Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
Differential access to healthy foods has been hypothesized to contribute to health disparities, but evidence from low and middle-income countries is still scarce. This study examines whether the access of healthy foods varies across store types and neighborhoods of different socioeconomic statuses (SES) in a large Brazilian city. A cross-sectional study was conducted in 2010-2011 across 52 census tracts. Healthy food access was measured by a comprehensive in-store data collection, summarized into two indexes developed for retail food stores (HFSI) and restaurants (HMRI). Descriptive analyses and multilevel models were used to examine associations of store type and neighborhood SES with healthy food access. Fast food restaurants were more likely to be located in low SES neighborhoods whereas supermarkets and full service restaurants were more likely to be found in higher SES neighborhoods. Multilevel analyses showed that both store type and neighborhood SES were independently associated with in-store food measures. We found differences in the availability of healthy food stores and restaurants in Sao Paulo city favoring middle and high SES neighborhoods. (C) 2013 Elsevier Ltd. All rights reserved.
Neighborhood socioeconomic characteristics and differences in the availability of healthy food stores and restaurants in Sao Paulo, Brazil
Creators
Ana Clara Duran - University of Sao Paulo
Ana V. Diez Roux - Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights Ann Arbor, MI 48109-2029, USA
Maria do Rosario D. O. Latorre - University of Sao Paulo
Patricia Constante Jaime - University of Sao Paulo
Publication Details
Health & place, v 23, pp 39-47
Publisher
Elsevier
Number of pages
9
Grant note
4180-11-9 / Coordenadoria de ApoioaoCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES); Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)
2009/17517-0 / FAPESP; Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)
R03 5R03 TW008105 / Fogarty Brazil
2009/02279-7 / Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)
559517/2010-6; 476881/2010-2 / Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq); Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPQ)
R03TW008105 / FOGARTY INTERNATIONAL CENTER; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Fogarty International Center (FIC)
Resource Type
Journal article
Language
English
Academic Unit
Urban Health Collaborative; Drexel University
Web of Science ID
WOS:000324036800006
Scopus ID
2-s2.0-84878777076
Other Identifier
991020112024904721
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