The food environment in favelas is associated with the presence of arterial hypertension and diabetes in socially vulnerable women
Abstract Objective: To evaluate the relationship between the food environment in favelas and the presence of arterial hypertension and diabetes among women in the context of social vulnerability. Design: A cross-sectional and partially ecological population-based study was conducted in a Brazili...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
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| Series: | Public Health Nutrition |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980025000175/type/journal_article |
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| author | Luiz Gonzaga Ribeiro Silva-Neto Risia Cristina Egito de Menezes Juliana Souza Oliveira Nathalia Paula de Souza Thays Lane Ferreira dos Santos Telma Maria de Menezes Toledo Florêncio |
| author_facet | Luiz Gonzaga Ribeiro Silva-Neto Risia Cristina Egito de Menezes Juliana Souza Oliveira Nathalia Paula de Souza Thays Lane Ferreira dos Santos Telma Maria de Menezes Toledo Florêncio |
| author_sort | Luiz Gonzaga Ribeiro Silva-Neto |
| collection | DOAJ |
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Abstract
Objective:
To evaluate the relationship between the food environment in favelas and the presence of arterial hypertension and diabetes among women in the context of social vulnerability.
Design:
A cross-sectional and partially ecological population-based study was conducted in a Brazilian capital city. The healthiness and availability of ultra-processed foods in the food environment were assessed through retailer audits using the AUDITNOVA instrument. The presence of diabetes and arterial hypertension was evaluated based on self-reported prior medical diagnosis. Logistic regression models were applied using generalized estimating equations, adjusted for age, education, race/skin color, and poverty status.
Participants:
1,882 adult women of reproductive age (20 to 44 years).
Results:
It was found that 10.9% of women were hypertensive, and 3.2% had diabetes. The likelihood of having diabetes and arterial hypertension decreases with higher levels of healthiness in the food environment (Diabetes [OR: 0.25; 95% CI: 0.07, 0.97]/Arterial hypertension [OR: 0.45; 95% CI: 0.24, 0.81]) and increases with greater availability of ultra-processed foods in their living area (Diabetes [OR: 2.18; 95% CI: 1.13, 4.21]/Arterial hypertension [OR: 1.64; 95% CI: 1.09, 2.47]).
Conclusions:
These results suggest that characteristics of the consumer food environment have a significant effect on the occurrence of chronic diseases among socially vulnerable women, adding to the existing evidence in the literature and highlighting the need for integrated health care.
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| format | Article |
| id | doaj-art-f787f511acbb49b39a36622a70475895 |
| institution | Kabale University |
| issn | 1368-9800 1475-2727 |
| language | English |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj-art-f787f511acbb49b39a36622a704758952025-02-03T12:01:34ZengCambridge University PressPublic Health Nutrition1368-98001475-272712410.1017/S1368980025000175The food environment in favelas is associated with the presence of arterial hypertension and diabetes in socially vulnerable womenLuiz Gonzaga Ribeiro Silva-Neto0https://orcid.org/0000-0002-1003-9836Risia Cristina Egito de Menezes1Juliana Souza Oliveira2https://orcid.org/0000-0003-1449-8930Nathalia Paula de Souza3Thays Lane Ferreira dos Santos4Telma Maria de Menezes Toledo Florêncio5Programa de Pós-Graduação em Nutrição, Escola Paulista de Medicina, Universidade Federal de São Paulo. R. Botucatu, 740. Vila Clementino, São Paulo – SP, Brasil, 04023-062.Programa de Pós-Graduação em Nutrição, Faculdade de Nutrição, Universidade Federal de Alagoas. Avenida Lourival Melo Mota, s/n. Tabuleiro dos Martins, Maceió – AL, Brasil, CEP: 57072- 900.Curso de Nutrição, Centro Acadêmico de Vitória, Universidade Federal de Pernambuco. Rua Alto do Reservatório, s/n. Alto José Leal, Vitória de Santo Antão - PE, Brasil, CEP: 55608-680.Curso de Nutrição, Centro Acadêmico de Vitória, Universidade Federal de Pernambuco. Rua Alto do Reservatório, s/n. Alto José Leal, Vitória de Santo Antão - PE, Brasil, CEP: 55608-680.Programa de Pós-Graduação em Nutrição, Escola Paulista de Medicina, Universidade Federal de São Paulo. R. Botucatu, 740. Vila Clementino, São Paulo – SP, Brasil, 04023-062.Programa de Pós-Graduação em Nutrição, Escola Paulista de Medicina, Universidade Federal de São Paulo. R. Botucatu, 740. Vila Clementino, São Paulo – SP, Brasil, 04023-062. Programa de Pós-Graduação em Nutrição, Faculdade de Nutrição, Universidade Federal de Alagoas. Avenida Lourival Melo Mota, s/n. Tabuleiro dos Martins, Maceió – AL, Brasil, CEP: 57072- 900. Abstract Objective: To evaluate the relationship between the food environment in favelas and the presence of arterial hypertension and diabetes among women in the context of social vulnerability. Design: A cross-sectional and partially ecological population-based study was conducted in a Brazilian capital city. The healthiness and availability of ultra-processed foods in the food environment were assessed through retailer audits using the AUDITNOVA instrument. The presence of diabetes and arterial hypertension was evaluated based on self-reported prior medical diagnosis. Logistic regression models were applied using generalized estimating equations, adjusted for age, education, race/skin color, and poverty status. Participants: 1,882 adult women of reproductive age (20 to 44 years). Results: It was found that 10.9% of women were hypertensive, and 3.2% had diabetes. The likelihood of having diabetes and arterial hypertension decreases with higher levels of healthiness in the food environment (Diabetes [OR: 0.25; 95% CI: 0.07, 0.97]/Arterial hypertension [OR: 0.45; 95% CI: 0.24, 0.81]) and increases with greater availability of ultra-processed foods in their living area (Diabetes [OR: 2.18; 95% CI: 1.13, 4.21]/Arterial hypertension [OR: 1.64; 95% CI: 1.09, 2.47]). Conclusions: These results suggest that characteristics of the consumer food environment have a significant effect on the occurrence of chronic diseases among socially vulnerable women, adding to the existing evidence in the literature and highlighting the need for integrated health care. https://www.cambridge.org/core/product/identifier/S1368980025000175/type/journal_articlePovertyfavelachronic diseaseshypertensiondiabetes |
| spellingShingle | Luiz Gonzaga Ribeiro Silva-Neto Risia Cristina Egito de Menezes Juliana Souza Oliveira Nathalia Paula de Souza Thays Lane Ferreira dos Santos Telma Maria de Menezes Toledo Florêncio The food environment in favelas is associated with the presence of arterial hypertension and diabetes in socially vulnerable women Public Health Nutrition Poverty favela chronic diseases hypertension diabetes |
| title | The food environment in favelas is associated with the presence of arterial hypertension and diabetes in socially vulnerable women |
| title_full | The food environment in favelas is associated with the presence of arterial hypertension and diabetes in socially vulnerable women |
| title_fullStr | The food environment in favelas is associated with the presence of arterial hypertension and diabetes in socially vulnerable women |
| title_full_unstemmed | The food environment in favelas is associated with the presence of arterial hypertension and diabetes in socially vulnerable women |
| title_short | The food environment in favelas is associated with the presence of arterial hypertension and diabetes in socially vulnerable women |
| title_sort | food environment in favelas is associated with the presence of arterial hypertension and diabetes in socially vulnerable women |
| topic | Poverty favela chronic diseases hypertension diabetes |
| url | https://www.cambridge.org/core/product/identifier/S1368980025000175/type/journal_article |
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