Evidence map›Paper›PMID 39898692›Full record

ArticleGlobal health action2025

Drivers of food acquisition practices among adolescents in suburban food environments of Lao People's Democratic Republic.

Thidatheb Kounnavong, Miho Sato, Christopher Turner, Elaine Ferguson, Hongkham Xayavong, Manithong Vonglokham, Sharon E Cox, Junko Okumura, Kazuhiko Moji

Abstract read
In one paragraph

Article in Global health action, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Thidatheb KounnavongSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.ORCID 0009-0007-5614-6147
Miho SatoSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.ORCID 0000-0002-5220-1715
Christopher TurnerFood and Markets Department, Natural Resources Institute, University of Greenwich, London, UK.ORCID 0000-0002-8091-1108
Elaine FergusonDepartment of Population Health, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0003-4673-5128
Hongkham XayavongDepartment of Coordination and Research Information Management, Lao Tropical and Public Health Institute, Vientiane, Lao PDR.
Manithong VonglokhamDepartment of Health Policy and Health System Research, Lao Tropical and Public Health Institute, Vientiane, Lao PDR.
Sharon E CoxSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.ORCID 0000-0002-9908-2936
Junko OkumuraDepartment of Eco-epidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.ORCID 0000-0002-1744-7824
Kazuhiko MojiSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDietary shifts among adolescents in low- and middle-income countries are exacerbating the double burden of malnutrition. Understanding the drivers of adolescent food acquisition and consumption practices and their lived experiences of the food environment is crucial for the effective development of targeted interventions and policies.

objectiveTo explore drivers of food acquisition and consumption practices among adolescents from two suburban schools in the food environments of Phonhong District, Lao People's Democratic Republic.

methodsWe implemented a Qualitative-Geographical Information System methodology, featuring participatory photography, follow-up photo-elicitation interviews and focus group discussions with 30 adolescents from April to July 2022. Thematic analysis triangulated key themes from photos, maps, and transcripts.

resultsDrivers of food acquisition and consumption included interactions across external, interpersonal, and intrapersonal domains. The six key themes were food availability and accessibility, product properties and convenience, peers and social media, caregivers and household practices, affordability, desirability, and autonomy, and perceptions, beliefs, and social norms. Consumption of ultra-processed foods was driven by the availability and accessibility of these affordable products in schools. By contrast, consumption of fruits and vegetables was driven by parental food practices at home.

conclusionA comprehensive multi-scalar approach is required to improve adolescent diets and nutrition in the suburban food environment of Lao PDR. This includes restricting the sale of ultra-processed foods in schools, promoting home gardening, increasing caregivers' awareness and engagement with adolescents about the benefits of healthy food choices, and leveraging social media to encourage healthy eating behaviors.

Indexed as

DietFeeding BehaviorFood SupplySuburban PopulationAdolescentFemaleFocus GroupsHumansLaosMaleQualitative ResearchSoutheast Asian PeopleAdolescentsfood environmentsfruit and vegetableshealthy eatingultra-processed foods

Identifiers

PMID39898692
PMCPMC11792158

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.