Prevalence of daily fruit and vegetable intake by socio-economic characteristics, women’s empowerment, and climate zone: an ecological study in Latin American cities
This cross-sectional ecological study described fruit and vegetable (F&V) intake variability across 144 cities in 8 Latin American countries and by city-level contextual variables. Data sources came from health surveys and census data (Argentina, Brazil, Chile, Colombia, El Salvador, Guatemala,...
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Cambridge University Press
2025-01-01
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| Series: | Journal of Nutritional Science |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2048679024000934/type/journal_article |
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| author | Giovanna Valentino Amy H. Auchincloss Binod Acharya Natalia Tumas Nancy López-Olmedo Ana Ortigoza Mariana Carvalho de Menezes María Fernanda Kroker-Lobos Carolina Nazzal |
| author_facet | Giovanna Valentino Amy H. Auchincloss Binod Acharya Natalia Tumas Nancy López-Olmedo Ana Ortigoza Mariana Carvalho de Menezes María Fernanda Kroker-Lobos Carolina Nazzal |
| author_sort | Giovanna Valentino |
| collection | DOAJ |
| description | This cross-sectional ecological study described fruit and vegetable (F&V) intake variability across 144 cities in 8 Latin American countries and by city-level contextual variables. Data sources came from health surveys and census data (Argentina, Brazil, Chile, Colombia, El Salvador, Guatemala, Mexico, and Peru). Self-reported frequency of F&V intake was harmonised across surveys. Daily F&V intake was considered as consumption 7 d of the week. Using a mixed-effects model, we estimated age and sex-standardised city prevalences of daily F&V intake. Through Kruskal–Wallis tests, we compared city F&V daily intake prevalence by tertiles of city variables related to women’s empowerment, socio-economics, and climate zones. The median prevalence for daily F&V intake was 55.7% across all cities (22.1% to 85.4%). Compared to the least favourable tertile of city conditions, F&V daily intake prevalence was higher for cities within the most favourable tertile of per capita GDP (median = 65.7% vs. 53.0%), labour force participation (median = 68.7% vs. 49.4%), women achievement-labour force score (median = 63.9% vs. 45.7%), and gender inequality index (median = 58.6% vs. 48.6%). Also, prevalences were higher for temperate climate zones than arid climate zones (median = 65.9% vs. 50.6%). No patterns were found by city level of educational attainment, city size, or population density. This study provides evidence that the prevalence of daily F&V intake varies across Latin American cities and may be favoured by higher socio-economic development, women’s empowerment, and temperate weather. Interventions to improve F&V intake in Latin America should consider the behaviour disparities related to underlying local social, economic, and climate zone characteristics. |
| format | Article |
| id | doaj-art-134283deb8b744628ffb63e98c679447 |
| institution | Kabale University |
| issn | 2048-6790 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Journal of Nutritional Science |
| spelling | doaj-art-134283deb8b744628ffb63e98c6794472025-01-16T21:47:18ZengCambridge University PressJournal of Nutritional Science2048-67902025-01-011410.1017/jns.2024.93Prevalence of daily fruit and vegetable intake by socio-economic characteristics, women’s empowerment, and climate zone: an ecological study in Latin American citiesGiovanna Valentino0Amy H. Auchincloss1https://orcid.org/0000-0002-5844-6721Binod Acharya2Natalia Tumas3https://orcid.org/0000-0003-4730-6624Nancy López-Olmedo4Ana Ortigoza5Mariana Carvalho de Menezes6https://orcid.org/0000-0002-3069-7959María Fernanda Kroker-Lobos7Carolina Nazzal8Programa de Doctorado, Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Santiago, Chile Departamento de Nutrición y Dietética, Escuela de Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, ChileDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USAUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USACentro de Investigaciones y Estudios sobre Cultura y Sociedad, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET) y Universidad Nacional de Córdoba, Córdoba, Argentina Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, Córdoba, ArgentinaCenter for Population Health Research, National Institute of Public Health, Cuernavaca, MexicoUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA Department of Social and Environmental Determinants for Heath Equity, Pan American Health Organization, Washington, DC, USADepartment of Nutrition, Federal University of Minas Gerais, Belo Horizonte, BrazilINCAP Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama, Guatemala City, GuatemalaEscuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Santiago, ChileThis cross-sectional ecological study described fruit and vegetable (F&V) intake variability across 144 cities in 8 Latin American countries and by city-level contextual variables. Data sources came from health surveys and census data (Argentina, Brazil, Chile, Colombia, El Salvador, Guatemala, Mexico, and Peru). Self-reported frequency of F&V intake was harmonised across surveys. Daily F&V intake was considered as consumption 7 d of the week. Using a mixed-effects model, we estimated age and sex-standardised city prevalences of daily F&V intake. Through Kruskal–Wallis tests, we compared city F&V daily intake prevalence by tertiles of city variables related to women’s empowerment, socio-economics, and climate zones. The median prevalence for daily F&V intake was 55.7% across all cities (22.1% to 85.4%). Compared to the least favourable tertile of city conditions, F&V daily intake prevalence was higher for cities within the most favourable tertile of per capita GDP (median = 65.7% vs. 53.0%), labour force participation (median = 68.7% vs. 49.4%), women achievement-labour force score (median = 63.9% vs. 45.7%), and gender inequality index (median = 58.6% vs. 48.6%). Also, prevalences were higher for temperate climate zones than arid climate zones (median = 65.9% vs. 50.6%). No patterns were found by city level of educational attainment, city size, or population density. This study provides evidence that the prevalence of daily F&V intake varies across Latin American cities and may be favoured by higher socio-economic development, women’s empowerment, and temperate weather. Interventions to improve F&V intake in Latin America should consider the behaviour disparities related to underlying local social, economic, and climate zone characteristics.https://www.cambridge.org/core/product/identifier/S2048679024000934/type/journal_articleClimate zoneDiet qualityLatin AmericaMiddle-income countriesSocio-economic developmentWomen’s empowerment |
| spellingShingle | Giovanna Valentino Amy H. Auchincloss Binod Acharya Natalia Tumas Nancy López-Olmedo Ana Ortigoza Mariana Carvalho de Menezes María Fernanda Kroker-Lobos Carolina Nazzal Prevalence of daily fruit and vegetable intake by socio-economic characteristics, women’s empowerment, and climate zone: an ecological study in Latin American cities Journal of Nutritional Science Climate zone Diet quality Latin America Middle-income countries Socio-economic development Women’s empowerment |
| title | Prevalence of daily fruit and vegetable intake by socio-economic characteristics, women’s empowerment, and climate zone: an ecological study in Latin American cities |
| title_full | Prevalence of daily fruit and vegetable intake by socio-economic characteristics, women’s empowerment, and climate zone: an ecological study in Latin American cities |
| title_fullStr | Prevalence of daily fruit and vegetable intake by socio-economic characteristics, women’s empowerment, and climate zone: an ecological study in Latin American cities |
| title_full_unstemmed | Prevalence of daily fruit and vegetable intake by socio-economic characteristics, women’s empowerment, and climate zone: an ecological study in Latin American cities |
| title_short | Prevalence of daily fruit and vegetable intake by socio-economic characteristics, women’s empowerment, and climate zone: an ecological study in Latin American cities |
| title_sort | prevalence of daily fruit and vegetable intake by socio economic characteristics women s empowerment and climate zone an ecological study in latin american cities |
| topic | Climate zone Diet quality Latin America Middle-income countries Socio-economic development Women’s empowerment |
| url | https://www.cambridge.org/core/product/identifier/S2048679024000934/type/journal_article |
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