Public Health Nutrition最新文献

{"title":"The Impact of an Integrated Nurturing Care Intervention to Improve Early Childhood Development Outcomes in Nampula Province, Mozambique.","authors":"Filipa de Castro, Katija Momade, Jennifer Yourkavitch, Charles D Arnold, Alberto Manhiça, Filipe Zano, Higino André, Edmilson Ismail, Kristen Cashin, Catherine M Kirk","doi":"10.1017/S1368980025100554","DOIUrl":"https://doi.org/10.1017/S1368980025100554","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the effect of integrating responsive care, early learning, and development monitoring into a community-based package of activities on nutrition, sanitation, and hygiene, on improvements in early childhood development outcomes.</p><p><strong>Design: </strong>This was a quasi-experimental study with nonequivalent comparison groups. The study primary outcome, early childhood development, was measured using the Ages and Stages Questionnaire (ASQ-3) and the Global Scales for Early Development (GSED). We also collected data on the early learning home environment, nutritional practices, and caregiver depressive symptoms as secondary outcomes.</p><p><strong>Setting: </strong>This study was conducted across 12 districts in Nampula Province, Mozambique. Half of the districts received holistic nurturing care with responsive care, early learning, nutrition, sanitation, and hygiene packages (intervention), and the other half received only nutrition, sanitation, and hygiene packages (comparison).</p><p><strong>Participants: </strong>We recruited an age-stratified random sample of 961 caregivers and their children, aged 0-23 months.</p><p><strong>Results: </strong>We found a significantly higher mean caregiver engagement total score (mean difference: 0.36; <i>P</i> ≤ .001) and higher number of activities to support learning (mean difference: 0.30, <i>P</i> = 0.004) in the intervention group than in the control. There were no measurable impacts on the remaining early stimulation activities or on the primary outcomes of the ASQ and GSED developmental scores.</p><p><strong>Conclusions: </strong>We discuss the challenges in the integration of nurturing care interventions into existing programs in high-vulnerability contexts, highlighting the aspects needed to achieve effective caregiver behavioral changes that can translate into improved early childhood development outcomes.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-34"},"PeriodicalIF":3.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food insecurity is associated with poor mental health outcomes among a diverse sample of young adults.","authors":"Natalie S Poulos, Sarah A Pitman, Cayley E Velazquez, Keryn E Pasch","doi":"10.1017/S1368980025100530","DOIUrl":"10.1017/S1368980025100530","url":null,"abstract":"<p><strong>Objective: </strong>Young adulthood is a transitional period between childhood and adulthood characterised by unique stressors that increase the risk of food insecurity and poor mental health. This study examined the association between food insecurity and mental health outcomes among U.S. young adults aged 18-25.</p><p><strong>Design: </strong>A cross-sectional survey was completed by young adults between the ages of 18 and 25 years between January and April 2022. Key measures included food insecurity, perceived stress, anxiety, depressive symptoms and insomnia. Descriptive statistics and linear regression analyses were used to determine the prevalence of and associations between food insecurity and mental health outcomes, controlling for key demographic and social factors.</p><p><strong>Setting: </strong>Online survey.</p><p><strong>Participants: </strong>1630 U.S. young adults.</p><p><strong>Results: </strong>Among the analytic sample of 1041 young adults, nearly 70 % of participants identified as being food insecure in the last year. Participants reported moderate to high levels of perceived stress, anxiety, depressive symptoms and insomnia. Food insecurity was positively associated with each mental health outcome including perceived stress (<i>β</i> = 2·28, <i>P</i>< 0·01), anxiety (<i>β</i> = 2·84, <i>P</i>< 0·01), depressive symptoms (<i>β</i> = 2·74, <i>P</i>< 0·01) and insomnia (<i>β</i> = 1·28, <i>P</i>< 0·01) after controlling for all other factors.</p><p><strong>Conclusion: </strong>Food insecurity is associated with mental health problems among young adults. Future efforts should explore the directionality of this relationship to determine if food insecurity initiates or exacerbates poor mental health outcomes or if poor mental health contributes to food insecurity. Interventions to improve food security status may also help support mental health among young adults.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e108"},"PeriodicalIF":3.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Menu item prices and promotions offered on a meal delivery app in the UK and their socio-economic patterns.","authors":"Yuru Huang, Nuwan Weerasinghe, Jean Adams, Holly Rippin, Kathrin Hetz, Olga Zhiteneva, Kremlin Wickramasinghe","doi":"10.1017/S1368980025100529","DOIUrl":"10.1017/S1368980025100529","url":null,"abstract":"<p><strong>Objective: </strong>To describe menu item prices and promotions on a meal delivery app in the UK and explore their socio-economic patterns.</p><p><strong>Design: </strong>Cross-sectional descriptive analysis.</p><p><strong>Setting: </strong>We analysed over 21 million menu items from 71 532 food outlets listed on JustEat across the UK. We assessed median prices and types of promotions, examining variations by cuisine (e.g. chicken dishes, pizza) and outlet type (i.e. grocery, chain takeaways). Promotions were categorised into six types: percentage off, stamp cards, free items, meal deal notifications, buy one get one free and low delivery fees.</p><p><strong>Results: </strong>The median number of food outlets accessible via JustEat was sixty-nine per postcode district with delivery access (IQR = 14-225). The median menu item price was £6·25, with small/independent takeaways showing the highest prices. Menu item prices were generally lower in more deprived areas. Promotions were prevalent, with 65·96 % of outlets offering at least one. Outlets delivering to more deprived areas tended to offer more promotions, with the most common being low delivery fees, stamp cards and percentage off. Price and promotion strategies differed across cuisines and outlet types.</p><p><strong>Conclusions: </strong>Online menu item prices are relatively high, and promotions are widespread in the UK. Food outlets serving deprived areas often offer lower prices and more promotions. These targeted pricing and promotional strategies may influence purchasing behaviour and contribute to diet and health inequalities. Further research is needed to assess their impact on dietary behaviours and population health and guide policy interventions in the digital food environment.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e110"},"PeriodicalIF":3.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and psychometric properties of a questionnaire on adolescents' home food environment.","authors":"Camila Batista Rodrigues, Emanuele Souza Marques, Rosangela Alves Pereira","doi":"10.1017/S1368980025100402","DOIUrl":"10.1017/S1368980025100402","url":null,"abstract":"<p><strong>Objective: </strong>To describe the design and psychometric assessment of the Adolescent Home Food Environment Questionnaire (Acronym in Portuguese: QAAD).</p><p><strong>Design: </strong>This was a cross-sectional study. Data were collected between August 2021 and January 2022 through self-administered questionnaires via a survey management application accessible by computer or smartphone. The instrument was subjected to analysis by a panel of experts and to a pretest that enabled the adjustment of the language and the reformulation of the questions. The psychometric evaluation included the assessment of test-retest reliability (intraclass correlation coefficient), internal consistency (composite reliability), structural validity (exploratory structural equation modelling and confirmatory factor analysis) and construct validity (Mann‒Whitney test; <i>P</i>< 0·05). The following food environment aspects were evaluated: family eating practices, food availability and accessibility, cooking equipment availability and parental feeding style. Moreover, the weekly frequency of fruit, bean and added sugar beverage consumption was assessed.</p><p><strong>Setting: </strong>A public high school in Rio de Janeiro, Brazil.</p><p><strong>Participants: </strong>14-to-19-year-old students (<i>n</i> 34 in the test‒retest reliability study; <i>n</i> 501 in the validation analysis).</p><p><strong>Results: </strong>The final version of the QAAD included thirty-two questions allowing the assessment of seven dimensions of the home food environment. The QAAD demonstrated satisfactory reliability (ICC ranging from 0·44 to 0·78), adequate internal consistency (composite reliability > 0·70) and satisfactory structural and construct validity.</p><p><strong>Conclusions: </strong>The careful QAAD design provided a valid, reliable and consistent instrument for characterising adolescents' home food environments, which may provide information for tailoring and targeting healthy eating promotion actions aimed at adolescents.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e107"},"PeriodicalIF":3.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contemporary factors affecting serum 25-hydroxyvitamin D concentrations in Chinese children aged 2-6 years.","authors":"Qian Chen, Ting Yang, Yongfang Liu, Jie Chen, Qian Cheng, Tingyu Li","doi":"10.1017/S1368980024001320","DOIUrl":"10.1017/S1368980024001320","url":null,"abstract":"<p><strong>Objective: </strong>We investigated vitamin D (VitD) nutritional status in children aged 2-6 years to provide a basis for prevention and intervention strategies for VitD deficiency (VitDD) in Chinese children.</p><p><strong>Design: </strong>From November 2018 to September 2019, a total of 2192 healthy children aged 2-6 years were enrolled. The serum 25-hydroxyvitamin D (25(OH)D) concentrations were measured by liquid chromatography tandem MS.</p><p><strong>Setting: </strong>Twelve jurisdictions in eight provinces and cities across northern and southern China were selected through stratified cluster sampling.</p><p><strong>Participants: </strong>2192 children aged 2-6 years were enrolled.</p><p><strong>Results: </strong>(1) A serum 25(OH)D concentration of 23·87 (sd 8·24) ng/ml, a VitDS rate of 65·2 %, an insufficiency rate of 29·6 % and a deficiency rate of 5·2 % were noted. (2) Age (OR = 2·22, 95 % CI 1·86, 2·64) and spring (OR = 1·35, 95 % CI 0·91, 2·01) are risk factors for VitDD and VitDI. The male (OR = 0·68, 95 % CI 0·52, 0·90), the temperature (OR = 0·89, 95 % CI 0·86, 0·93), summer (OR = 0·25, 95 % CI 0·09, 0·68), autumn (OR = 0·26, 95 % CI 0·09, 0·74) the intake of VitD supplements (OR = 0·08, 95 % CI 0·03, 0·28), the intake frequency of dairy products (OR = 0·86, 95 % CI 0·78, 0·96) and egg products (OR = 0·83, 95 % CI 0·74, 0·93) are protective factors for VitDD and VitDI.</p><p><strong>Conclusion: </strong>VitDD in children aged 2-6 years is still prevalent in China, but the influencing factors of VitD nutrition have changed. Latitude is not the main factor in the 25(OH)D concentrations of children aged 2-6 years; temperature, intake of eggs and dairy products and sampling season have more obvious impacts.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e93"},"PeriodicalIF":3.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of NOVA 27 ultra-processed food screener: adaptation and performance in Ecuador.","authors":"Wilma B Freire, Betzabé Tello, Philippe Belmont Guerrón","doi":"10.1017/S1368980025100475","DOIUrl":"10.1017/S1368980025100475","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to adapt and validate the NOVA 27 ultra-processed food (UPF) Screener for use in Ecuador by identifying commonly consumed foods, classifying them using the NOVA system and testing the screener's validity in an urban sample and a national food survey.</p><p><strong>Design: </strong>A cross-sectional study was conducted in two phases: screener validation with a convenience sample of 327 adults in Quito through an online questionnaire (2021) and assessment of its applicability using data from the 2012 Ecuadorian National Health and Nutrition Survey (ENSANUT-Ecu). The method, adapted from a similar study in Brazil, compared NOVA UPF scores to the 24 h-Recall (24-HR) automated multiple-pass method, used as the gold standard.</p><p><strong>Setting: </strong>The study included Quito's urban population for validation and secondary data from ENSANUT-Ecu.</p><p><strong>Participants: </strong>Three hundred and twenty-seven adults aged 18-64 from Quito were included in the validation phase, and 3510 adults from the ENSANUT-Ecu dataset were analysed in the secondary analysis.</p><p><strong>Results: </strong>The screener adaptation identified twenty-seven subgroups of commonly consumed UPF, summarising 90 % of UPF energy intake. Validation results indicated significant agreement between the NOVA-UPF score and UPF intake, with PABAK indices above 0·8 for most socio-demographic groups. Higher NOVA-UPF scores corresponded to increased UPF dietary shares, mirroring patterns observed in the ENSANUT-Ecu dataset.</p><p><strong>Conclusions: </strong>The adapted NOVA 27 UPF Screener is a valid tool for assessing UPF intake in Ecuador, offering a practical resource for future dietary surveys to monitor and address UPF intake among Ecuadorian adults.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e105"},"PeriodicalIF":3.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diet-related awareness and behaviours in cancer survivors compared with non-cancer individuals: a pooled analysis of the HINTS study.","authors":"Hemangi Mavadiya, Yunxia Lu","doi":"10.1017/S1368980025100505","DOIUrl":"10.1017/S1368980025100505","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate diet-related cancer risk awareness and behaviours among cancer survivors compared with non-cancer individuals.</p><p><strong>Design: </strong>It is a cross-sectional study initiated from the Health Information National Trends Survey (HINT).</p><p><strong>Setting: </strong>Relevant survey questions from different iterations of HINTS were harmonised. Chi-square test and logistic regression models were performed to identify differences in diet-related cancer risk awareness and behaviours between the two groups.</p><p><strong>Participants: </strong>Participants in the study were drawn from the HINT survey with various variables including age, gender, race/ethnicity, education, marital status and BMI.</p><p><strong>Results: </strong>The analysis revealed no significant differences in diet-related cancer risk awareness or behaviours between cancer survivors and non-cancer individuals. Those dietary factors included red and processed meat, alcohol, fibre, sugar-sweetened beverages, fruits and vegetables. Specifically, 82 % of both survivors and non-survivors failed to meet the American Cancer Society (ACS) recommendations for daily fruit consumption (OR = 0·91; 95 % CI = 0·77, 1·06), and approximately 75 % did not meet the daily vegetable intake guidelines (OR = 0·96; 95 % CI = 0·83, 1·11). The findings suggest that a cancer diagnosis does not inherently lead to improved dietary awareness or healthier eating behaviours.</p><p><strong>Conclusion: </strong>The lack of improvement in diet-related cancer risk awareness and behaviours among cancer survivors indicated missed education opportunities. The 'teachable moment' of cancer diagnosis was not effectively utilised, which highlighted a need for stronger guidance from healthcare providers. This gap may also reflect barriers, including limited training, time constraints and limited interprofessional collaboration among health professionals in delivering targeted dietary advice.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e102"},"PeriodicalIF":3.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of food marketing via video game live streaming on snack intake in adolescents: a randomised controlled trial.","authors":"Rebecca Evans, Paul Christiansen, Andrew Jones, James Finney, Emma Boyland","doi":"10.1017/S1368980025100487","DOIUrl":"10.1017/S1368980025100487","url":null,"abstract":"<p><strong>Objective: </strong>The marketing of foods and non-alcoholic beverages (hereafter: food) high in fat, salt and/or sugar (HFSS) is implicated in the development of poor dietary habits, overweight and obesity. Digital media, including video game live streaming platforms (VGLSP), are an increasingly prominent source of food marketing exposure, particularly for young people. This study aimed to experimentally examine the impact of food marketing via VGLSP on eating behaviour in young people.</p><p><strong>Design: </strong>A between-subjects randomised controlled trial design was used to explore the impact of exposure to HFSS food marketing in a video game live stream (a static food banner advert present throughout the footage) on immediate consumption of the marketed snack and an 'alternative brand' of the same snack in a sample of adolescents (<i>n</i> 91, <i>M</i>_age = 17·8, 69 % female). Relationships with food-advertising-related attentional bias and inhibitory control in relation to branded food cues were also examined.</p><p><strong>Setting: </strong>University Psychology laboratory.</p><p><strong>Results: </strong>Exposure to HFSS food marketing, compared with non-food marketing, did not significantly impact immediate marketing or overall snack intake. Additionally, no significant effects for attentional bias or inhibitory control were found. However, although the overall model was non-significant, greater weekly use of VGLSP was significantly associated with greater marketed snack intake.</p><p><strong>Conclusions: </strong>Findings suggest that while acute exposure to food marketing in VGLSP did not impact snack intake, perhaps more sustained exposure is impactful. Further exploration of this effect is needed, as well as studies investigating the potential impacts of other food marketing formats within VGLSP.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e109"},"PeriodicalIF":3.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The nexus of child undernutrition and household environmental conditions in Bangladesh: implications for public health and societal productivity.","authors":"John Patrick C Toledo","doi":"10.1017/S1368980025100438","DOIUrl":"10.1017/S1368980025100438","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e100"},"PeriodicalIF":3.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food environment and consumption of ultra-processed foods influencing food addiction in socially vulnerable women in Brazil.","authors":"Luiz Gonzaga Ribeiro Silva-Neto, Nassib Bezerra Bueno, Camila Aparecida Borges, Risia Cristina Egito de Menezes, André Eduardo da Silva Júnior, Thays Lane Ferreira Dos Santos, Telma Maria de Menezes Toledo Florêncio","doi":"10.1017/S1368980025100426","DOIUrl":"10.1017/S1368980025100426","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the association between food addiction (FA), food environment and consumption of ultra-processed foods (UPF) in socially vulnerable women.</p><p><strong>Design: </strong>A population-based cross-sectional study was conducted in Favelas and Urban Communities of Maceió-Brazil. The availability of UPF in the food environment was evaluated through the audit of retailers with the support of the AUDITNOVA instrument. The women taking part in the study were interviewed, and a 24-hour food recall was used to assess the proportion of UPF in their diet. The modified Yale Food Addiction Scale 2.0 was also used to determine FA. Association analysis was performed using binary logistic regression and generalised estimation equations.</p><p><strong>Participants: </strong>1702 adult women of reproductive age (20-44 years) residents in Favelas and Urban Communities.</p><p><strong>Results: </strong>It was found that 14·6 % of the women had FA. The adjusted multivariate association analysis showed that the high availability of UPF in food retail increased the chance of women having FA by up to 47 % (<i>P</i>= 0·02 OR: 1·53; 95 % CI: (1·07, 2·18)). It was also possible to observe that the greater calorific contribution of UPF in the diet increased the chance of women presenting FA by up to 61 % (<i>P</i>< 0·01 OR: 1·39; 95 % CI: (1·48, 1·97)).</p><p><strong>Conclusions: </strong>The environment and what is available in it are associated with additive behaviour independent of individual factors, and UPF consumption increases the chance of FA. This demonstrates the need for changes in the food environment in Brazilian favelas, contributing to improving women's health.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e106"},"PeriodicalIF":3.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}