Association Between the Food Environment Around Schools and Food Consumption of Adolescents in Large and Small Municipalities in Southern Brazil

Maria Beatriz Carolina da Silva, Katiany Claudete Pinheiro, Gabriele Rockenbach, Patrícia de Fragas Hinnig, Maria Gabriela Matias de Pinho, Lidiamara Dornelles de Souza, Adalberto A. S. Lopes, Francisco de Assis Guedes de Vasconcelos and Elizabeth Nappi Corrêa ()
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Maria Beatriz Carolina da Silva: Postgraduate Program in Nutrition, Federal University of Santa Catarina, Florianópolis 88040-370, SC, Brazil
Katiany Claudete Pinheiro: Department of Nutrition, Federal University of Santa Catarina, Florianópolis 88040-370, SC, Brazil
Gabriele Rockenbach: Center for Health Sciences, Department of Nutrition, Federal University of Santa Catarina, Florianópolis 88040-370, SC, Brazil
Patrícia de Fragas Hinnig: Faculty of Health Sciences, University of Brasília, Florianópolis 88040-370, SC, Brazil
Maria Gabriela Matias de Pinho: Copernicus Institute of Sustainable Development, Department Environmental Sciences, Utrecht University, 3584 Utrecht, The Netherlands
Lidiamara Dornelles de Souza: Postgraduate Program in Nutrition, Federal University of Santa Catarina, Florianópolis 88040-370, SC, Brazil
Adalberto A. S. Lopes: Specialist in Geoprocessing, Physical Activity and Health, Urban Health Observatory, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil
Francisco de Assis Guedes de Vasconcelos: Postgraduate Program in Nutrition, Federal University of Santa Catarina, Florianópolis 88040-370, SC, Brazil
Elizabeth Nappi Corrêa: Center for Health Sciences, Department of Nutrition, Federal University of Santa Catarina, Florianópolis 88040-370, SC, Brazil

IJERPH, 2024, vol. 21, issue 11, 1-16

Abstract: This cross-sectional study aimed to evaluate the association between the consumption of healthy and unhealthy food markers among adolescents enrolled in the ninth grade of elementary school in municipal public schools and the food environment around the schools in two municipalities of different sizes, located in Southern Brazil. The data were collected between 2022 and 2023, with 449 adolescent participants. Of these, 347 were students from the municipality of Florianópolis, and 102 were students from the municipality of Governador Celso Ramos, all aged between 13 and 17 years. The establishments located around the schools were evaluated using AUDITNOVA, an instrument that investigates the environmental dimension and food dimension. The consumption of healthy eating markers (beans, vegetables, and fresh fruits) and unhealthy eating markers (ultra-processed foods, soft drinks, sweets, and fried snacks) among students was assessed using a food frequency questionnaire. Statistically significant associations were observed between the food environment around the school and the consumption of unhealthy food markers (OR = 0.63; 95% CI = 0.41–0.98 p = 0.041) but only in the large municipality. No significant associations were found in the students’ food consumption in the small municipality. A significant association between the school food environment and adolescents’ consumption of unhealthy foods was observed in Florianópolis. Healthy food consumption was low among students in the small municipality, Governador Celso Ramos.

Keywords: built environment; food deserts; schools; adolescents; ultra-processed foods (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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