Postgraduate Program in Collective Health, Federal University of Rio Grande do Norte, Natal 59056-000, RN, Brazil.
Federal Institute of Education, Science and Technology of Rio Grande do Norte, Natal 59015-300, RN, Brazil.
Nutrients. 2022 Oct 11;14(20):4233. doi: 10.3390/nu14204233.
(1) Background: The present study analyzed the prevalence of dietary and nutritional profiles among Brazilian adolescents and their associations with social determinants of health. (2) Methods: A population-based survey was administered to 16,409 adolescents assessed by the 2015 National School Health Survey. A multivariate model of dietary and nutritional profiles was estimated from correspondence analysis. (3) Results: The dietary and nutritional profiles more prevalent among Brazilian adolescents were "lower nutritional risk dietary pattern and eutrophic" (42.6%), "lower nutritional risk dietary pattern and overweight" (6.8%), and "higher nutritional risk dietary pattern and overweight" (6.0%). Healthier profiles were associated with less urbanized territories, health-promoting behaviors, and families with worse material circumstances. The less healthy profiles were associated with more urbanized environments, health risk behaviors, and families with better material circumstances. (4) Brazilian adolescents have different dietary and nutritional profiles that are characterized by sociopolitical and economic contexts, family material and school circumstances, and the behavioral and psychosocial health factors of the individuals. All of this points to the social determination of these health problems among adolescents in Brazil.
(1) 背景:本研究分析了巴西青少年的饮食和营养状况流行情况及其与健康社会决定因素的关系。(2) 方法:对 2015 年全国学校卫生调查评估的 16409 名青少年进行了一项基于人群的调查。采用对应分析估计了饮食和营养状况的多变量模型。(3) 结果:巴西青少年中更为常见的饮食和营养状况包括“营养风险较低的饮食模式和营养良好但超重”(42.6%)、“营养风险较低的饮食模式和超重”(6.8%)和“营养风险较高的饮食模式和超重”(6.0%)。更健康的饮食模式与城市化程度较低、促进健康的行为以及物质条件较差的家庭有关。不太健康的饮食模式与城市化程度较高、健康风险行为以及物质条件较好的家庭有关。(4) 巴西青少年的饮食和营养状况存在差异,这些差异受社会政治和经济背景、家庭物质和学校环境以及个人的行为和心理社会健康因素的影响。所有这些都表明,在巴西,青少年的这些健康问题是由社会决定的。