title: Determinants, Health Problems, and Food Insecurity in Urban Areas of the Largest City in Cape Verde.
abstract: Urbanization processes are intertwined with nutritional transition because there is easier access to food of low nutritional quality at reduced prices, changing dietary patterns and leading to an increase of non-communicable chronic diseases. This study aims to understand the perceptions for high blood pressure, obesity, and alcoholism, describing some interactions of these dimensions in the problem of food security in the city of Praia. A qualitative study was carried out under the framework of the research project "UPHI-STAT: Urban Planning and Health Inequalities-moving from macro to micro statistics". Ten focus groups were conducted in three urban areas with distinct characteristics in the city of Praia, with a total of 48 participants. Participants reported frequent consumption of foods with poor nutritional quality, understanding the potential danger in terms of food security in the city of Praia. Easy access to and high levels of alcohol consumption, and poor quality of traditional drinks were mentioned by participants in the study areas. The impact of the economic situation on the possibility of access to safe and healthy options emerged as a differentiating factor.
authors.affiliation: Unidade de Saúde Pública e Bioestatística and Global Health and Tropical Medicine, GHTM, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, Lisboa 1349-008, Portugal. isabelc@ihmt.unl.pt.
authors.forename: Isabel
authors.initials: I
authors.lastname: Craveiro
authors.affiliation: Unidade de Saúde Pública e Bioestatística, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, Lisboa 1349-008, Portugal. daniela.alves@ihmt.unl.pt.
authors.forename: Daniela
authors.initials: D
authors.lastname: Alves
authors.affiliation: Departamento de Engenharia Cívil, Arquitetura e Georecursos, Instituto Superior Técnico, Universidade de Lisboa, Lisboa 1049-001, Portugal. miguelpamado@tecnico.ulisboa.pt.
authors.forename: Miguel
authors.initials: M
authors.lastname: Amado
authors.affiliation: Unidade de Saúde Pública e Bioestatística, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, Lisboa 1349-008, Portugal. d2010058@ihmt.unl.pt.
authors.forename: Zélia
authors.initials: Z
authors.lastname: Santos
authors.affiliation: Instituto Nacional de Saúde Pública, Ministério da Saúde, Praia 719, Cabo Verde. argentina.fortes@insp.gov.cv.
authors.forename: Argentina Tomar
authors.initials: AT
authors.lastname: Fortes
authors.affiliation: Direção Nacional da Saúde, Ministério da Saúde, Praia 47, Cabo Verde. Antonio.Delgado@ms.gov.cv.
authors.forename: António Pedro
authors.initials: AP
authors.lastname: Delgado
authors.affiliation: Comité de Coordenação Combate à Sida, CCS-SIDA, Ministério da Saúde, Praia 855, Cabo Verde. Artur.Correia@ccssida.gov.cv.
authors.forename: Artur
authors.initials: A
authors.lastname: Correia
authors.affiliation: Unidade de Saúde Pública e Bioestatística, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, Lisboa 1349-008, Portugal. luziag@ihmt.unl.pt.|Centro de Estatística e Aplicações da Universidade de Lisboa, Lisboa 1749-016, Portugal. luziag@ihmt.unl.pt.
authors.forename: Luzia
authors.initials: L
authors.lastname: Gonçalves
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000523:psychology*; D055726:Cabo Verde; D002947:Cities; D005260:Female; D017144:Focus Groups; D059022:Food Safety; D005523:Food Supply / Q000191:economics; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006973:Hypertension / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D009753:Nutritive Value; D009765:Obesity / Q000523:psychology*; D010465:Perception; D055815:Young Adult
keywords: Africa; food security; social determinants; urban health