ArticlePublic health nutrition2020
Social determinants, lifestyle and diet quality: a population-based study from the 2015 Health Survey of São Paulo, Brazil.
Article in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Adherence to Food-Based Dietary Guidelines: A Systemic Review of High-Income and Low- and Middle-Income Countries.Nutrients · 2021Pooled it
- Association of hospitalization costs with demographic, socioeconomic, and lifestyle characteristics: Population-based study in Sao Paulo city, Brazil, 2003-2015.Health policy OPEN · 2026Article
- Associations Between the Cardiovascular Health Diet Index (CHDI) and Cardiometabolic Risk Factors in Brazilian Workers: A Cross-Sectional Study.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- Associations between socioeconomic status, dietary habits and health-related quality of life among children in rural riverside communities: the mediation role of food insecurity.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Education Level and Cardioprotective Dietary Patterns in Polish Post-MI Patients: A Cross-Sectional Study Using the KomPAN Tool.Nutrients · 2025Article
- Cumulative social disadvantage and its impact on long COVID: insights from a U.S. national survey.BMC medicine · 2025Article
- Lifestyle and Cardiometabolic Risk Factors Associated with Impoverishment Due to Out-of-Pocket Health Expenditure in São Paulo City, Brazil.International journal of environmental research and public health · 2024Article
- Associations between Four Diet Quality Indexes and High Blood Pressure among Adults: Results from the 2015 Health Survey of Sao Paulo.Nutrients · 2024Article
- How does young adults' dietary and health-related quality of life vary by food security and household income?Frontiers in nutrition · 2024Article
- Article
- Prevalence of Excess Sodium Intake and Their Corresponding Food Sources in Adults from the 2017-2018 Brazilian National Dietary Survey.Nutrients · 2022Article
- Low Adherence to the EAT-Lancet Sustainable Reference Diet in the Brazilian Population: Findings from the National Dietary Survey 2017-2018.Nutrients · 2022Article
- Article
- Socioeconomic Status Impact on Diet Quality and Body Mass Index in Eight Latin American Countries: ELANS Study Results.Nutrients · 2021Article
- Article
- Dietary Habits of Older Adults in Serbia: Findings From the National Health Survey.Frontiers in public health · 2021Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the association among social determinants, lifestyle variables and diet quality in São Paulo, Brazil.
designCross-sectional study, 2015 Health Survey of São Paulo (Inquérito de Saúde de São Paulo (2015 ISA-Capital)) with Focus on Nutrition Study (2015 ISA-Nutrition).
settingPopulation-based study, with a representative sample of adults living in São Paulo, Brazil.
participantsAdults (aged 20-59 years, n 643) and older adults (aged ≥60 years, n 545).
resultsWe observed differences in the Brazilian Healthy Eating Index-Revised (BHEI-R) by education, income, occupation, sex and race. Whole grains (0·63 points, 12·6 % of the maximum score), sodium (2·50 points, 25·0 %) and solid fat, alcohol and added sugars (9·28 points, 46·4 %) components had the lowest BHEI-R scores. Factors positively associated with diet quality included the presence of one disease or more (e.g. diabetes mellitus, hypertension, cancer, hypercholesterolaemia: β = 0·636, P < 0·001), income (middle income: β = 0·478, P < 0·001; high income: β = 0·966, P < 0·001) and occupation (other: β = 1·418, P < 0·001). Energy (β = -0·001, P < 0·001), alcohol consumption (β = -0·207, P = 0·027), education level (middle education: β = -0·975, P < 0·001; high education: β = -1·376, P < 0·001), races other than white (β = -0·366, P < 0·001) and being unemployed (β = -0·369, P < 0·046) were negatively associated with diet quality.
conclusionsGroups affected by socio-economic inequalities need better diet quality. Governmental actions should be implemented to reduce the consumption of energy-dense and sodium-rich foods, facilitate access and information on healthy eating, and conduct nutritional education.
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