International journal of environmental research and public health · 2026
Factors Influencing Water and Sweet Beverage Purchasing Decisions and Behaviours Among Low-Income Households in Four Peri-Urban Communities in Accra: An Exploratory Study.
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Amegah Christopher Delali, Odei Obeng-Amoako Gloria Adobea, Ng Shu Wen, Lambon-Quayefio Monica, Adu-Afarwuah Seth
Аннотация
BACKGROUND: In May 2023, Ghana implemented a 20% ad valorem tax on bottled water and sweet beverages (SBs), replacing a 17.5% tax; sachet water remained untaxed. The effect on low-income consumers' purchasing decisions and consumption patterns remains poorly understood.
OBJECTIVE: We aimed to explore factors influencing water and SB purchasing behaviours among low-income households in four peri-urban Accra communities.
METHODS: This study employed a convergent parallel mixed-methods design. Four focus group discussions (n = 36) and a cross-sectional survey (n = 43) were conducted among purposively sampled household primary shoppers in early 2025 across Oyarifa, Teiman, Kweiman, and Danfa. Data were analysed thematically and descriptively.
RESULTS: Of 43 participants, 67% were female and 65% had junior high school education. Water insecurity was common (60%), and sachet water was the main drinking source (77%). SB purchasing was driven by taste and convenience, while sachet water choices were linked to perceived safety, price, and availability. Tax awareness was moderate (56%); many perceived bottled water taxation as unfair and reported intentions to switch to cheaper local alternatives.
CONCLUSIONS: Limited tax awareness and perceived inequities suggest the need for policy refinements to better align fiscal measures with public health objectives.
OBJECTIVE: We aimed to explore factors influencing water and SB purchasing behaviours among low-income households in four peri-urban Accra communities.
METHODS: This study employed a convergent parallel mixed-methods design. Four focus group discussions (n = 36) and a cross-sectional survey (n = 43) were conducted among purposively sampled household primary shoppers in early 2025 across Oyarifa, Teiman, Kweiman, and Danfa. Data were analysed thematically and descriptively.
RESULTS: Of 43 participants, 67% were female and 65% had junior high school education. Water insecurity was common (60%), and sachet water was the main drinking source (77%). SB purchasing was driven by taste and convenience, while sachet water choices were linked to perceived safety, price, and availability. Tax awareness was moderate (56%); many perceived bottled water taxation as unfair and reported intentions to switch to cheaper local alternatives.
CONCLUSIONS: Limited tax awareness and perceived inequities suggest the need for policy refinements to better align fiscal measures with public health objectives.