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Title: Does access to healthy food vary according to socioeconomic status and to food store type? : an ecologic study.
Authors: Costa, Bruna Vieira de Lima
Menezes, Mariana Carvalho de
Oliveira, Cláudia Di Lorenzo
Mingoti, Sueli Aparecida
Jaime, Patricia Constante
Caiaffa, Waleska Teixeira
Lopes, Aline Cristine Souza
Keywords: Commercial sectors
Urban health
Environment and public health
Socioeconomic factors
Issue Date: 2019
Citation: COSTA, B. V. de L. et al. Does access to healthy food vary according to socioeconomic status and to food store type?: an ecologic study. BMC Public Health, v. 19, artigo 775, 2019. Disponível em: <,7%2C8%2C9%5D.>. Acesso em: 11 out. 2022.
Abstract: Background: The food environment can influence opportunities and barriers to food access. This study aimed to investigate whether access to healthy foods varies according to store types and the socioeconomic status of the users of the public health promotion program in Brazil, known as the Health Academy Program. Methods: A total of 18 Health Academy Program centers were selected via simple conglomerate sampling. Health Academy Program users living up to 1 km from the food stores were evaluated (n = 2831). Their socioeconomic status was investigated via face-to-face interviews. The food stores were audited through direct observation. Variables included the community nutrition environment (type and location) and consumer nutrition environment (healthy food store index, involving variables such as availability, variety, and advertising of healthy and unhealthy products). Multiple linear regression analysis was performed to examine the association between access to healthy foods, socioeconomic status, and food store type. Results: A total of 336 stores were investigated. The majority were specialty fruit and vegetable markets/stores or open-air food markets. Access to healthy food was only associated with the food store type. An increase of 1% in the availability of specialized fruits and vegetable markets or open-air food markets and supermarket raised healthy food store index values by 0.12 and 0.07, respectively. Conclusions: Public food supply policies aimed at improving the diet quality of the population and reducing inequality in access should prioritize the implementation of stores of better quality, such as specialty fruit and vegetable markets and open-air food markets.
ISSN: 1471-2458
metadata.dc.rights.license: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. Fonte: o PDF do artigo.
Appears in Collections:DENCS - Artigos publicados em periódicos

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