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    Nogueira, Luana Fontanelli, Mariane Aguiar, Breno Failla, Marcelo Florindo, Alex Barrozo, Ligia Goldbaum, Moisés Cesar, Chester Alves, Maria and Fisberg, Regina 2018. Access to Street Markets and Consumption of Fruits and Vegetables by Adolescents Living in São Paulo, Brazil. International Journal of Environmental Research and Public Health, Vol. 15, Issue. 3, p. 517.
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Is food store type associated with the consumption of ultra-processed food and drink products in Brazil?

  • Priscila Pereira Machado (a1) (a2), Rafael Moreira Claro (a2) (a3), Ana Paula Bortoletto Martins (a2), Janaína Calu Costa (a4) and Renata Bertazzi Levy (a2) (a5)...
Abstract
Objective

To analyse the association between food store type and the consumption of ultra-processed products in Brazil.

 Design

Data from the 2008–2009 Household Budget Survey involving a probabilistic sample of 55 970 Brazilian households. Food stores were grouped into nine categories. Foods and drinks were grouped according to characteristics of food processing. The contribution of each food store type to the total energy acquired from each food processing group, and according to quintiles of consumption of ultra-processed products, was estimated. Exploratory factor analysis was conducted to identify a pattern of food store usage. Linear regression models were performed to estimate the relationship between the purchase pattern and the consumption of ultra-processed products.

 Results

In line with their larger market share, supermarkets accounted for 59 % of total energy and participated most in acquisition for three food groups, with emphasis on ultra-processed products (60·4 % of energy). The participation of supermarkets in total purchase tended to increase in populations with higher consumption of ultra-processed products, while the participation of small markets and small producers tended to decrease. The purchase pattern characterized by use of traditional retail (street fairs and vendors, small markets, small farmers, butcheries) was associated with a smaller consumption of ultra-processed products.

 Conclusions

Food policies and interventions aiming to reduce the consumption of ultra-processed products should consider the influence of supermarkets on the consumption of these products. A purchase pattern based on traditional retail constitutes an important tool for promoting healthy eating in Brazil.
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Copyright
COPYRIGHT: © The Authors 2017 
Corresponding author
* Corresponding author: Email priscilamachado@usp.br
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