What Is There to Buy? An Analysis of the Food Environment in Public and Private Schools in the Federal District
Abstract
1. Introduction
2. Methods
2.1. Study Design and Context
2.2. Sample Calculation and Selection
2.3. Characterization of School Food Environment
2.3.1. Characterization of School Surroundings: Data Sources and Classification Methods
2.3.2. Characterization of the School Food Environment: Data Collection from School Staff
- (1)
- Prop-MPF: The proportion of fresh, minimally processed, or processed food subgroup availability among all MPF subgroups (1):
- (2)
- Prop-UPF: The proportion of the availability of ultra-processed food subgroups among all UPF subgroups (2):
- (3)
- UPF/MPF Ratio: The ratio between UPF availability and MPF availability, expressing the relative predominance of UPF over MPF (3):
- (4)
- Healthiness Index (HI): Considers the availability of food in the MPF subgroup and the non-availability of food in the UPF subgroup, assigning one point for each MPF subgroup available at school and one point for each UPF subgroup not available. Missing MPF subgroups or present UPF subgroups are not scored. The final score is calculated according to Equation (4):
2.4. Data Processing and Analysis
3. Results
3.1. Characterization of School Surroundings
3.2. Internal and Surrounding Food Environment According to School Staff Reports
4. Discussion
5. Conclusions
Study Limitations and Future Research
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
ARs | Administrative regions |
CAEB | Study on Food Commercialization in Brazilian Schools |
DF | Federal District |
ERICA | Cardiovascular Study in Adolescents |
FNE | Food and nutrition education |
FROs | Food retail outlets |
HDI | Human Development Index |
HI | Healthiness Index |
IQR | Interquartile range |
MPF | Unprocessed or minimally processed food |
PeNSE | Brazilian National Survey of School Health |
PNAE | National School Feeding Program |
Prop-MPF | Proportion of MPF subgroup availability among all MPF subgroups |
Prop-UPF | Proportion of availability of UPF subgroups among all UPF subgroups |
SVI | Social Vulnerability Index |
UPF | Ultra-processed food |
References
- World Health Organization (WHO). Nutrition Action in Schools: A Review of Evidence Related to the Nutrition-Friendly Schools Initiative; World Health Organization: Geneva, Switzerland, 2020; Available online: https://iris.who.int/bitstream/handle/10665/338781/9789241516969-eng.pdf?sequence=1 (accessed on 16 August 2024).
- Ortega, A.; Bejarano, C.M.; Cushing, C.C.; Staggs, V.S.; Papa, A.E.; Steel, C.; Shook, R.P.; Sullivan, D.K.; Couch, S.C.; Conway, T.L.; et al. Differences in adolescent activity and dietary behaviors across home, school, and other locations warrant location-specific intervention approaches. Int. J. Behav. Nutr. Phys. Act. 2020, 17, 123. [Google Scholar] [CrossRef]
- Boing, A.F.; Subramanian, S.; Boing, A.C. How important is school environment in explaining individual variance of health behaviors? Rev. Saude Publica 2019, 53, 102. [Google Scholar] [CrossRef]
- Ministério da Saúde. Programa Crescer Saudável 2019/2020; Ministério da Saúde: Brasília, Brazil, 2020. Available online: http://189.28.128.100/dab/docs/portaldab/documentos/pse/instrutivo_crescer_saudavel_2019_2020.pdf (accessed on 9 October 2020).
- Gonçalves, V.S.S.; Duarte, E.C.; Dutra, E.S.; Barufaldi, L.A.; Carvalho, K.M. Characteristics of the school food environment associated with hypertension and obesity in Brazilian adolescents: A multilevel analysis of the Study of Cardiovascular Risks in Adolescents. Public Health Nutr. 2019, 22, 2625–2634. [Google Scholar] [CrossRef]
- Food and Agriculture Organization of the United Nations (FAO). School Food and Nutrition Framework; FAO: Rome, Italy, 2019. [Google Scholar]
- Leite, M.A.; Azeredo, C.M.; Peres, M.F.T.; Escuder, M.M.L.; Levy, R.B. Availability and consumption of ultra-processed foods in schools in the municipality of São Paulo, Brazil: Results of the SP-Proso. Cad. Saude Publica 2021, 37 (Suppl. S1), e00162920. [Google Scholar] [CrossRef] [PubMed]
- Azeredo, C.; Rezende, L.; Canella, D.; Claro, R.; Peres, M.; Olinda, L.; França-Junior, I.; Kinra, S.; Hawkesworth, S.; Levy, R.B. Food environments in schools and in the immediate vicinity are associated with unhealthy food consumption among Brazilian adolescents. Prev. Med. 2016, 88, 73–79. [Google Scholar] [CrossRef]
- Noll, P.; Noll, M.; de Abreu, L.C.; Baracat, E.C.; Silveira, E.A.; Sorpreso, I.C.E. Ultra-processed food consumption by Brazilian adolescents in cafeterias and school meals. Sci. Rep. 2019, 9, 7162. [Google Scholar] [CrossRef]
- Assis, M.M.; Gratão, L.H.A.; da Silva, T.P.R.; Cordeiro, N.G.; do Carmo, A.S.; de Freitas Cunha, C.; de Oliveira, T.R.P.R.; Rocha, L.L.; Mendes, L.L. School environment and obesity in adolescents from a Brazilian metropolis: Cross-sectional study. BMC Public Health 2022, 22, 1229. [Google Scholar] [CrossRef]
- Mendes, L.L.; Rocha, L.L.; Botelho, L.V.; de Menezes, M.C.; Júnior, P.C.P.D.C.; da Camara, A.O.; Cardoso, L.O.; Castro, I.R.R.; Horta, P.M.; Pessoa, M.C. Scientific research on food environments in Brazil: A scoping review. Public Health Nutr. 2023, 26, 2056–2065. [Google Scholar] [CrossRef] [PubMed]
- de França, F.C.O.; Andrade, I.D.S.; Zandonadi, R.P.; Sávio, K.E.; Akutsu, R.C.C.A. Food environment around schools: A Systematic Scope Review. Nutrients 2022, 14, 5090. [Google Scholar] [CrossRef] [PubMed]
- de Sousa Filho, J.F.; dos Santos, G.F.; Andrade, R.F.S.; Paiva, A.S.; Freitas, A.; Castro, C.P.; de Lima Friche, A.A.; Barber, S.; Caiaffa, W.T.; Barreto, M.L. Inequality and income segregation in Brazilian cities: A nationwide analysis. SN Soc. Sci. 2022, 2, 191. [Google Scholar] [CrossRef]
- Instituto de Pesquisa e Estatística do Distrito Federal (IPEDF Codeplan). Evolução do Índice de Vulnerabilidade Social do Distrito Federal (IVS-DF) 2018–2021; IPEDF Codeplan: Brasília, Brazil, 2024. Available online: https://ipe.df.gov.br/documents/d/ipedf/relatorio-evolucao-do-indice-de-vulnerabilidade-df-2018-2021-pdf (accessed on 16 August 2024).
- Honório, O.S.; Pessoa, M.C.; Lopes, A.H.; Gratão, L.H.A.; Rocha, L.L.; de Castro, I.R.R.; Canella, D.S.; Horta, P.M.; Mendes, L.L. Social inequalities in the surrounding areas of food deserts and food swamps in a Brazilian metropolis. Int. J. Equity Health 2021, 20, 168. [Google Scholar] [CrossRef]
- Andretti, B.; Cardoso, L.O.; Honório, O.S.; de Castro Júnior, P.C.P.; Tavares, L.F.; da Costa Gaspar da Silva, I.; Mendes, L.L. Ecological study of the association between socioeconomic inequality and food deserts and swamps around schools in Rio de Janeiro, Brazil. BMC Public Health 2023, 23, 120. [Google Scholar] [CrossRef]
- IPEA. Vulnerabilidade Social no Brasil: Conceitos, métodos e primeiros resultados para municípios e regiões metropolitanas brasileiras; Texto para Discussão nº 2440; IPEA: Brasília, Brazil, 2018.
- Instituto Brasileiro de Geografia e Estatística (IBGE). Censo Demográfico 2022: População e Domicílios; IBGE: Rio de Janeiro, Brazil, 2023. Available online: https://biblioteca.ibge.gov.br/visualizacao/livros/liv102011.pdf (accessed on 26 March 2025).
- Programa das Nações Unidas para o Desenvolvimento (PNUD); Instituto de Pesquisa Econômica Aplicada (IPEA); Fundação João Pinheiro (FJP). Atlas do Desenvolvimento Humano no Brasil. 2022. Available online: http://atlasbrasil.org.br/ranking (accessed on 2 May 2025).
- Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira (INEP). Censo Escolar da Educação Básica; INEP: Brasília, Brazil, 2023. Available online: https://download.inep.gov.br/publicacoes/institucionais/estatisticas_e_indicadores/resumo_tecnico_censo_escolar_2022.pdf (accessed on 28 July 2024).
- Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa Nacional de Saúde do Escolar (PeNSE); IBGE: Rio de Janeiro, Brazil, 2021. Available online: https://biblioteca.ibge.gov.br/visualizacao/livros/liv101852.pdf (accessed on 26 March 2025).
- Leppink, J. Statistical Methods for Experimental Research in Education and Psychology; Springer International Publishing: Berlin/Heidelberg, Germany, 2019; p. 289. ISBN 978-3-030-21241-4. [Google Scholar] [CrossRef]
- Castro, I.R.R.; Canella, D.S. Organizational food environments: Advancing their conceptual model. Foods 2022, 11, 993. [Google Scholar] [CrossRef] [PubMed]
- de Costa, B.V.L.; de Freitas, P.P.; de Menezes, M.C.; Guimarães, L.M.F.; de Ferreira, L.F.; Alves, M.D.S.C.; Lopes, A.C.S. Food environment: Validation of a method for measurement and characterization in the territory with the health academy program. Cad. Saude Publica 2018, 34, e00168817. [Google Scholar] [CrossRef]
- da Costa Peres, C.M.; de Lima Costa, B.V.; Pessoa, M.C.; Honório, O.S.; do Carmo, A.S.; da Silva, T.P.R.; Gardone, D.S.; Meireles, A.L.; Mendes, L.L. Community food environment and presence of food swamps around schools in a Brazilian metropolis. Cad. Saude Publica 2021, 37, eER205120. [Google Scholar] [CrossRef]
- Tse, K.; Zeng, M.X.; Gibson, A.A.; Partridge, S.R.; Raeside, R.; Valanju, R.; McMahon, E.; Ren, B.; Yan, F.; Allman-Farinelli, M.; et al. Retrospective analysis of regional and metropolitan school food environments using Google Street View: A case study in New South Wales, Australia with youth consultation. Health Promot. J. Aust. 2024, 36, e930. [Google Scholar] [CrossRef]
- Instituto Brasileiro de Geografia e Estatística (IBGE). Classificação Nacional de Atividades Econômicas: Subclasses para uso da Administração Pública — Versão 2.3; IBGE: Rio de Janeiro, Brazil, 2020; p. 600. Available online: https://biblioteca.ibge.gov.br/visualizacao/livros/liv101721.pdf (accessed on 16 January 2025).
- Ministério do Trabalho e Emprego. Relação Anual de Informações Sociais (RAIS); Ministério do Trabalho e Emprego: Brasília, Brazil, 2023. Available online: https://www.gov.br/trabalho-e-emprego/pt-br/assuntos/estatisticas-trabalho/rais/rais-2023/rais-2022 (accessed on 29 March 2024).
- CAISAN. Mapeamento dos Desertos Alimentares no Brasil; Secretaria-Executiva da Câmara Interministerial de Segurança Alimentar e Nutricional, Ministério do Desenvolvimento Social: Brasília, Brazil, December 2018. Available online: https://aplicacoes.mds.gov.br/sagirmps/noticias/arquivos/files/Estudo_tecnico_mapeamento_desertos_alimentares.pdf (accessed on 5 June 2023).
- Secretaria de Estado de Desenvolvimento Urbano e Habitação (SEDUH). Geoportal DF; SEDUH: Brasília, Brazil, 2023. Available online: https://www.ide.df.gov.br/geoportal/ (accessed on 1 May 2023).
- Monteiro, C.A.; Cannon, G.; Moubarac, J.C.; Levy, R.B.; Louzada, M.L.C.; Jaime, P.C. The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing. Public Health Nutr. 2017, 21, 5–17. [Google Scholar] [CrossRef]
- Ministério do Desenvolvimento e Assistência Social Família e Combate à Fome (MDS). Sumário do Mapeamento dos Desertos e Pântanos Alimentares: Principais Achados; MDS: Brasília, Brazil, 2024. Available online: https://www.gov.br/mds/pt-br/acesso-a-informacao/internacional/produtos/produto/Produto_FEALQ.pdf (accessed on 23 April 2025).
- Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa de Orçamentos Familiares 2017–2018: Análise do consumo alimentar pessoal no Brasil; IBGE, Ed.; Coordenação de Trabalho e Rendimento: Rio de Janeiro, Brazil, 2020; p. 120.
- Ministério da Saúde. Guia Alimentar para a População Brasileira, 2nd ed.; Ministério da Saúde: Brasília, Brazil, 2014. Available online: https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_populacao_brasileira_2ed.pdf (accessed on 8 April 2024).
- Smets, V.; Vandevijvere, S. Changes in retail food environments around schools over 12 years and associations with overweight and obesity among children and adolescents in Flanders, Belgium. BMC Public Health 2022, 22, 1570. [Google Scholar] [CrossRef]
- Oberg, T.; Karsznia, A.; Oberg, K. Basic gait parameters: Reference data for normal subjects, 10–79 years of age. J. Rehabil. Res. Dev. 1993, 30, 210–233. [Google Scholar]
- Porto, E.B.S.; Schmitz, B.A.S.; Recine, E.G.I.; Rodrigues, M.D.L.C.F. School canteens in the Federal District, Brazil and the promotion of healthy eating. Rev. Nutr. 2015, 28, 29–41. [Google Scholar] [CrossRef]
- Tavares, L.F.; Perez, P.M.P.; dos Passos, M.E.A.; de Castro Júnior, P.C.P.; da Silva Franco, A.; de Oliveira Cardoso, L.; de Castro, I.R.R. Development and application of healthiness indicators for commercial establishments that sell foods for immediate consumption. Foods 2021, 10, 1434. [Google Scholar] [CrossRef]
- Distrito Federal. Governo do Distrito Federal (GDF). Lei no 5.232, de 5 de dezembro de 2013; GDF: Brasília, Brazil, 2013. Available online: https://www.sinj.df.gov.br/sinj/Norma/75931/Lei_5232_05_12_2013.html (accessed on 16 August 2024).
- Pessoa, M.C.; Mendes, L.L.; Caiaffa, W.T. Availability of food stores and consumption of fruit, legumes and vegetables in a Brazilian urban area. Nutr. Hosp. 2015, 31, 1438–1443. [Google Scholar] [CrossRef]
- Macintyre, S.; Mckay, L.; Cummins, S.; Burns, C. Out-of-home food outlets and area deprivation: Case study in Glasgow, UK. Int. J. Behav. Nutr. Phys. Act. 2005, 2, 16. [Google Scholar] [CrossRef]
- Kestens, Y.; Daniel, M. Social inequalities in food exposure around schools in an urban area. Am. J. Prev. Med. 2010, 39, 33–40. [Google Scholar] [CrossRef]
- Novaes, T.G.; Mendes, L.L.; Almeida, L.F.F.; Ribeiro, A.Q.; de Costa, B.V.L.; Claro, R.M.; Pessoa, M.C. Availability of food stores around Brazilian schools. Cien. Saude Colet. 2022, 27, 2373–2383. [Google Scholar] [CrossRef] [PubMed]
- Da-Costa-Peres, C.M.; Gardone, D.S.; De-Lima-Costa, B.V.; Duarte, C.K.; Pessoa, M.C.; Mendes, L.L. Retail food environment around schools and overweight: A systematic review. Nutr. Rev. 2020, 78, 841–856. [Google Scholar] [CrossRef]
- Do Carmo, A.S.; de Assis, M.M.; de Cunha, C.F.; de Oliveira, T.R.P.R.; Mendes, L.L. The food environment of Brazilian public and private schools. Cad. Saude Publica 2018, 34, e00014918. [Google Scholar] [CrossRef] [PubMed]
- Díez, J.; Cebrecos, A.; Rapela, A.; Borrell, L.N.; Bilal, U.; Franco, M. Socioeconomic inequalities in the retail food environment around Schools in a Southern European Context. Nutrients 2019, 11, 1511. [Google Scholar] [CrossRef]
- Elbel, B.; Tamura, K.; McDermott, Z.T.; Duncan, D.T.; Athens, J.K.; Wu, E.; Mijanovich, T.; Schwartz, A.E. Disparities in food access around homes and schools for New York City children. PLoS ONE 2019, 14, e0217341. [Google Scholar] [CrossRef]
- Rosales Chavez, J.B.; Bruening, M.; Royer, M.F.; Ohri-Vachaspati, P.; Lee, R.E.; Jehn, M. Availability, variety and distribution of healthy and unhealthy foods and beverages sold at street food stands in Mexico City. Public Health Nutr. 2021, 24, 5577–5588. [Google Scholar] [CrossRef] [PubMed]
- Kain, J.; Orellana, Y.; Cruz, N.; Weisstaub, G. Socio-Spatial Segregation of Unhealthy Food Environments across Public Schools in Santiago, Chile. Nutrients 2024, 16, 108. [Google Scholar] [CrossRef]
- Londoño-Cañola, C.; Serral, G.; Díez, J.; Martínez-García, A.; Franco, M.; Artazcoz, L.; Ariza, C. Retail Food Environment around Schools in Barcelona by Neighborhood Socioeconomic Status: Implications for Local Food Policy. Int. J. Environ. Res. Public Health 2023, 20, 649. [Google Scholar] [CrossRef] [PubMed]
- Heslin, A.M.; McNulty, B. Adolescent nutrition and health: Characteristics, risk factors and opportunities of an overlooked population. Proc. Nutr. Soc. 2023, 82, 142–156. [Google Scholar] [CrossRef]
- World Health Organization (WHO). Guideline: Implementing Effective Actions for Improving Adolescent Nutrition; WHO: Geneva, Switzerland, 2018. [Google Scholar]
- Chatterjee, P.; Nirgude, A. A Systematic Review of School-Based Nutrition Interventions for Promoting Healthy Dietary Practices and Lifestyle Among School Children and Adolescents. Cureus 2024, 16, e53127. [Google Scholar] [CrossRef]
- Presidência da República. Lei no 13.666, De 16 De Maio De 2018. Altera a Lei no 9.394, De 20 De Dezembro De 1996 (Lei De Diretrizes e Bases Da Educação Nacional), Para Incluir o Tema Transversal Da Educação Alimentar e Nutricional no Currículo Escolar; Presidência da República: Brasília, Brazil, 2018.
- World Health Organization (WHO). Report of the Commission on Ending Childhood Obesity. 2016. Available online: http://apps.who.int/iris/bitstream/handle/10665/204176/9789241510066_eng.pdf;jsessionid=B4079091704116D46F8BC25A2547505F?sequence=1 (accessed on 16 August 2024).
- World Cancer Research. Fund International (WCRF). Nourishing Framework. Offer Healthy Food and Set Standards in Public Institutions and Other Specific Settings. Available online: https://policydatabase.wcrf.org/level_one?page=nourishing-level-one (accessed on 8 July 2025).
- Distrito Federal. Governo do Distrito Federal (GDF). Decreto no 36.900, de 23 de Novembro de 2015; GDF: Brasília, Brazil, 2015. Available online: https://www.sinj.df.gov.br/sinj/DetalhesDeNorma.aspx?id_norma=e3ce5c3e04924ae783b22ee02329415f (accessed on 16 August 2024).
- Presidência da República. Decreto No 11.821, de 12 de Dezembro de 2023; Presidência da República: Brasil, Brazil, 2023. Available online: https://www.planalto.gov.br/ccivil_03/_ato2023-2026/2023/decreto/d11821.htm (accessed on 16 August 2024).
- Rocha, L.L.; Cordeiro, N.G.; Jardim, M.Z.; Kurihayashi, A.Y.; Gentil, P.C.; Russo, G.C.; Mendes, L.L. Do Brazilian regulatory measures promote sustainable and healthy eating in the school food environment? BMC Public Health 2023, 23, 2166. [Google Scholar] [CrossRef]
- Machado, C.O.; Höfelmann, D.A. Cantinas de escolas estaduais de Curitiba/PR, Brasil: Adequação à lei de regulamentação de oferta de alimentos. Cienc. Saude Colet. 2019, 24, 3805–3814. [Google Scholar] [CrossRef]
- Wognski, A.C.; Ponchek, V.L.; Dibas, E.E.S.; Orso, M.R.; Vieira, L.P.; Ferreira, B.G.C.S.; Mezzomo, T.R.; Stangarlin-Fiori, L. Commercialization of food in school canteens. Braz. J. Food Technol. 2019, 22, e2018198. [Google Scholar] [CrossRef]
- Ministério da Saúde. Regulamentação da comercialização de alimentos em escolas no Brasil: Experiências Estaduais e Municipais; Ministério da Saúde: Brasília, Brazil, 2007.
- Distrito Federal. Governo do Distrito Federal (GDF). Lei nº 5.321, de 6 de março de 2014; GDF: Brasília, Brazil, 2014. Available online: https://www.sinj.df.gov.br/sinj/Norma/76331/Lei_5321_06_03_2014.html (accessed on 16 August 2024).
- Micha, R.; Karageorgou, D.; Bakogianni, I.; Trichia, E.; Whitsel, L.P.; Story, M.; Peñalvo, J.L.; Mozaffarian, D. Effectiveness of school food environment policies on children’s dietary behaviors: A systematic review and meta-analysis. PLoS ONE 2018, 13, e0194555. [Google Scholar] [CrossRef] [PubMed]
- Mendes, L.L.; Canuto, R.; Tavares, L.F.; de Oliveira Cardoso, L.; de Castro Junior, P.C.P.; Borges, L.D.; Clark, S.G.F.; Carmo, A.S. Relatório do Estudo “Comercialização de Alimentos em Escolas Brasileiras (CAEB)”: Dados das Cantinas Escolares; Universidae Federal de Minas Gerais (UFMG): Belo Horizonte, Brazil, 2024; Available online: https://actbr.org.br/wp-content/uploads/2024/12/CAEB-CANTINA.pdf (accessed on 2 May 2025).
- O’Halloran, S.; Eksteen, G.; Gebremariam, M. Measurement Methods Used to Assess the School Food Environment: A Systematic Review. Int. J. Environ. Res. Public Health 2020, 17, 1623. [Google Scholar] [CrossRef] [PubMed]
- Azeredo, C.M.; Leite, M.A.; Rauber, F.; Zancheta, C.; Levy, R.B. Are laws restricting soft drinks sales in Brazilian schools able to lower their availability? Rev. Saude Publica 2020, 54, 42. [Google Scholar] [CrossRef]
- Souza, L.B.O.; de Azevedo, A.B.C.; Bandoni, D.H.; Canella, D.S. Characteristics of Brazilian school food and physical activity environments: PeNSE 2015. Rev. Saude Publica 2022, 55, 115. [Google Scholar] [CrossRef] [PubMed]
Local | Fresh, Minimally Processed, or Processed Foods (MPFs) and Culinary Preparations Based on These Foods | Ultra-Processed Foods (UPFs) |
---|---|---|
School canteens |
|
|
Surroundings of the schools |
|
|
Buffer | Classification of the Establishments | Median Density (Estab./10 K Inhab.) (IQR) | p 1 | Median Density (Estab./10 K Inhab.) (IQR) | p 2 | ||
---|---|---|---|---|---|---|---|
Low | Medium/High | Private | Public | ||||
250 m | Healthy | 21.6 | 0 | 0.17 | 24.6 | 0 | 0.22 |
(20.4) | (19.0) | (20.4) | (18.5) | ||||
Unhealthy | 31.9 | 5.5 | 0.03 * | 39.2 | 9.7 | 0.06 | |
(42.3) | (14.5) | (40.9) | (8.1) | ||||
Total | 50.8 | 14.5 | 0.05 | 52.3 | 16.9 | 0.10 | |
(61.3) | (26.2) | (61.3) | (20.0) | ||||
400 m | Healthy | 17.1 | 7.6 | 0.08 | 21.2 | 9.4 | 0.06 |
(37.4) | (14.0) | (36.8) | (7.2) | ||||
Unhealthy | 22 | 7.3 | 0.09 | 23.5 | 5.2 | 0.08 | |
(39.1) | (8.3) | (34.8) | (6.8) | ||||
Total | 41.6 | 13.8 | 0.05 | 46.6 | 15.9 | 0.03 * | |
(84.3) | (17.7) | (70.5) | (12.4) | ||||
800 m | Healthy | 19.9 | 7.9 | 0.01 * | 19.5 | 9.6 | 0.07 |
(19.1) | (9.6) | (19.1) | (11.6) | ||||
Unhealthy | 23.6 | 8.5 | <0.01 * | 24.6 | 9.6 | <0.01 * | |
(9.7) | (6.02) | (7.2) | (3.5) | ||||
Total | 40.4 | 17.3 | <0.01 * | 41.0 | 21.0 | <0.01 * | |
(21.3) | (14.6) | (21.3) | (15.1) |
Type of School | p 1 | ||||||
---|---|---|---|---|---|---|---|
Schools’ Characteristics | Total (%) | 95% CI: Lower–Upper | Private (n = 9) (%) | 95% CI: Lower–Upper | Public (n = 9) (%) | 95% CI: Lower–Upper | |
Presence of canteen and/or restaurant | |||||||
Canteen and/or restaurant | 27.8 | 1.1–54.0 | 55.6 | 21–85.4 | 0 | - | - |
Canteen only | 16.7 | 5.0–43.1 | 33.3 | 8.9–71.8 | 0 | - | |
None | 55.6 | 31.5–77.3 | 11.1 | 1.1–59 | 100 | - | |
Presence of microwaves for students | 55.6 | 31.5–77.3 | 77.8 | 35.5–95.7 | 33.3 | 8.9–71.8 | 0.15 |
Type of food supply for students in institutions with canteens | ** | ||||||
Students shop at the canteen and/or restaurant | 50 | 15.8–84.2 | 50 | 15.8–84.2 | N/A | - | - |
Parents prepay | 50 | 15.8–84.2 | 50 | 15.8–84.2 | N/A | - | |
Authorization to take snacks from home or purchase outside of school | 83.3 | 56.8–94.5 | 88.9 | 40.9–99 | 77.8 | 35.5–95.7 | 1.00 |
Performs FNE activities | 50 | 27–72.9 | 55.6 | 21–85.4 | 44.4 | 14.5–79 | 1.00 |
Presence of nutritionist | |||||||
Yes | 72.2 | 46.1–88.7 | 44.4 | 12.5–79 | 100 | - | - |
No | 22.2 | 7.9–48.6 | 44.4 | 12.5–79 | 0 | - | |
Do not know | 5.6 | 0.6–34 | 11.2 | 1.1–59 | 0 | - | |
Where meals are eaten | |||||||
Cafeteria | 55.6 | 31.5–77.3 | 4 | 14.5–79 | 6 | 28.1–91.1 | 0.15 |
Canteen area | 22.2 | 7.9–48.6 | 4 | 14.5–79 | 0 | ||
Classroom | 22.2 | 7.9–48.6 | 1 | 1.1–59.1 | 3 | 8.9–71.8 | |
Time available for meals | |||||||
10–15 min | 22.2 | 7.9–48.6 | 22.2 | 4.3–64.4 | 22.2 | 4.3–64.4 | 1.00 |
20–30 min | 55.6 | 31.5–77.3 | 55.6 | 21–85.4 | 55.6 | 21–85.4 | |
>30 min | 22.2 | 7.9–48.6 | 22.2 | 4.3–64.4 | 22.2 | 4.3–64.4 | |
Presence of alternative points of sale for food and/or beverages at door or nearby | |||||||
Yes | 41.2 | 19.7–66.5 | 37.5 | 9.6–77.1 | 44.4 | 14.5–79 | 1.00 |
No | 47.1 | 21.1–71.3 | 50 | 15.8–84.2 | 44.4 | 14.5–79 | |
Do not know | 11.8 | 2.6–39.7 | 12.5 | 1.1–64.1 | 11.1 | 1.1–59 | |
Indicators | Total | Type of School | p 2 | ||||
Private | Public | ||||||
HI of food offered in school canteen | 38.5 | 38.5 | N/A | - | |||
(30.8–84.6) | (30.8–84.6) | ||||||
UPF/MPF ratio canteen | 2.7 | 2.7 | N/A | - | |||
(0.5–6.0) | (0.5–6.0) | ||||||
HI of food offered around schools | 50 | 50 | 46.4 | 0.86 | |||
(28.6–64.3) | (50–57.1) | (28.6–64.3) | |||||
UPF/MPF ratio surroundings | 3 | 3 | 5.25 | 0.25 | |||
(2.5–4) | (2.5–4) | (3.5–7.0) |
Social Vulnerability | p 1 | ||||||
---|---|---|---|---|---|---|---|
Schools’ Characteristics | Total (%) | 95% CI: Lower–Upper | Low (n = 10) (%) | 95% CI: Lower–Upper | Medium/High (n = 8) (%) | 95% CI: Lower–Upper | |
Presence of canteen and/or restaurant | |||||||
Canteen and/or restaurant | 27.8 | 1.1–54.0 | 50 | 19.3–80.7 | 0 | - | - |
Canteen only | 16.7 | 5.0–43.1 | 30 | 8.2–67.1 | 0 | - | |
None | 55.6 | 31.5–77.3 | 20 | 4–59.9 | 100 | - | |
Presence of microwaves for students | 55.6 | 31.5–77.3 | 80 | 40–96 | 25 | 4.6–69.7 | 0.05 |
Type of food supply for students in institutions with canteens | |||||||
Students shop at the canteen and/or restaurant | 50 | 15.8–84.2 | 50 | 15.8–84.2 | 0 | - | |
Parents prepay | 50 | 15.8–84.2 | 50 | 15.8–84.2 | 0 | ||
Authorization to take snacks from home or purchase outside of school | 83.3 | 56.8–94.5 | 90 | 45.3–99 | 75 | 30.3–95.4 | 0.56 |
Performs FNE activities | 50 | 27–72.9 | 50 | 15.8–84.2 | 50 | 15.8–84.2 | 1.00 |
Presence of nutritionist | |||||||
Yes | 72.2 | 46.1–88.7 | 60 | 25.8–86.6 | 87.5 | 35.8–98.9 | 0.23 |
No | 22.2 | 7.9–48.6 | 30 | 8.2–67.1 | 12.5 | 1.1–64.1 | |
Do not know | 5.6 | 0.6–34 | 10 | 1–54.7 | 0 | - | |
Where meals are eaten | |||||||
Cafeteria | 55.6 | 31.5–77.3 | 60 | 25.8–86.6 | 50 | 15.8–84.2 | |
Canteen area | 22.2 | 7.9–48.6 | 40 | 13.4–74.2 | 0 | - | 0.01 * |
Classroom | 22.2 | 7.9–48.6 | 0 | - | 50 | 15.8–84.2 | |
Time available for meals | |||||||
10–15 min | 22.2 | 7.9–48.6 | 30 | 8.2–67.2 | 12.5 | 1.1–64.1 | 0.55 |
20–30 min | 55.6 | 31.5–77.3 | 40 | 13.4–74.2 | 62.5 | 30.3–95.4 | |
>30 min | 22.2 | 7.9–48.6 | 30 | 8.2–67.2 | 12.5 | 1.1–64.1 | |
Presence of alternative points of sale for food and/or beverages at door or nearby | |||||||
Yes | 41.2 | 19.7–66.5 | 44.4 | 14.5–79 | 37.5 | 9.6–77.1 | 1.00 |
No | 47.1 | 21.1–71.3 | 44.4 | 14.5–79 | 50 | 15.8–84.2 | |
Do not know | 11.8 | 2.6–39.7 | 11.1 | 1.1–59 | 12.5 | 1.1–64.1 | |
Indicators | Total | Social Vulnerability | p 2 | ||||
Low | Medium/High | ||||||
HI of food offered in school canteen | 38.5 | 38.5 | N/A | - | |||
(30.8–84.6) | (30.8–84.6) | ||||||
UPF/MPF ratio canteen | 2.7 | 2.7 | N/A | - | |||
(0.5–6.0) | (0.5–6.0) | ||||||
HI of food offered around schools | 50 | 53.6 | 35.7 | 0.20 | |||
(28.6–64.3) | (50–64.3) | (28.6–57.1) | |||||
UPF/MPF ratio surroundings | 3 | 5.25 | 3 | 0.25 | |||
(2.5–4) | (3.5–7) | (2.5–4) |
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Araújo, G.S.; Gonçalves, V.S.S.; do Carmo, A.S.; Vasconcellos, M.T.L.d.; Toral, N. What Is There to Buy? An Analysis of the Food Environment in Public and Private Schools in the Federal District. Int. J. Environ. Res. Public Health 2025, 22, 1331. https://doi.org/10.3390/ijerph22091331
Araújo GS, Gonçalves VSS, do Carmo AS, Vasconcellos MTLd, Toral N. What Is There to Buy? An Analysis of the Food Environment in Public and Private Schools in the Federal District. International Journal of Environmental Research and Public Health. 2025; 22(9):1331. https://doi.org/10.3390/ijerph22091331
Chicago/Turabian StyleAraújo, Giovanna Soutinho, Vivian S. S. Gonçalves, Ariene Silva do Carmo, Maurício T. L. de Vasconcellos, and Natacha Toral. 2025. "What Is There to Buy? An Analysis of the Food Environment in Public and Private Schools in the Federal District" International Journal of Environmental Research and Public Health 22, no. 9: 1331. https://doi.org/10.3390/ijerph22091331
APA StyleAraújo, G. S., Gonçalves, V. S. S., do Carmo, A. S., Vasconcellos, M. T. L. d., & Toral, N. (2025). What Is There to Buy? An Analysis of the Food Environment in Public and Private Schools in the Federal District. International Journal of Environmental Research and Public Health, 22(9), 1331. https://doi.org/10.3390/ijerph22091331