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Purpose <p>Verifying the association between the prevalence of commercial fruit and vegetable establishments and food insecurity (FI) in the territory of the Health Academy Program (HAP) from Belo Horizonte, Minas Gerais, Brazil.</p> Methods <p>Ecologic study. Eighteen units were classified by the Health Vulnerability Index (HVI). The establishments that trade fruit and vegetable included in a 500&#xa0;m buffer around the participants household were analyzed. The insecurity was investigated by the Brazilian Food Insecurity Scale.</p> Results <p>44.9% of the HAP units analyzed were classified as high/extremely high HVI. 29.4% were in FI situation, with a superior prevalence in the territory with high/extremely high HVI. Near these units, a lower preponderance of specialized fruit and vegetable market and open-air food market (50. 5% vs. 66.0%) and large chain markets and supermarkets (18.5% vs. 21.8%), when compared to the units with medium HVI. We identified a higher preponderance of specialized market and open-air food market (65.2% vs. 50.0%) and large chain markets and supermarkets (21.3% vs. 20.0%) in the territories with a lower prevalence of FI.</p> Conclusion <p>The results showed the need for public policies that could reduce the inequities in access to healthy food, seeking to support actions to promote adequate and healthy food developed by the HAP.</p>

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Access to fruits and vegetables according to health vulnerability and food insecurity in primary care

  • 期刊论文

  • 发表日期：

    2025年10月27日

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  • Luiza Ali Dinis,
  • Mariana Souza Lopes,
  • Denise Marques Sales,
  • Patrícia Pinheiro de Freitas,
  • Aline Cristine Souza Lopes

摘要

Purpose

Verifying the association between the prevalence of commercial fruit and vegetable establishments and food insecurity (FI) in the territory of the Health Academy Program (HAP) from Belo Horizonte, Minas Gerais, Brazil.

Methods

Ecologic study. Eighteen units were classified by the Health Vulnerability Index (HVI). The establishments that trade fruit and vegetable included in a 500 m buffer around the participants household were analyzed. The insecurity was investigated by the Brazilian Food Insecurity Scale.

Results

44.9% of the HAP units analyzed were classified as high/extremely high HVI. 29.4% were in FI situation, with a superior prevalence in the territory with high/extremely high HVI. Near these units, a lower preponderance of specialized fruit and vegetable market and open-air food market (50. 5% vs. 66.0%) and large chain markets and supermarkets (18.5% vs. 21.8%), when compared to the units with medium HVI. We identified a higher preponderance of specialized market and open-air food market (65.2% vs. 50.0%) and large chain markets and supermarkets (21.3% vs. 20.0%) in the territories with a lower prevalence of FI.

Conclusion

The results showed the need for public policies that could reduce the inequities in access to healthy food, seeking to support actions to promote adequate and healthy food developed by the HAP.