Influence of food environment on ultra-processed drinks consumption among an economically vulnerable population in a metropolitan area in Brazil: A multilevel analysis

Risia Cristina Egito de Menezes; Juliana Souza Oliveira; Ricardo Almendra; Pedro Israel Cabral de Lira; Emília Chagas Costa; Vanessa Sá Leal; Paula Santana

doi:10.1016/j.healthplace.2022.102869

Influence of food environment on ultra-processed drinks consumption among an economically vulnerable population in a metropolitan area in Brazil: A multilevel analysis

Health Place. 2022 Sep:77:102869. doi: 10.1016/j.healthplace.2022.102869. Epub 2022 Aug 3.

Authors

Risia Cristina Egito de Menezes¹, Juliana Souza Oliveira², Ricardo Almendra³, Pedro Israel Cabral de Lira⁴, Emília Chagas Costa⁵, Vanessa Sá Leal⁶, Paula Santana⁷

Affiliations

¹ College of Nutrition, Federal University of Alagoas, Brazil. Electronic address: risia.menezes@fanut.ufal.br.
² Nutrition Unit, Vitória Academic Center, Federal University of Pernambuco, Brazil. Electronic address: juliana.souzao@ufpe.br.
³ Centre of Studies in Geography and Spatial Planning, University of Coimbra, Portugal; Department of Geography and Turism, University of Coimbra, Portugal. Electronic address: ricardoalmendra85@gmail.com.
⁴ Center for Health Sciences, Department of Nutrition, Federal University of Pernambuco, Brazil. Electronic address: pedro.clira@ufpe.br.
⁵ Physical Education and Sports Science Unit, Vitória Academic Center, Federal University of Pernambuco, Brazil. Electronic address: emilia.costa@ufpe.br.
⁶ Nutrition Unit, Vitória Academic Center, Federal University of Pernambuco, Brazil. Electronic address: vanessa.leal@ufpe.br.
⁷ Centre of Studies in Geography and Spatial Planning, University of Coimbra, Portugal; Department of Geography and Turism, University of Coimbra, Portugal. Electronic address: paulasantana.coimbra@gmail.com.

PMID: 35932598
DOI: 10.1016/j.healthplace.2022.102869

Abstract

Ultra-processed drinks (UPDs) consumption is increasing, and this intake has been associated with the risk of illness and death. Data on individuals (n = 430) and food stores (n = 231) were collected in an economically vulnerable area in Recife-Brazil, and multilevel regression models were applied to assess the association between UPDs consumption with food environment characteristics. The results show 29.5% of individuals consume UPDs, higher UPD consumption was significantly associated with age (OR: 0.96), lower educational levels (OR:2.06), high density of stores predominantly selling UPFs (OR:2.34) and lower availability of FV in stores (OR:0.49). The applied methodology can inform food environment interventions to reduce UPDs consumption.

Keywords: Beverages; Food environment; Sugar-sweetened beverage; Ultra-processed food.

Publication types

Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

Brazil
Fast Foods*
Humans
Multilevel Analysis
Vulnerable Populations*