Journal article
Individual and food environmental factors: association with diet
Public health nutrition, v 21(15), pp 2782-2792
01 Oct 2018
PMID: 29976270
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: To examine the associations of individual and food environmental factors with fruit and vegetable (F&V) intake in a city in a low-to-middle-income country (LMIC).
Design: Cross-sectional.
Setting: Representative sample of the Brazilian Primary Care service known as the Health Academy Program (HAP) in Belo Horizonte, a Brazilian city.
Subjects: Using a conceptual model as a guide, individual and food environment data were obtained through: (i) face-to-face interviews with participants aged 20 years or older; and (ii) F&V food store audits. A broad set of individual, household, and community and consumer nutrition environment variables was investigated. Multilevel linear regression was used to quantify area-level variations in F&V intake and to estimate associations with the factors.
Results: Eighteen HAP centres were selected and 2944 participants and 336 food stores were included. F&V intake varied between contexts, being higher in areas with better socio-economic conditions and food store quality, such as specialised F&V markets. Individual-level factors, including age, income, food insecurity, stage of change, self-efficacy and decisional balance, were significantly associated with F&V intake. After controlling for individual-level characteristics, greater F&V intake was also associated with higher quality of food stores.
Conclusions: In one of the first studies to comprehensively assess the food environment in an LMIC, individual-level factors accounted for the largest variation in F&V intake; however, the food environment was also important, because area-level variables explained 10.5% of the F&V intake variation. The consumer nutrition environment was more predictive of healthy eating than was the community nutrition environment. The findings suggest new possibilities for interventions.
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Details
- Title
- Individual and food environmental factors: association with diet
- Creators
- Mariana Carvalho de Menezes - Universidade Federal de Minas GeraisAna Victoria Diez Roux - Drexel UniversityBruna Vieira de Lima Costa - Universidade Federal de Minas GeraisAline Cristine Souza Lopes - Univ Fed Minas Gerais, Nursing Sch, Dept Nutr, Ave Alfredo Balena 190,Room 316, BR-30130100 Belo Horizonte, MG, Brazil
- Publication Details
- Public health nutrition, v 21(15), pp 2782-2792
- Publisher
- Cambridge Univ Press
- Number of pages
- 11
- Grant note
- 476686/2013-0 / Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq); Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPQ) PQ-033376-12; 21618/2013; PPM-00254-15 / Fundacao de Amparo a Pesquisa de Minas Gerais (FAPEMIG); Fundacao de Amparo a Pesquisa do Estado de Minas Gerais (FAPEMIG)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000444550800009
- Scopus ID
- 2-s2.0-85049564463
- Other Identifier
- 991019168838504721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Nutrition & Dietetics
- Public, Environmental & Occupational Health