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Do empowered individuals make healthier food choices?:
An experimental analysis of men’s and women’s food choices among
smallholder farming households in Guatemala
Diksha Arora, Pilar Useche, Lucy Cosenza, Jennifer Twyman, Carolina
Gonzalez, Diana Lopera, Elise Talsma
April 3, 2019
Introduction
Objective
Measure food choice decisions of men and women among small-scale
farming households as:
Income varies (what if )
Nutritional information is provided (treatment effect)
Introduction
Introduction to choice experiments
Choice experiments analyze how people make decisions when faced
with various alternatives
The influences leading to a decision can be identified and measured.
For example:
What aspects of a product do consumers value?
How much are they willing to pay for certain characteristics?
Traditional application in food industry, consumer goods, financial
products and healthcare plans.
Introduction
Rationale
Why consider individual food choices?
Preferences/food choices important input in nutritional outcomes of
the household
Understand the determinants of these choices for policy intervention
Why food choice experiment?
Difficult to assess individual food choices in the household by simply
considering consumption data
Methodology
Food choice experiment in Guatemala
Methodology
Data
250 small-scale farming households with couples randomly selected across 2
study sites in Guatemala
WEAI module
Household-level production and consumption data
Food choice experiments with all the participants (N=500)
Labor preference experiment with all the participants (N=500)
Methodology
Scoring food choices - healthy and unhealthy food items
Define healthy and unhealthy food choices using:
WHO nutrient profile classification for food groups
Certain food groups like chocolate and sugar confectionery, energy
drinks etc. are straightforward unhealthy choices
For other food items like cereal, cheese etc., categorization accounts for
sugar, sodium and fat contents in a standard portion size of 100 grams
Methodology
Scoring food choices - members’ nutritional status & per
capita standardization
Categorize all household members’ nutritional status using body mass
index (BMI) - undernourished, normal, overweight and obese.
Using participant’s age & BMI type to calculate adult femle
equivalent (AFE):
E.g. a man in the age group of 30-39 years with normal BMI is 1.25
AFE, while an obese man in the same age group is 1.42 AFE.
Household-level AFE - Sum of AFE’s of the all the HH members
Methodology
Scoring food choices
For each food item and its quantity selected in the experiment -
calculate the total quantity in grams to grams per capita (total QTY/
HH AFE)
Standardize grams per capita of food choice to a 100 gram portion
size → final score of healthy and unhealthy food choices
Results
Descriptives of food choice score
Table: Food choice scores of men and women by treatment effect (received or not
nutritional information
Income level
Treat=1 Treat=0
Men Women t-test Men Women t-test
Food choice score for healthy items
50 9.52 9.68 10.63 9.35
75 13.84 13.44 15.02 12.78 **
100 16.64 17.33 18.2 17.39
Food choice score for unhealthy items
50 1.7 1.71 2.06 1.76
75 2.26 2.56 2.57 2.66
100 3.16 3.03 3.6 3.49
Food choice score for healthy and unhealthy items
50 7.82 7.97 8.56 7.58
75 11.57 10.88 12.44 10.11 **
100 13.47 14.29 14.59 13.89
Results
Correlates of food choice scores
Independent variables Women Men
income=75Q 2.86*** 3.64***
income=100Q 6.46*** 5.74***
Treatment=1 (HH received nutritional information) 2.76*** 0.41
WEAI indicators
Ag decisions disempowerment 0.82 -8.03***
Asset ownership disempowerment 2.3* 3.36*
Credit access disempowerment -0.87 2.72
Income use disempowerment 0.32 -1.17
Group membership disempowerment 1.06 -3.09**
Workload disempowerment 2.19 -1.45
Individual-level controls
Age -0.07** -0.75***
Literacy 1.08** 0.14
Participation in nutritional workshop 1.68** -0.9
Household-level controls
HH size -1.4*** -1.33***
HH food insecurity -1.6** -2.03***
Expenses in non-food items -0.004*** -0.006*
Frequency of market visits(less than weekly) -1.98** -1.32*
Region dummy -0.85 -.21
Results
Summary of results
In this experiment, choices are not discrete.
Participants selected several food items from the choice set and
different quantities of each item
Food choice scores help to standardize the choices in one unit while
taking into account nutrient content of food items
We find strong treatment effect for women’s food choices
Income is strongly and positively correlated with healthier choices
WEAI domain indicators are not highly significant for women’s food
choices
For men adequate empowerment in agricultural decision-making and
group membership is correlated with higher food choice scores
The scores are also correlated with several socio-economic aspects of
the individual and the household.
Results
Next steps
Consider the experiment rounds with a mix of food and non-food
items
Analyze individual choices in conjunction with joint choices conducted
Explore random utility model (RUM) to analyze food choices by
converting scores (continuous numbers) in discrete options
Acknowledgements
Thank you
gender.cgiar.org	
We	 would	 like	 to	 acknowledge	 all	 CGIAR	 Research	 Programs	
and	 Centers	 for	 supporting	 the	 participation	 of	 their	 gender	
scientists	to	the	Seeds	of	Change	conference.	
Photo:	Neil	Palmer/IWMI

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Do empowered individuals make healthier food choices? An experimental analysis of men's and women's food choices among smallholder farming households in Guatemala

  • 1. Do empowered individuals make healthier food choices?: An experimental analysis of men’s and women’s food choices among smallholder farming households in Guatemala Diksha Arora, Pilar Useche, Lucy Cosenza, Jennifer Twyman, Carolina Gonzalez, Diana Lopera, Elise Talsma April 3, 2019
  • 2. Introduction Objective Measure food choice decisions of men and women among small-scale farming households as: Income varies (what if ) Nutritional information is provided (treatment effect)
  • 3. Introduction Introduction to choice experiments Choice experiments analyze how people make decisions when faced with various alternatives The influences leading to a decision can be identified and measured. For example: What aspects of a product do consumers value? How much are they willing to pay for certain characteristics? Traditional application in food industry, consumer goods, financial products and healthcare plans.
  • 4. Introduction Rationale Why consider individual food choices? Preferences/food choices important input in nutritional outcomes of the household Understand the determinants of these choices for policy intervention Why food choice experiment? Difficult to assess individual food choices in the household by simply considering consumption data
  • 6. Methodology Data 250 small-scale farming households with couples randomly selected across 2 study sites in Guatemala WEAI module Household-level production and consumption data Food choice experiments with all the participants (N=500) Labor preference experiment with all the participants (N=500)
  • 7. Methodology Scoring food choices - healthy and unhealthy food items Define healthy and unhealthy food choices using: WHO nutrient profile classification for food groups Certain food groups like chocolate and sugar confectionery, energy drinks etc. are straightforward unhealthy choices For other food items like cereal, cheese etc., categorization accounts for sugar, sodium and fat contents in a standard portion size of 100 grams
  • 8. Methodology Scoring food choices - members’ nutritional status & per capita standardization Categorize all household members’ nutritional status using body mass index (BMI) - undernourished, normal, overweight and obese. Using participant’s age & BMI type to calculate adult femle equivalent (AFE): E.g. a man in the age group of 30-39 years with normal BMI is 1.25 AFE, while an obese man in the same age group is 1.42 AFE. Household-level AFE - Sum of AFE’s of the all the HH members
  • 9. Methodology Scoring food choices For each food item and its quantity selected in the experiment - calculate the total quantity in grams to grams per capita (total QTY/ HH AFE) Standardize grams per capita of food choice to a 100 gram portion size → final score of healthy and unhealthy food choices
  • 10. Results Descriptives of food choice score Table: Food choice scores of men and women by treatment effect (received or not nutritional information Income level Treat=1 Treat=0 Men Women t-test Men Women t-test Food choice score for healthy items 50 9.52 9.68 10.63 9.35 75 13.84 13.44 15.02 12.78 ** 100 16.64 17.33 18.2 17.39 Food choice score for unhealthy items 50 1.7 1.71 2.06 1.76 75 2.26 2.56 2.57 2.66 100 3.16 3.03 3.6 3.49 Food choice score for healthy and unhealthy items 50 7.82 7.97 8.56 7.58 75 11.57 10.88 12.44 10.11 ** 100 13.47 14.29 14.59 13.89
  • 11. Results Correlates of food choice scores Independent variables Women Men income=75Q 2.86*** 3.64*** income=100Q 6.46*** 5.74*** Treatment=1 (HH received nutritional information) 2.76*** 0.41 WEAI indicators Ag decisions disempowerment 0.82 -8.03*** Asset ownership disempowerment 2.3* 3.36* Credit access disempowerment -0.87 2.72 Income use disempowerment 0.32 -1.17 Group membership disempowerment 1.06 -3.09** Workload disempowerment 2.19 -1.45 Individual-level controls Age -0.07** -0.75*** Literacy 1.08** 0.14 Participation in nutritional workshop 1.68** -0.9 Household-level controls HH size -1.4*** -1.33*** HH food insecurity -1.6** -2.03*** Expenses in non-food items -0.004*** -0.006* Frequency of market visits(less than weekly) -1.98** -1.32* Region dummy -0.85 -.21
  • 12. Results Summary of results In this experiment, choices are not discrete. Participants selected several food items from the choice set and different quantities of each item Food choice scores help to standardize the choices in one unit while taking into account nutrient content of food items We find strong treatment effect for women’s food choices Income is strongly and positively correlated with healthier choices WEAI domain indicators are not highly significant for women’s food choices For men adequate empowerment in agricultural decision-making and group membership is correlated with higher food choice scores The scores are also correlated with several socio-economic aspects of the individual and the household.
  • 13. Results Next steps Consider the experiment rounds with a mix of food and non-food items Analyze individual choices in conjunction with joint choices conducted Explore random utility model (RUM) to analyze food choices by converting scores (continuous numbers) in discrete options
  • 14. Acknowledgements Thank you gender.cgiar.org We would like to acknowledge all CGIAR Research Programs and Centers for supporting the participation of their gender scientists to the Seeds of Change conference. Photo: Neil Palmer/IWMI