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Prevalence of daily fruit and vegetable intake by socio-economic characteristics, women’s empowerment, and climate zone: an ecological study in Latin American cities
Journal article   Open access   Peer reviewed

Prevalence of daily fruit and vegetable intake by socio-economic characteristics, women’s empowerment, and climate zone: an ecological study in Latin American cities

Giovanna Valentino, Amy Auchincloss, Binod Acharya, Natalia Tumas, Nancy López-Olmedo, Ana Ortigoza, Mariana Carvalho de Menezes, María Kroker-Lobos and Carolina Nazzal
Journal of nutritional science (Cambridge), v 14, e4
01 Jan 2025
url
https://doi.org/10.1017/jns.2024.93View
Published, Version of Record (VoR)CC BY-NC-ND V4.0 Open

Abstract

Censuses Cities Diet Ecological studies Educational attainment Empowerment Food GDP Gender equity Gross Domestic Product Health surveys Inequality Labor force Per capita Population Variables Women Climate Change Fruits Higher Education Vegetables
This cross-sectional ecological study described fruit and vegetable (F&V) intake variability across 144 cities in 8 Latin American countries and by city-level contextual variables. Data sources came from health surveys and census data (Argentina, Brazil, Chile, Colombia, El Salvador, Guatemala, Mexico, and Peru). Self-reported frequency of F&V intake was harmonised across surveys. Daily F&V intake was considered as consumption 7 d of the week. Using a mixed-effects model, we estimated age and sex-standardised city prevalences of daily F&V intake. Through Kruskal–Wallis tests, we compared city F&V daily intake prevalence by tertiles of city variables related to women’s empowerment, socio-economics, and climate zones. The median prevalence for daily F&V intake was 55.7% across all cities (22.1% to 85.4%). Compared to the least favourable tertile of city conditions, F&V daily intake prevalence was higher for cities within the most favourable tertile of per capita GDP (median = 65.7% vs. 53.0%), labour force participation (median = 68.7% vs. 49.4%), women achievement-labour force score (median = 63.9% vs. 45.7%), and gender inequality index (median = 58.6% vs. 48.6%). Also, prevalences were higher for temperate climate zones than arid climate zones (median = 65.9% vs. 50.6%). No patterns were found by city level of educational attainment, city size, or population density. This study provides evidence that the prevalence of daily F&V intake varies across Latin American cities and may be favoured by higher socio-economic development, women’s empowerment, and temperate weather. Interventions to improve F&V intake in Latin America should consider the behaviour disparities related to underlying local social, economic, and climate zone characteristics.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Nutrition & Dietetics
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