Factors Associated with Cheese Selection among Adults in Kampala and Kumi Uganda

Abstract Background Cheese remains a relatively minor component of dairy consumption in Uganda, and evidence on cheese-related knowledge, attitudes, perceptions, and consumption across locations and age cohorts is limited. This study examined cheese consumption and related characteristics among adults in Kampala and Kumi, Uganda. Methods A cross-sectional analytical survey was conducted among 384 adults, with 192 respondents allocated to each location and 64 to each of three age cohorts within each location. Data were collected using a structured questionnaire through KoboToolbox. Analyses included chi-square, Kruskal–Wallis, Mann–Whitney U, Holm-adjusted comparisons, and internal-consistency assessment. The multivariable outcome was selection of cheese in a multiple-response dairy-product consumption item. Results In the complete-case regression analysis (n = 242), 97 respondents selected cheese and 145 did not. After adjustment, monthly household income below UGX 100,000 versus UGX 100,000–300,000 (aOR = 6.29, 95% CI 1.90–20.88, p = 0.003), urban versus rural residence (aOR = 0.09, 95% CI 0.04–0.22, p < 0.001), and higher knowledge scores (aOR = 1.50 per one-point increase, 95% CI 1.24–1.81, p < 0.001) were associated with cheese selection. Age, sex, marital status, household size, education, attitudes, and perceptions were not statistically significant. Attitudes and perceptions were generally favourable, while affordability was the most strongly endorsed perceived barrier. Conclusions Cheese selection in Kampala and Kumi was associated with location, household income category, and cheese knowledge after adjustment. These cross-sectional findings represent associations rather than causal effects.