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Journal article
Disparities in food consumption between economically segregated urban neighbourhoods
Public health nutrition, v 23(3), pp 525-537
Feb 2020
PMID: 31839024
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To examine associations between economic residential segregation and prevalence of healthy and unhealthy eating markers.
Cross-sectional. A stratified sample was selected in a three-stage process. Prevalence of eating markers and their 95 % CI were estimated according to economic residential segregation: high (most segregated); medium (integrated) and low (less segregated or integrated). Segregation was measured at the census tract and assessed using the Getis-Ord local $G_i^{\rm{\ast}}$ statistic based on the proportion of heads of household in a neighbourhood earning a monthly income of 0-3 minimum wages. Binary logistic regression using generalized estimating equations were used to model the associations.
Belo Horizonte, Brazil.
Adults (n 1301) residing in the geographical environment (178 census tracts) of ten units of the Brazilian primary-care service known as the Health Academy Program.
Of the 1301 participants, 27·7 % lived in highly segregated neighbourhoods, where prevalence of regular consumption of fruit was lower compared with more affluent areas (34·6 v. 53·2 %, respectively). Likewise, regular consumption of vegetables (70·1 v. 87·6 %), fish (23·6 v. 42·3 %) and replacement of lunch or dinner with snacks (0·8 v. 4·7 %) were lower in comparison to more affluent areas. In contrast, regular consumption of beans was higher (91·0 v. 79·5 %). The associations of high-segregated neighbourhood with consumption of vegetables (OR = 0·62; 95 % CI 0·39, 0·98) and beans (OR = 1·85; 95 % CI 1·07, 3·19) remained significant after adjustments.
Economic residential segregation was associated with healthy eating markers even after adjustments for individual-level factors and perceived food environment.
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Details
- Title
- Disparities in food consumption between economically segregated urban neighbourhoods
- Creators
- Mariana Souza Lopes - Observatório de Saúde Urbana de Belo Horizonte, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Av. Alfredo Balena 190, Centro, Belo Horizonte, MG 30130-100, Brazil.Waleska Teixeira Caiaffa - Observatório de Saúde Urbana de Belo Horizonte, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Av. Alfredo Balena 190, Centro, Belo Horizonte, MG 30130-100, Brazil.Amanda Cristina de Souza Andrade - Observatório de Saúde Urbana, Universidade Federal de Mato Grosso, Cuiabá, MT, BrazilDeborah Carvalho Malta - Universidade Federal de Minas GeraisSharrelle Barber - Drexel UniversityAmélia Augusta de Lima Friche - Observatório de Saúde Urbana de Belo Horizonte, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Av. Alfredo Balena 190, Centro, Belo Horizonte, MG 30130-100, Brazil
- Publication Details
- Public health nutrition, v 23(3), pp 525-537
- Publisher
- Cambridge University Press
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000513208400015
- Scopus ID
- 2-s2.0-85076994651
- Other Identifier
- 991019167985404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Nutrition & Dietetics
- Public, Environmental & Occupational Health