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2024-01-24T21:41:21Z2024-01-24T21:41:21Z2019-06-1819775https://doi.org/10.1186/s12889-019-6975-y1471-2458http://hdl.handle.net/1843/63306https://orcid.org/0000-0001-9782-2606Background: The food environment can influence opportunities and barriers to food access. This study aimed to investigate whether access to healthy foods varies according to store types and the socioeconomic status of the users of the public health promotion program in Brazil, known as the Health Academy Program. Methods: A total of 18 Health Academy Program centers were selected via simple conglomerate sampling. Health Academy Program users living up to 1 km from the food stores were evaluated (n = 2831). Their socioeconomic status was investigated via face-to-face interviews. The food stores were audited through direct observation. Variables included the community nutrition environment (type and location) and consumer nutrition environment (healthy food store index, involving variables such as availability, variety, and advertising of healthy and unhealthy products). Multiple linear regression analysis was performed to examine the association between access to healthy foods, socioeconomic status, and food store type. Results: A total of 336 stores were investigated. The majority were specialty fruit and vegetable markets/stores or open-air food markets. Access to healthy food was only associated with the food store type. An increase of 1% in the availability of specialized fruits and vegetable markets or open-air food markets and supermarket raised healthy food store index values by 0.12 and 0.07, respectively. Conclusions: Public food supply policies aimed at improving the diet quality of the population and reducing inequality in access should prioritize the implementation of stores of better quality, such as specialty fruit and vegetable markets and open-air food markets.Contexto: O ambiente alimentar pode influenciar oportunidades e barreiras ao acesso aos alimentos. Este estudo teve como objetivo investigar se o acesso a alimentos saudáveis varia de acordo com o tipo de loja e a situação socioeconômica dos usuários do programa de promoção da saúde pública no Brasil, conhecido como Programa Academia da Saúde. Métodos: Foram selecionados 18 centros do Programa Academia da Saúde por meio de amostragem simples por conglomerado. Foram avaliados usuários do Programa Academia da Saúde que moravam até 1 km dos armazéns de alimentos (n = 2.831). Seu status socioeconômico foi investigado por meio de entrevistas presenciais. As lojas de alimentos foram auditadas através de observação direta. As variáveis incluíram o ambiente nutricional da comunidade (tipo e localização) e o ambiente nutricional do consumidor (índice de lojas de alimentos saudáveis, envolvendo variáveis como disponibilidade, variedade e publicidade de produtos saudáveis e não saudáveis). Análise de regressão linear múltipla foi realizada para examinar a associação entre acesso a alimentos saudáveis, nível socioeconômico e tipo de armazenamento de alimentos. Resultados: Foram investigadas 336 lojas. A maioria eram mercados/lojas de especialidades de frutas e vegetais ou mercados de alimentos ao ar livre. O acesso à alimentação saudável esteve associado apenas ao tipo de armazenamento de alimentos. Um aumento de 1% na disponibilidade de mercados especializados de frutas e vegetais ou mercados de alimentos ao ar livre e supermercados elevou os valores do índice das lojas de alimentos saudáveis em 0,12 e 0,07, respectivamente. Conclusões: As políticas públicas de abastecimento alimentar que visam melhorar a qualidade da dieta da população e reduzir a desigualdade no acesso devem priorizar a implementação de lojas de melhor qualidade, como mercados especializados de frutas e vegetais e mercados de alimentos ao ar livre.CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoengUniversidade Federal de Minas GeraisUFMGBrasilENF - DEPARTAMENTO DE ENFERMAGEM APLICADAENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICAENF - DEPARTAMENTO DE NUTRIÇÃOICX - DEPARTAMENTO DE ESTATÍSTICAMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIALBMC Public HealthComércioMeio ambiente e saúde públicaFatores socioeconômicosSaúde da população urbanaCommercial sectorsEnvironment and public healthSocioeconomic factorsUrban healthDoes access to healthy food vary according to socioeconomic status and to food store type? an ecologic studyO acesso a alimentos saudáveis varia de acordo com o nível socioeconômico e o tipo de armazenamento de alimentos? um estudo ecológicoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-6975-yBruna Vieira de Lima CostaMariana Carvalho de MenezesCláudia Di Lorenzo OliveiraSueli Aparecida MingotiPatrícia Constante JaimeWaleska Teixeira CaiaffaAline Cristine Souza Lopesapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/63306/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALDoes access to healthy food vary according to socioeconomic status and to food store type an ecologic study.pdfDoes access to healthy food vary according to socioeconomic status and to food store type an ecologic study.pdfapplication/pdf657249https://repositorio.ufmg.br/bitstream/1843/63306/2/Does%20access%20to%20healthy%20food%20vary%20according%20to%20socioeconomic%20status%20and%20to%20food%20store%20type%20an%20ecologic%20study.pdf203b826cbe6ad94a4b2d5d99514a769dMD521843/633062024-01-24 18:46:30.407oai:repositorio.ufmg.br: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Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oaiopendoar:2024-01-24T21:46:30Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
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