Evidence map›Paper›PMID 40604572›Full record

ArticleBMC public health2025

Association of socio-economic environment and women's empowerment with daily fruit and vegetable intake in Latin American cities: a multilevel study.

Giovanna Valentino, Amy H Auchincloss, Natalia Tumas, Nancy López-Olmedo, Ana Ortigoza, Mariana Carvalho de Menezes, Mónica Mazariegos, Carolina Nazzal

Abstract read
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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Giovanna ValentinoPrograma de Doctorado, Facultad de Medicina, Escuela de Salud Pública, Universidad de Chile, Santiago, Chile.
Amy H AuchinclossDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Natalia TumasCenter of Research and Studies on Culture and Society, National and Technical Research Council and National University of Córdoba (CIECS, CONICET and UNC), Córdoba, Argentina.
Nancy López-OlmedoCenter for Population Health Research, National Institute of Public Health, Cuernavaca, Mexico.
Ana OrtigozaUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Mariana Carvalho de MenezesDepartment of Nutrition, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Mónica MazariegosINCAP Research Center for the Prevention of Chronic Diseases (CIIPEC), Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala.
Carolina NazzalEscuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Independencia 939, Santiago, Chile. cnazzal@uchile.cl.

Funding

Agencia Nacional de Investigación y Desarrollo 21210712Fundação de Amparo à Pesquisa do Estado de Minas Gerais APQ-01432-23Wellcome TrustWellcome Trust 205177/Z/16/Z
6 · The paper itself

Abstract

backgroundIn Latin America, a low proportion of the population meets the recommended fruit and vegetable (F&V) intake. The region is highly urbanized, with significant socioeconomic inequalities. The objective of this study was to analyze the association of the socio-economic environment (GDP per capita, living conditions) and women's empowerment (WE) with daily F&V intake in adults from Latin American cities, and whether these associations vary by individual education.

methodsCross-sectional study using secondary data from the SALURBAL project (Urban Health in Latin America), which compiled data from health surveys, censuses, and other surveys from cities with ≥ 100,000 inhabitants in 11 Latin American countries. The sample included 91,977 adults from 234 cities in 8 countries with self-reported F&V intake data. The outcome was daily F&V intake, defined as consuming F&V 7 days a week. City-level exposures included GDP per capita (tertiles), living conditions score (overcrowding, piped water, and education access; Z-scores), and WE score (labor force participation and early marriage; Z-scores). We estimated prevalence ratios (PR) for the association between each exposure and daily F&V intake using gender-stratified two-level Poisson models with random intercepts for cities adjusted by city and individual-level covariates. Interaction terms were included to evaluate effect-modification by individual education.

resultsParticipants from cities in the upper GDP tertiles (T2 and T3) showed a ~ 7% higher prevalence of daily F&V intake among men (T2 PR = 1.08, 95% CI: 1.00-1.15; T3 PR = 1.06, 95% CI: 0.99-1.14) and women (T2 PR = 1.07, 95% CI: 1.01-1.13; T3 PR = 1.06, 95% CI: 0.99-1.12). A one standard deviation increase in WE and living conditions scores was associated with a ~ 10% higher prevalence of daily F&V intake in men (WE PR = 1.10, 95% CI: 1.02-1.19; living conditions PR = 1.10, 95% CI: 1.04-1.16) and women (WE PR = 1.11, 95% CI: 1.04-1.17; living conditions PR = 1.10, 95% CI: 1.05-1.15). Individual education levels significantly modified these associations (p < 0.05), which were stronger among those with lower educational attainment.

conclusionsCity GDP per capita, living conditions and WE were directly associated with fruit and vegetable daily intake, particularly among individuals with lower education levels in Latin America.

Indexed as

DietEmpowermentFruitVegetablesAdultCitiesCross-Sectional StudiesFemaleHumansLatin AmericaMaleMiddle AgedMultilevel AnalysisSocioeconomic FactorsUrban PopulationYoung AdultDiet qualityGross domestic incomeMiddle-income countriesSocial determinants of healthSocioeconomic developmentWomen’s empowerment

Identifiers

PMID40604572
PMCPMC12219996

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.