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Diets are changing globally, as agricultural and food systems have become globalised. Understanding how patterns of globalisation affect welfare is a key development question, but we know little about the way that the globalisation of food systems impacts different groups. This study explores food security and consumption among schoolchildren in Accra. We use a novel approach based on triangulation of primary data on food consumption and a synthesis of secondary literature on food trade, policy and urban food environment. Thus, we bridge a divide between micro-level analyses of food consumption and macro-level studies of food systems. We find that socio-economic status is a critical dimension, with poorer children more vulnerable to food insecurity and narrow dietary diversity. However, the consumption of packaged and processed foods, often sugar-rich and nutrient-poor, cuts across wealth groups. We …