictors.Subjects: Adults aged ≥ 18 residing in the Tamale Metropolis and the Tolon District of the Northern Region of Ghana.Results: The median age (25th–75th percentile) of all the respondents was 31 (25–39) years, with 44.8% (358) of the respondents aged 20–30 years. There was no statistically significant difference in the respondents’ ages in the two study areas. The median body mass index (BMI) (25th–75th percentile) was 22.0 (20.4–24.0) kg/m2 and did not differ significantly (p-value = 0.23) across the two study areas. Most (74.8%; 598) of the respondents were of normal nutritional status, with half (51.6%) exhibiting good dietary behaviour. Being married (OR = 0.64, p = 0.04) reduces the odds of being at higher dietary behaviour levels. Conversely, being employed (OR  = 1.83, p = 0.003) and aged 50–60 years (OR = 2.80, p = 0.05) increases the odds of being in the higher dietary behaviour categories according to the partially proportional odds model (PPOM). These relationships come with various marginal effects. The relationship between the place of residence of participants and dietary behaviour levels is bidirectional at different dietary levels.Conclusions: This study revealed a complex relationship between dietary behaviour levels and their predictors. This relationship should be considered during interventional and further investigations into dietary behaviours.https://www.tandfonline.com/doi/10.1080/16070658.2025.2467850dietary behaviourGhanapolytomous logistic regressionTamale MetropolisTolon District
spellingShingle Kwame Opare-Asamoah
Daniel Edem Kpewou
Jerry Xola Sosu
Vicentia Esinam Degbey
Ezekiel Kofi Vicar
Julius T Dongdem
Saeed F. Majeed
Kwadwo Fosu Antwi
Dietary behaviour among adults in Northern Ghana: a polytomous logistic regression model approach
The South African Journal of Clinical Nutrition
dietary behaviour
Ghana
polytomous logistic regression
Tamale Metropolis
Tolon District
title Dietary behaviour among adults in Northern Ghana: a polytomous logistic regression model approach
title_full Dietary behaviour among adults in Northern Ghana: a polytomous logistic regression model approach
title_fullStr Dietary behaviour among adults in Northern Ghana: a polytomous logistic regression model approach
title_full_unstemmed Dietary behaviour among adults in Northern Ghana: a polytomous logistic regression model approach
title_short Dietary behaviour among adults in Northern Ghana: a polytomous logistic regression model approach
title_sort dietary behaviour among adults in northern ghana a polytomous logistic regression model approach
topic dietary behaviour
Ghana
polytomous logistic regression
Tamale Metropolis
Tolon District
url https://www.tandfonline.com/doi/10.1080/16070658.2025.2467850
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