一个大都市的初级医疗保健中的食物消费不平等
Mariana Souza Lopes1, Priscila Lenita Candida Dos Santos2, Aline Cristine Souza Lopes2
1Nutrition Department, Health Sciences Center, Campus I, Universidade Federal da Paraíba, João Pessoa 58051-900, Brazil.
概括
根据健康脆弱性指数 (HVI) 识别出的更脆弱地区的个人消费了更多的家庭菜和更少的超加工食品 (UPF). 这凸显了在脆弱人群中支持健康饮食的必要性.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 健康的社会经济决定因素
背景情况:
- 健康脆弱性是影响健康结果的重要因素.
- 饮食模式,特别是超加工食品 (UPF) 的消费,与慢性疾病有关.
- 了解社会经济因素和食物选择之间的相互作用对于公共卫生干预至关重要.
研究的目的:
- 通过NOVA分类来研究健康脆弱性和食品消费模式之间的关联.
- 在巴西的初级保健机构中,分析与健康脆弱性指数 (HVI) 相关的饮食习惯.
- 确定不同程度的健康脆弱性地区个人消费的特定食品组.
主要方法:
- 在巴西贝洛霍里森特 (Belo Horizonte) 进行了涉及成年人 (20岁以上) 的横截面研究.
- 根据人口普查部门的健康脆弱性指数 (HVI) 评估的健康脆弱性.
- 通过24小时的饮食回忆评估的食物消费,按NOVA分类 (制品,加工食品,超加工食品) 分类.
主要成果:
- 平均每日卡路里摄入量为1429.7千卡,其中61.6%来自制品和27.4%来自UPF.
- 在高/非常高的HVI地区,与低易受感染地区相比,高/非常高HVI地区的个人消耗的制品更多 (β = 2.7) 和低UPF (β = -2.7).
- 在更脆弱地区的参与者报告了更健康的饮食习惯,包括更多的家庭和更少的UPF消费.
结论:
- 在更脆弱的地区观察到更健康的饮食模式,以更高的制品消费量和更低的UPF摄入量为特征.
- 调查结果表明,促进健康饮食和家庭的干预措施应优先考虑在健康脆弱性较高的地区.
- 该研究强调了解决社会经济决定因素的重要性,以促进更好的营养结果.
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