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Accepted manuscript

The food environment in favelas is associated with the presence of arterial hypertension and diabetes in socially vulnerable women

Published online by Cambridge University Press:  03 February 2025

Luiz Gonzaga Ribeiro Silva-Neto Open the ORCID record for Luiz Gonzaga Ribeiro Silva-Neto [Opens in a new window] ,
Risia Cristina Egito de Menezes ,
Juliana Souza Oliveira Open the ORCID record for Juliana Souza Oliveira [Opens in a new window] ,
Nathalia Paula de Souza ,
Thays Lane Ferreira dos Santos  and
Telma Maria de Menezes Toledo Florêncio
Luiz Gonzaga Ribeiro Silva-Neto*
Affiliation:
Programa de Pós-Graduação em Nutrição, Escola Paulista de Medicina, Universidade Federal de São Paulo. R. Botucatu, 740. Vila Clementino, São Paulo – SP, Brasil, 04023-062.
Risia Cristina Egito de Menezes
Affiliation:
Programa de Pós-Graduação em Nutrição, Faculdade de Nutrição, Universidade Federal de Alagoas. Avenida Lourival Melo Mota, s/n. Tabuleiro dos Martins, Maceió – AL, Brasil, CEP: 57072- 900.
Juliana Souza Oliveira
Affiliation:
Curso de Nutrição, Centro Acadêmico de Vitória, Universidade Federal de Pernambuco. Rua Alto do Reservatório, s/n. Alto José Leal, Vitória de Santo Antão - PE, Brasil, CEP: 55608-680.
Nathalia Paula de Souza
Affiliation:
Curso de Nutrição, Centro Acadêmico de Vitória, Universidade Federal de Pernambuco. Rua Alto do Reservatório, s/n. Alto José Leal, Vitória de Santo Antão - PE, Brasil, CEP: 55608-680.
Thays Lane Ferreira dos Santos
Affiliation:
Programa de Pós-Graduação em Nutrição, Escola Paulista de Medicina, Universidade Federal de São Paulo. R. Botucatu, 740. Vila Clementino, São Paulo – SP, Brasil, 04023-062.
Telma Maria de Menezes Toledo Florêncio
Affiliation:
Programa de Pós-Graduação em Nutrição, Escola Paulista de Medicina, Universidade Federal de São Paulo. R. Botucatu, 740. Vila Clementino, São Paulo – SP, Brasil, 04023-062. Programa de Pós-Graduação em Nutrição, Faculdade de Nutrição, Universidade Federal de Alagoas. Avenida Lourival Melo Mota, s/n. Tabuleiro dos Martins, Maceió – AL, Brasil, CEP: 57072- 900.
*
Corresponding author: Luiz Gonzaga Ribeiro Silva-Neto. Programa de Pós-Graduação em Nutrição, Escola Paulista de Medicina, Universidade Federal de São Paulo. R. Botucatu, 740. Vila Clementino, São Paulo – SP, Brasil, 04023-062. E-mail address: luizribeiro_neto@hotmail.com Phone: +55 (82) 99969-5911.
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Abstract

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Objective:

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.

Design:

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 generalized estimating equations, adjusted for age, education, race/skin color, and poverty status.

Participants:

1,882 adult women of reproductive age (20 to 44 years).

Results:

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]).

Conclusions:

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.

Keywords

Povertyfavelachronic diseaseshypertensiondiabetes
Type
Research Paper
Information
Public Health Nutrition , Accepted manuscript , pp. 1 - 24
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society