Access to Street Markets and Consumption of Fruits and Vegetables by Adolescents Living in São Paulo, Brazil
by
Luana Romão Nogueira 1
, Mariane De Mello Fontanelli 1, Breno Souza de Aguiar 2, Marcelo Antunes Failla 2, Alex Antonio Florindo 3, Ligia Vizeu Barrozo 4, Moisés Goldbaum 5, Chester Luiz Galvão Cesar 6, Maria Cecilia Goi Porto Alves 7 and Regina Mara Fisberg 1,*
Luana Romão Nogueira 1, Mariane De Mello Fontanelli 1, Breno Souza de Aguiar 2, Marcelo Antunes Failla 2, Alex Antonio Florindo 3, Ligia Vizeu Barrozo 4, Moisés Goldbaum 5, Chester Luiz Galvão Cesar 6, Maria Cecilia Goi Porto Alves 7 and Regina Mara Fisberg 1,*
1
Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP 01246-904, Brazil
2
Coordenação de Epidemiologia e Informação, Prefeitura de São Paulo, São Paulo, SP 01223-010, Brazil
3
Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, SP 03828-000, Brazil
4
Departamento de Geografia da Faculdade de Filosofia, Letras e Ciências Humanas, Universidade de São Paulo, São Paulo, SP 05508-080, Brazil
5
Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP 01246-903, Brazil
6
Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP 01246-904, Brazil
7
Departamento de Saúde do Estado de São Paulo, Instituto de Saúde, São Paulo, SP 01314-000, Brazil
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(3), 517; https://doi.org/10.3390/ijerph15030517
Received: 15 February 2018 / Revised: 9 March 2018 / Accepted: 11 March 2018 / Published: 14 March 2018
Food environment and income act as determinants of diet, and consequently, of the consumption of fruits and vegetables. The objective of this study is to investigate the association between fruit and vegetable consumption, income, and street market density in adolescents living in São Paulo, Brazil. Data from 521 adolescents (12 to 19 years) participating in the 2015 Health Survey of São Paulo were used. Buffers (500, 1000, and 1500 m) were drawn around the households and the street markets were counted in each zone. Multilevel logistic regression models were used to evaluate the association between fruit and vegetable consumption, income, and street market density. The main results showed that the presence of a street market in the zone closest to the households (500 m) was associated with higher consumption of fruits and vegetables (OR: 1.73; CI 95% 1.01–3.00). Higher family income was associated with a higher consumption of fruits and vegetables for models of 500 m buffer (OR: 2.56; CI 95% 1.47–4.45), 1000 m (OR: 2.30; CI 95% 1.33–3.96), and 1500 m (OR: 2.32; CI 95% 1.35–4.00). These results support the implementation of public policies that jointly consider income and the availability of street markets or healthy food environments.
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Keywords:
food environment; fruits; vegetables; street markets; adolescents
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MDPI and ACS Style
Nogueira, L.R.; Fontanelli, M.D.M.; Aguiar, B.S.; Failla, M.A.; Florindo, A.A.; Barrozo, L.V.; Goldbaum, M.; Cesar, C.L.G.; Alves, M.C.G.P.; Fisberg, R.M. Access to Street Markets and Consumption of Fruits and Vegetables by Adolescents Living in São Paulo, Brazil. Int. J. Environ. Res. Public Health 2018, 15, 517.
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