Hernández-Vásquez Akram, Visconti Lopez Fabriccio J, Vargas-Fernández Rodrigo
Universidad San Ignacio de Loyola, Vicerrectorado de Investigación, Centro de Excelencia en Investigaciones Económicas y Sociales en Salud, 550 La Fontana Av., La Molina, Lima15024, Peru.
Universidad Peruana de Ciencias Aplicadas, Lima, Peru.
Public Health Nutr. 2022 Sep 8;25(12):1-11. doi: 10.1017/S1368980022001860.
To estimate the prevalence and socio-economic inequalities in adequate consumption of fruits and vegetables in Peru between 2014 and 2019.
Analytical cross-sectional study. The outcome variable was adequate consumption of fruits and vegetables, defined as the consumption of five or more servings of fruits and vegetables per d (yes/no). We used concentration curves and Erreygers concentration index to describe socio-economic inequalities and a microeconometric approach to determine the contribution of each variable to inequality.
Peru.
Data from Peruvians aged 18 years or older collected by the Demographic and Family Health Survey.
The prevalence of adequate fruit and vegetable consumption did not change between 2014 (10·7 %; 95 % CI (10·0, 11·4)) and 2019 (11 %; 95 % CI (10·4, 11·7)). We found socio-economic inequalities in the adequate consumption of fruits and vegetables, with wealthier individuals having a higher prevalence of adequate consumption compared to poorer individuals in 2014 (19·2 % . 3·5 %) and 2019 (18·6 % . 4·7 %). The decomposition analysis found that education, urban areas and being wealthy were the main factors associated with socio-economic inequality in adequate fruit and vegetable consumption, being structural problems of society.
Despite the current regulations on healthy eating in Peru, adequate consumption of fruits and vegetables remains low, and there are socio-economic inequalities between the poorest and wealthiest individuals. Our findings suggest that more efforts are needed to increase the intake and assess the disparities in adequate fruit and vegetable consumption.
评估2014年至2019年秘鲁水果和蔬菜充足消费的患病率及社会经济不平等情况。
分析性横断面研究。结果变量为水果和蔬菜的充足消费，定义为每天食用五份或更多份水果和蔬菜（是/否）。我们使用浓度曲线和埃雷格斯浓度指数来描述社会经济不平等情况，并采用微观计量方法确定每个变量对不平等的贡献。
秘鲁。
来自人口与家庭健康调查收集的18岁及以上秘鲁人的数据。
2014年（10.7%；95%置信区间（10.0，11.4））至2019年（11%；95%置信区间（10.4，11.7）），水果和蔬菜充足消费的患病率没有变化。我们发现水果和蔬菜充足消费存在社会经济不平等，与较贫困个体相比，较富裕个体在2014年（19.2%.3.5%）和2019年（18.6%.4.7%）的充足消费患病率更高。分解分析发现，教育、城市地区和富裕是与水果和蔬菜充足消费的社会经济不平等相关的主要因素，这是社会的结构性问题。
尽管秘鲁目前有关于健康饮食的规定，但水果和蔬菜的充足消费量仍然较低，最贫困和最富裕个体之间存在社会经济不平等。我们的研究结果表明，需要做出更多努力来增加摄入量并评估水果和蔬菜充足消费方面的差距。
