Factors Influencing Food Choice of Older Black African Adults in the United Kingdom

Background: Research shows Black African communities in the UK maintain bicultural dietary patterns combining Westernised and African practices. However, limited research exists on older African adults, who face complex nutrition challenges owing to interacting social and cultural factors affecting health in later life. This study explored factors influencing food choices among older African adults. Methods: Using Photovoice, an innovative community-based participatory research method, 12 purposively sampled participants were given cameras to photograph their thoughts on eating well and older adults’ health. Semi-structured interviews explored the photos, with thematic analysis conducted on photos and transcripts using an inductive approach. Results: Participants averaged 62 ± 5.4 years; 75% were female, 58.3% married, 41.7% lived with family, 50% held postgraduate degrees, and 66.7% were fully employed. Key determinants included social, emotional, cultural, age-related health conditions, knowledge, accessibility, nutrition perceptions, creativity, adaptation, technology use, convenience, cost, and time. Conclusions: This research provides new insights into how older African adults manage the rich, complicated intersection of cultural identity, health needs to support nutrition in ageing. Further research into adaptive strategies, intersectional solutions on culture, health, sociality and technological innovation is warranted to inform culturally tailored age-sensitive interventions for older African adults.