Department of Human Ecology
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Item Dietary patterns and colorectal cancer risk in Zimbabwe: A population based case-control study(Elsevier, 2018) Katsidzira, Leolin; Laubscher, Ria; Gangaidzo, Innocent T.; Swart, Rina; Makunike-Mutasa, Rudo; Manyanga, Tadios; Thomson, Sandie; Ramesar, Raj; Matenga, Jonathan A.; Rusakaniko, SimbarasheBACKGROUND: The rising incidence of colorectal cancer in sub-Saharan Africa may be partly caused by changing dietary patterns. We sought to establish the association between dietary patterns and colorectal cancer in Zimbabwe. METHODS: One hundred colorectal cancer cases and 200 community-based controls were recruited. Data were collected using a food frequency questionnaire, and dietary patterns derived by principal component analysis. Generalised linear and logistic regression models were used to assess the associations between dietary patterns, participant characteristics and colorectal cancer. RESULTS: Three main dietary patterns were identified: traditional African, urbanised and processed food. The traditional African diet appeared protective against colorectal cancer (Odds Ratio (OR) 0.35; 95% Confidence Interval (CI), 0.21 – 0.58), which had no association with the urban (OR 0.68; 95% CI, 0.43–1.08), or processed food (OR 0.91; 0.58–1.41) patterns. The traditional African diet was associated with rural domicile, (OR 1.26; 95% CI, 1.00–1.59), and a low income (OR1.48; 95% CI, 1.06–2.08). The urbanised diet was associated with urban domicile (OR 1.70; 95% CI, 1.38–2.10), secondary (OR 1.30; 95% CI, 1.07–1.59) or tertiary education (OR 1.48; 95% CI, 1.11–1.97), and monthly incomes of $201–500 (OR 1.30; 95% CI, 1.05–1.62), and the processed food pattern with tertiary education (OR 1.42; 95% CI, 1.05–1.92), and income > $1000/month (OR 1.48; 95% CI, 1.02–2.15). CONCLUSION: A shift away from protective, traditional African dietary patterns may partly explain the rising incidence of colorectal cancer in sub-Saharan Africa.Item Upscaling agriculture and food security in Africa in pursuit of the SDGs: What role does China play?(Springer Nature, Cham, 2020) May, Julian; Marafa, Lawal; Tenebe, Vincent AdoChina and Africa constitute more than a third of the world’s population and China has become Africa’s largest trading partner. This has led to other forms of engagement with African countries, shaping development policies and outcomes. This chapter focuses on one important set of outcomes: the implications of the China-Africa relationship for global food security and the transferability of the Chinese model of agriculture to African countries. As the world redirects attention to pursuing sustainable development goals (SDGs), such engagements with China in agricultural development will affect the attainment of SDG 1 on eliminating extreme poverty and SDG 2 on achieving zero hunger. China has embarked on an effort to improve African agricultural capacity and productivity partly by sharing experience, technology transfer and by encouraging Chinese agricultural investments in Africa. This has included setting up new exchange frameworks and programmes to both bring Chinese experts to African countries and African students and researchers to China.Item Water, sanitation and hygiene (WASH) in sub-Saharan Africa and associations with undernutrition, and governance in children under five years of age: A systematic review(Cambridge University Press, 2021) Momberg, D.J; Ngandu, B.C; Voth-Gaeddert, L.EAssociations between different forms of malnutrition and environmental conditions, including water, sanitation and hygiene (WASH), may contribute towards persistently poor child health, growth and cognitive development. Experiencing poor nutrition in utero or during early childhood is furthermore associated with chronic diseases later in life. The primary responsibility for provision of water and sanitation, as a basic service and human right, lies with the State; however, a number of stakeholders are involved. The situation is most critical in sub-Saharan Africa (SSA), where, in 2015, 311 million people lacked a safe water source, and >70% of SSA populations were living without adequate sanitation. The aim of this paper was to conduct a systematic review to investigate the state of literature concerned with WASH and its association with nutritional status, and governance in children from birth to 5 years of age in SSA. Articles were sourced from PubMed Central, Science Direct and ProQuest Social Science databases published between 1990 and 2017. The PRISMA Statement was utilised and this systematic review is registered with PROSPERO (CRD42017071700).