Silva-Neto Luiz Gonzaga Ribeiro, de Menezes Risia Cristina Egito, Oliveira Juliana Souza, de Souza Nathalia Paula, Dos Santos Thays Lane Ferreira, Florêncio Telma Maria de Menezes Toledo
Programa de Pós-Graduação em Nutrição, Escola Paulista de Medicina, Universidade Federal de São Paulo. R. Botucatu, 740. Vila Clementino, São Paulo, SP, 04023-062, Brasil.
Programa de Pós-Graduação em Nutrição, Faculdade de Nutrição, Universidade Federal de Alagoas. Avenida Lourival Melo Mota, s/n. Tabuleiro dos Martins, Maceió, AL, CEP: 57072-900, Brasil.
Public Health Nutr. 2025 Feb 3;28(1):e44. doi: 10.1017/S1368980025000175.
To evaluate the relationship between the food environment in favelas and the presence of arterial hypertension and diabetes among women in the context of social vulnerability.
A cross-sectional and partially ecological population-based study was conducted in a Brazilian capital city. The healthiness and availability of ultra-processed foods in the food environment were assessed through retailer audits using the AUDITNOVA instrument. The presence of diabetes and arterial hypertension was evaluated based on self-reported prior medical diagnosis. Logistic regression models were applied using generalised estimating equations, adjusted for age, education, race/skin colour and poverty status.
1882 adult women of reproductive age (20-44 years).
It was found that 10·9 % of women were hypertensive and 3·2 % had diabetes. The likelihood of having diabetes and arterial hypertension decreases with higher levels of healthiness in the food environment (diabetes (OR: 0·25; 95 % CI: 0·07, 0·97)/arterial hypertension (OR: 0·45; 95 % CI: 0·24, 0·81)) and increases with greater availability of ultra-processed foods in their living area (diabetes (OR: 2·18; 95 % CI: 1·13, 4·21)/arterial hypertension (OR: 1·64; 95 % CI: 1·09, 2·47)).
These results suggest that characteristics of the consumer food environment have a significant effect on the occurrence of chronic diseases among socially vulnerable women, adding to the existing evidence in the literature and highlighting the need for integrated health care.
在社会脆弱性背景下，评估贫民窟的食物环境与女性动脉高血压和糖尿病患病情况之间的关系。
在巴西一个首都城市开展了一项基于人群的横断面及部分生态学研究。通过使用AUDITNOVA工具对零售商进行审计，评估食物环境中超加工食品的健康程度和可获得性。根据自我报告的既往医学诊断评估糖尿病和动脉高血压的患病情况。使用广义估计方程应用逻辑回归模型，并对年龄、教育程度、种族/肤色和贫困状况进行了调整。
1882名育龄成年女性（20 - 44岁）。
发现10.9%的女性患有高血压，3.2%的女性患有糖尿病。食物环境健康程度越高，患糖尿病和动脉高血压的可能性越低（糖尿病（比值比：0.25；95%置信区间：0.07，0.97）/动脉高血压（比值比：0.45；95%置信区间：0.24，0.81）），而居住区域中超加工食品的可获得性越高，患糖尿病和动脉高血压的可能性越高（糖尿病（比值比：2.18；95%置信区间：1.13，4.21）/动脉高血压（比值比：1.64；95%置信区间：1.09，2.47））。
这些结果表明，消费者食物环境的特征对社会脆弱女性慢性病的发生有显著影响，这补充了文献中的现有证据，并突出了综合医疗保健的必要性。
