Unhealthy Food Research Articles

The Impact of Advertising Junk Food on Youth Eating Habits and Mental Health

The current study focuses on the effects of fast food on the health of college students. Junk food, defined as food that is quick and easy to make, is generally high in calories but low in vital nutrients. College students are increasingly consuming these meals due to growing urbanization, globalization, pervasive commercial promotions, and the availability of multiple junk food establishments. Recent studies have shown that fast food contributes to metabolic problems such as obesity, diabetes, and heart disease. The primary goal of this study is to determine the impact of junk food consumption on students' health and wellbeing. The study also tries to discover characteristics that contribute to the efficacy of junk food marketing and its broad availability. Secondary data were obtained from a variety of sources, including books, newspapers, periodicals, seminars, conversations, articles, journals, and websites. The study's findings show a substantial association between BMI, junk food frequency, and physical activity and awareness. As a result, it is critical to establish nutrition education programs in colleges and schools to prevent the younger generation from developing a junk food addiction. This preventative intervention is critical in preventing noncommunicable diseases like obesity, diabetes, and cardiovascular disease.

Impact of Physicians’ Perception of Social Determinants of Health (SDoH) on the Practice of Lifestyle Medicine. Findings From a Family Physicians Survey

Lifestyle Medicine emphasizes evidence-based lifestyle changes to address chronic conditions Yet, concerns have emerged regarding its ability to address broader social determinants of health (SDoH). This study examines how family physicians’ perceptions of SDoH relate to their use of lifestyle medicine competencies. This cross-sectional survey was administered to 5770 family physicians. Participants rated the importance of LM core competencies and the impact of community conditions on patient health. Data analysis involved descriptive statistics, factor analysis, regression models, and t-tests. This study encompassed 447 responses. The findings revealed that while respondents recognized the effect of certain SDoH, such as access to unhealthy food (89%), alcohol (86%), and tobacco (83%), they showed less awareness of factors like racism and discrimination (53%), and access to parks (56%) or education (60%). Gender and the level of social deprivation in their area were significant factors influencing respondents’ perception of SDoH impact. Additionally, those who valued and used lifestyle medicine core competencies were more likely to acknowledge the influence of SDoH on patient health. Our findings suggest that comprehensive education on SDoH, especially with a focus on community aspects, is crucial across all levels of medical training to address this gap and ensure equitable care.

Exploring Consumer Understanding and Perceptions of Front-of-Pack Labelling of Foods and Non-Alcoholic Beverages in Kenya

Background: Front-of-package labeling (FOPL) is shown to support healthier consumer choices. Many countries have adopted different FOPL systems. Objective: This study explored perceptions and understanding of three FOPLs and identified features that could enhance their effectiveness in Kenya. Methods: A qualitative study was conducted across four Kenyan counties—Nairobi, Mombasa, Garissa, and Kisumu. Data from 12 focus group discussions with 137 adults of diverse socio-demographic backgrounds were analysed. Participants evaluated three FOPLs: Red and Green (RG) Octagon, Red and Green Octagon with icons and text (RGI), and Black Octagon Warning Label (WL). The FGDs assessed visibility and memorability, comprehension, potential effectiveness, and cultural relevance of each label. NVivo version 14.0 was used for thematic analysis. Results: Kenyan consumers had mixed perceptions of the proposed FOPLs. The black Octagon WL was found to be the most visible and memorable due to its bright colours. Although the RG and RGI symbols were visually engaging, some participants reported confusion with the colour meanings. The WL was also more readily understood due to its text. Overall, WL was preferred for its potential to influence purchasing decisions, while all three FOPLs were considered culturally suitable. Conclusions: The Black Octagon Warning Label was the most visible and comprehensible of the three FOPLs and shows promise in influencing consumer behaviour in Kenya. While RG and RGI symbols are appealing, their colour scheme could reduce their effectiveness. Educating consumers on FOPLs could enhance their impact in reducing unhealthy food purchases.

Contextual effects of color on food choices: Red ambient color induces indulgence

AbstractThis research examines how red ambient color in restaurants/cafeterias influences food choices. Prior research shows that red directly related to a food product (such as on nutrition labels or plates/cups) leads to avoidance of unhealthy foods. Yet, many successful fast‐food restaurants (e.g., McDonald's and Dairy Queen) use red in their ambiance, suggesting that in the context of food/eating, ambient red may have a different meaning than product‐related red. Indeed, the current research shows that consumers associate ambient red (e.g., wall color) with unhealthy restaurants. The presence of ambient red (vs. blue, gray, or white) leads to greater preference for unhealthy (i.e., high calorie, high fat, and indulgent) food options because consumers draw on ambient factors to make inferences about products sold in a retail establishment and then choose contextually appropriate products. The effect is moderated by the extent to which a consumer associates red with unhealthy restaurants. This research highlights how, in the context of food/eating, the placement of red influences its meaning and ultimately whether consumers approach or avoid unhealthy foods.

Sugar-sweetened beverage consumption in Thailand: Determinants and variation across socioeconomic status

ObjectivesReducing consumption of sugar-sweetened beverages (SSBs) is a primary public health goal in Thailand, but information on the characteristics of SSB consumers remains limited. This study aims to gain knowledge about the characteristics of SSB consumers in Thailand. Study designSecondary analysis of survey data. MethodsThe study used data from the Health Behaviour of Population Survey conducted by Thailand's National Statistics Office between February and May 2021. SSB consumption was sourced from a survey question about the consumption of prepackaged sugar-sweetened non-alcoholic beverages. The influence of demographic, socioeconomic, behavioural, habitual, and health factors on mean daily intake and daily consumption was assessed using a two-part model and logistic regression analysis, respectively. Decomposition analysis was conducted to understand how the impact of these factors affecting SSB consumption varied across socioeconomic groups. ResultsFrequent SSB consumers exhibited various unhealthy behaviours, including smoking, unhealthy food consumption, low physical activity, and making food selections driven by appetitive motivations. Although higher socioeconomic status was associated with greater consumption of SSBs, it stabilised at elevated income levels. Increased SSB consumption in higher socioeconomic groups was linked to mixed eating habits, being overweight, and occasional drinking, while in lower socioeconomic groups, it was associated with unhealthy behaviours like smoking, regular alcohol drinking, appetitive food choices, and low physical activity. ConclusionsSSB consumption in Thailand is multifactorial, varying by socioeconomic status. These insights are crucial for policy formation aimed at reducing SSB consumption in the country. Policymakers should explore interventions that address overall unhealthy behaviours alongside those targeting overconsumption of SSBs.

Food preferences in schoolchildren

Introduction. Understanding children’s eating behaviour is crucial for promoting healthy nutrition. Objective. To assess the food preferences in schoolchildren. Materials and methods. A mixed-mode survey was conducted in one hundred twelve 6 to 17 years schoolchildren, including 72 (70.5%) boys and 81 (72.3%) girl from Moscow. The average age was 12.23 ± 3.69 years (median = 13.0 years), with no significant age differences between genders (p = 0.855) or between Moscow and other regions (p = 0.690). The survey (α Cronbach = 0.891) included demographic and eating behaviour questions. Data were analyzed with SPSS using Spearman’s rank correlation, Mann–Whitney U test, Kruskal–Wallis test, and χ2 test, given the non-normal distribution of variables (p ≤ 0.001). Results. Daily, 11 (9.8%) of the respondents eat vegetables, 14 (12.5%) eat fruits or berries, 18 (16.1%) have breakfast, and 87 (77.7%) consume sweets. Additionally, 62 (55.4%) often skip main meals due to sweets; 81 (72.3%) always have sweets at home; and 51 (45.5%) favour of fast food. Children in families where sweets are always available are more likely to skip main meals and breakfast, consume sweets, and prefer fast food, but eat vegetables, fruits, and healthy breakfasts less frequently (p ≤ 0.001). Daily sweet consumption is linked to lower fruit intake (p ≤ 0.001). Demographic characteristics did not impact food preferences (0.068 ≤ p ≤ 0.946). The highest index of correct eating habits, equal to 0.86, was in 2 (1.8%) children. There is no relationship between the number of correct eating habits and age (p = 0.379) and gender (p = 0.172). The criterion of “correct eating habits” is (p = 0.046) higher in Moscow schoolchildren than in children from the regions. Conclusion. Unhealthy food preferences in children reflect parents’ non-compliance with healthy eating recommendations, which underscores the need for family initiatives in the field of healthy nutrition.

The potential of autonomous delivery services to increase fast food consumption.

Technological innovations in the online food delivery sector include the use of autonomous delivery vehicles. The aim of the present study was to investigate consumers' intentions to use these services once they are widely available and their motivations for using them to access unhealthy food. Online survey including a vignette describing a future world where autonomous food deliveries are in common use in both metropolitan and non-metropolitan areas. Australia. 1078 Australians aged 18 years and older, nationally representative by sex, age, and location (metropolitan versus non-metropolitan residence). Around half of the sample reported intending to use an autonomous food delivery service at least once per week for fast food (53%) and/or healthy pre-prepared food (50%). Almost two-thirds (60%) intended using autonomous vehicle deliveries to receive groceries. Around one in five (17%) anticipated an increase in their fast food intake as a result of access to autonomous delivery services compared to one in two (46%) expecting others' total fast food intake to increase. The most common reason provided for using autonomous food deliveries was increased convenience. More frequent current fast food ordering, higher socioeconomic status, younger age, and regional location were significantly associated with an anticipated increase in fast food consumption. The emergence of autonomous food delivery systems may bring both benefits and adverse consequences that in combination are likely to constitute a substantial regulatory challenge. Proactive efforts will be required to avoid negative public health nutrition outcomes of this transport evolution.

Effectiveness of Three Front-of-Pack Food Labels in Guiding Consumer Identification of Nutrients of Concern and Purchase Intentions in Kenya: A Randomized Controlled Trial

Background: Front-of-pack-labels (FOPLs) on packaged foods provide essential information to help consumers make informed dietary choices. However, evidence on their effectiveness, particularly in low- and middle-income countries like Kenya, is limited. Objective: This study assessed the effectiveness of three FOPLs in helping consumers identify nutrients of concern in packaged food products and influencing their purchase intention in Kenya. Methods: A total of 2198 shoppers from supermarkets in Nairobi, Mombasa, Kisumu, and Garissa were randomized into three groups: Red and Green Octagon label (RG), Red and Green Octagon with icons (RGI), and Black Octagon Warning label (WL). In the control phase, participants were shown unlabeled images of packaged foods, followed by questions. In the experimental phase, the same images were presented with one assigned FOPL, and participants responded again to the same set of questions. Differences in correct identification of nutrients of concern and changes in purchase intention were analyzed using frequency tables and Chi-Square tests, while modified Poisson regression assessed FOPL effectiveness. Results: FOPLs significantly improved correct nutrient identification and reduced the intention to purchase unhealthy foods, with the WL proving most effective. Conclusions: These findings highlight the potential of FOPLs, particularly the WL, as an effective regulatory tool for promoting healthier food choices in Kenya.

Proximate Analysis of Multi-grain Pizza Base

The ill effects of junk foods are widely known, as it is acknowledged that their regular consumption may cause irreparable damage to the body. The role of millet-rich foods in offering protection against diabetes and heart disease is well established, which has led to an interest in increasing nutrients in developed pizza bases. The present research has been conducted to develop a nutritionally rich "millet-based pizza base "using whole wheat flour, Kodo millet, buckwheat flour, and brown rice flour. The developed pizza base is noted to have advantages over a normal base made from refined wheat flour. Sensory evaluation by a panel of 25 members using a nine-point scale showed that T3 was the most preferred among the samples, suggesting its potential as a standardized pizza base. Nutrient analysis revealed protein content ranging from 7.13% to 9.5%, fat from 1.59% to 1.75%, fiber from 0.798% to 0.913%, moisture from 36.12% to 37.08%, and ash from 0.91% to 0.98%. Overall, the study concluded that these value-added pizza bases offer superior nutritional benefits compared to conventional options.

Socio-Demographic Determinants of Junk Food Consumption among University Students: A Cross-Sectional Study in Central Department of Education, TU

College life is a critical period during which students are particularly vulnerable to developing unhealthy dietary behaviors. This study assessed the socio-demographic determinants of junk food consumption (JFC) among higher education students. A quantitative cross-sectional study was conducted using a self-administered survey questionnaire among 272 university students studying at the Central Department of Education, TU. The findings revealed that although only six percent of students preferred to consume junk food, a surprisingly high proportion (83.5%) reported consuming it. Peer pressure was mentioned by nearly half of them (47.8%) as the main cause of JFC. Bivariate analysis showed a significant relationship between JFC and selected socio-demographic variables, including sex (p<0.05), subject specialization (p<0.001), and caste/ethnicity (p<0.05). The results indicate a high prevalence of JFC among university students, with socio-demographic factors such as sex, subject specialization, and caste/ethnicity being significantly associated with JFC. To lower the frequency of JFC among university students, the study emphasizes the urgent need for university-based health promotion and education initiatives.

Unhealthy food consumption among women at reproductive age in Cambodia: Analysis of Cambodia Demographic and Health Survey 2021–2022

Noncommunicable diseases (NCDs) are significant global health issues; we examined the prevalence of unhealthy food consumption and used logistic regression to analyze its association with socio-demographic characteristics using data from the 2021-2022 Cambodia Demographic and Health Survey (CDHS), which included 19,496 women aged 15–49. Overall, 33.0% (95%CI: 31.9–34.2) of women consumed unhealthy foods within 24 hours, 21.1% (95%CI: 20.1–22.1) consumed sweet foods, 18.2% (95%CI: 17.4–19.1) consumed salty foods, 58.3% (95%CI: 57.1–59.5) consumed sweet beverages, and 16.3% (95%CI: 15.3–17.3) consumed alcohol in the last month. Only 1.5% (95%CI: 1.3–1.7) of women smoked cigarettes. Factors associated with increased odds of consuming unhealthy food included aged 15–19 years (AOR = 1.7; 95% CI: 1.5–2.1), 20–29 years (AOR = 1.3; 95% CI: 1.1–1.5), and 30–39 years (AOR = 1.3; 95% CI: 1.2–1.5), higher education (AOR = 1.6; 95% CI: 1.3–2.0), and wealthier households (AOR = 1.1; 95% CI: 0.9–1.2), residing in capital city (AOR = 2.4; 95% CI: 1.9–3.1). The study found a high prevalence of unhealthy food consumption among Cambodian women. Younger age, higher education, wealthier households, and residing in the capital city were associated with consuming unhealthy food. Public health interventions should prioritize mitigating the risk of NCDs among Cambodian women by promoting healthier lifestyles.

Looking to the past: Investigating 10-year place histories as a determinant of home food environments in the Healthy Communities Study

Emerging research suggests there is a need to consider the importance of place histories in studying neighborhood effects. Guided by a life course of place framework, the objective of this study is to investigate the relationship between two place history exposures and three contemporary home food environment outcomes. Exposures included 10-year neighborhood socioeconomic status (SES) histories and multi-year nutrition community programming and policy (CPP) histories. Outcomes included the availability of healthy foods in the home, the availability of unhealthy foods in the home, and household food insecurity. Associations are investigated using cross-sectional and retrospective data on 4210 US families in the national, observational Healthy Communities Study (2013–2015). Multilevel regression models, adjusted for household income and other factors, were fit for each exposure and outcome. Households residing in neighborhoods with intermittently low, consistently moderate, intermittently high, and consistently high SES histories had greater availability of healthy foods in the home than households in neighborhoods with consistently low SES histories (adjusted βs: 0.11 [95% CI: 0.02, 0.20], 0.13 [95% CI: 0.06, 0.21], 0.23 [95% CI: 0.13, 0.34], and 0.24 [95% CI: 0.15, 0.33], respectively). Households in consistently high SES neighborhoods also had a lower likelihood of household food insecurity than those in consistently low SES neighborhoods (adjusted OR: 0.54 [95% CI: 0.42, 0.71]). Neighborhood SES histories were not significantly associated with the availability of unhealthy foods in the home. Nutrition CPP histories were not significantly associated with food insecurity or the availability of unhealthy foods in the home. However, more intense nutrition CPP histories were significantly associated with greater availability of healthy foods in the home. Moreover, effect estimates increased with more long-term historical accounts of CPPs (adjusted βs: 1-year CPP histories, 0.21 [95% CI: 0.03, 0.39]; 3-year CPP histories, 0.22 [95% CI: 0.03, 0.41]; 6-year CPP histories, 0.25 [95% CI: 0.04, 0.46]; 10-year CPP histories, 0.28 [95% CI: 0.05, 0.50]). To curb food insecurity and promote the availability of healthy foods, the findings suggest considering how neighborhoods develop and evolve over time with respect to SES and nutrition CPP implementation.

Panchakarma in Parinaama Shoola - A Review Article

Parinama Shoola is a chronic, recurrent, and non-fatal gastrointestinal (GIT) condition, accounting for 25% of patient visits to clinics and hospitals in India.[1] In Ayurveda, Madhavakara was the first to describe Parinama Shoola, characterizing it as pain during digestion, and categorizing it as a Vata-Pradhana Tridoshaja Vyadhi.[2] Samprapti: The development of Shoola begins with the consumption of incompatible foods (Viruddhahara), such as hot and spicy rich fatty diets, junk foods, and habits like tobacco chewing, smoking, and alcohol consumption. Physical inactivity and mental stress further exacerbate the condition, leading to digestive impairment (Agnimandya) and the formation of toxins (Ama). This sequence of events progresses through stages of: Ajeerna (indigestion), Amlapitta (hyperacidity), finally culminating into Shoola (pain).[3] The causes, progression, and symptoms of Parinama Shoola are remarkably similar to those of duodenal ulcers in modern medical science. Management of duodenal ulcers typically involves: Educating the patient, Avoiding known causative factors, Prescribing bland diets, Using antacids and acid-blocking medications, Administering antibiotics for H. pylori infection. Despite these treatments, high recurrence rates and unwanted side effects are common. In Ayurvedic treatment for Parinama Shoola includes: Samshodhana (purification), Samshamana (pacification), Nidana Parivarjana (avoidance of causative factors), Pathya-Apathya (dietary and lifestyle modifications) and Prevention of recurrences. Ayurvedic medicines are noted for being cost-effective, easily available, and safe for long-term use.

Association between sleep timing and meal and snack patterns in schoolchildren in southern Brazil.

This study aimed to identify meal and snack patterns and assess their association with sleep timing in schoolchildren. This is a cross-sectional study carried out in 2018/2019 with 1333 schoolchildren aged 7-14 years from public and private schools in Florianópolis, Brazil. Previous-day dietary intake data for breakfast, mid-morning snack, lunch, mid-afternoon snack, dinner, and evening snack were collected using a validated online questionnaire. Sleep timing was measured by the midpoint of sleep and classified as quartiles (very early, early, late and very late). Latent Class Analysis was performed to identify meal and snack patterns, and multinomial logistic regression was used to assess associations. Students with very late sleep timing were less likely to consume the "Coffee with milk, bread and cheese" breakfast pattern compared with very early group (35.4%, 95%CI 27.2-43.6 vs. 56.0%, 95%CI 48.5-63.4). Also, the former were more likely to consume the "Mixed" breakfast pattern (healthy and unhealthy foods) compared with very early students (40.0%, 95%CI 32.4- 46.7 vs. 28.0%, 95%CI 23.8- 32.0). The latter were more likely to eat the "Brazilian traditional, processed meat, egg and fish" lunch pattern to the late students (35.4%, 95%CI 30.3- 40.5 vs. 21.5%, 95%CI 15.2- 27.8) and less likely to consume the "Pasta and cheese" lunch pattern compared to the students with later sleep timing (10.1%, 95%CI 8.4- 11.9 vs. 17.1%, 95%CI 13.0- 21.1). Students with later sleep timing were more likely to eat ultra-processed food at mid-afternoon snacks compared with early group (56.3%, 95%CI 52.4- 60.2 vs. 47.2%, 95%CI 43.5- 50.8). The study findings suggest that morning preference appears to promote healthier breakfast, lunch, and afternoon snack patterns, whereas later sleep timing may pose challenges in maintaining healthy patterns at these meals/snacks.

Indulging in Tempting Yet Unhealthy Delights: Exploring the Moderating Influence of Gender and Motivation for Healthy and Sustainable Eating

Individuals frequently encounter alluring food temptations that can disrupt their efforts to follow a healthy diet. These temptations may trigger pleasurable thoughts and sensations, potentially leading to unhealthy eating habits and obesity, which misalign with the goals of sustainable food systems to promote overall well-being. However, there is limited knowledge regarding how individual differences such as gender and motivation for healthy eating might impact individuals’ responses to unhealthy food temptations. In an experimental investigation, 245 participants were exposed to a tasty but low-nutrient food product (potato crisps). The results provide several new insights: (a) when individuals’ motivation for healthy eating is low, pleasurable experiences have a positive impact on perceived dietary quality; (b) pleasurable feelings also directly reduce willingness to consume potato crisps; (c) gender influences the relationship between pleasure-feeling and willingness to eat, with a negative relationship for women and a non-significant relationship for men; and (d) among women, there is a positive relationship between arousal and willingness to eat, while this relationship is non-significant for men. This study adds to the body of knowledge already available on food temptations, nutrition, and sustainable eating.

Voluntary food restriction does not affect circulating corticosterone in obesity-prone or -resistant male and female rats

Food restriction in rodents can increase circulating corticosterone, which reflects activation of physiological stress responses. These responses affect a myriad of behaviors and physiological processes and can increase the risk of obesity. Most of these studies have used experimenter-imposed restriction. However, rats will voluntarily restrict their food intake if they are returned to chow after a period of access to sugary, fatty “junk food” (JF) diet. Here we examine the effects of voluntary food restriction in obesity-prone and -resistant rats on circulating corticosterone concentrations and determine whether corticosterone release in response to acute stress differs in groups with a history of JF consumption.

The Ethics of Unhealthy Food and Beverage Advertising to Children: A Bibliometric Analysis and Future Research Agenda

The widely advertised category of unhealthy food and beverages (F&B) is calorie-dense, nutrient-poor, and associated with long-term harm, particularly for children. Business literature has been largely silent regarding the ethicality of its advertising targeting children and lacks clarity on questions future research needs to address. Based on a bibliometric analysis of 1,851 articles published between 1973 and 2021 containing 70,379 citations, we uncovered five intellectual clusters underlying research on the ethics of unhealthy F&B advertising to children (ATC). Importantly, we propose a concrete roadmap featuring actionable and pertinent unanswered questions to stimulate research in this crucial domain.

Conceptions of Freedom in the Regulation of Junk Food and Tobacco

This paper examines the regulatory disparities between the junk food and tobacco industries in the UK, focusing on the underlying conceptions of freedom that shape public policy. While both industries contribute significantly to public health challenges, tobacco is subject to far stricter regulations. Through an analysis of parliamentary debates within the House of Commons, the paper explores the application of positive and negative freedom in discussions of junk food and tobacco. I find that the presence of addiction in tobacco discourse is used to apply a positive conception of freedom, leading to more stringent regulations. Conversely, junk food discussions emphasise individual choice, aligning with a negative conception of freedom and resulting in softer regulatory approaches. This paper argues that these differing narratives on freedom contribute to the observed regulatory differences and suggests that emphasising the addictive nature of junk food could shift regulatory perspectives.

Normalizing junk food: The frequency and reach of posts related to food and beverage brands on social media.

Food and beverage marketing on social media contributes to poor diet quality and health outcomes for youth, given their vulnerability to marketing's effects and frequent use of social media. This study benchmarked the reach and frequency of earned and paid media posts, an understudied social media marketing strategy, of food brands frequently targeting Canadian youth. The 40 food brands with the highest brand shares in Canada between 2015 and 2020 from frequently marketed food categories were determined using Euromonitor data. Digital media engagement data from 2020 were licensed from Brandwatch, a social intelligence platform, to analyze the frequency and reach of brand-related posts on Twitter, Reddit, Tumblr, and YouTube. The 40 food brands were mentioned on Twitter, Reddit, Tumblr, and YouTube a total of 16.85M times, reaching an estimated 42.24B users in 2020. The food categories with the most posts and reach were fast food restaurants (60.5% of posts, 58.1% of total reach) and sugar sweetened beverages (29.3% of posts, 37.9% of total reach). More men mentioned (2.77M posts) and were reached (6.88B users) by the food brands compared to women (2.47M posts, 5.51B users reached). The food and beverage brands (anonymized), with the most posts were fast food restaurant 2 (26.5% of the total posts), soft drink 2 (10.4% of the total posts), and fast food restaurant 6 (10.1% of the total posts). In terms of reach, the top brands were fast food restaurant 2 (33.1% of the total reach), soft drink 1 (18.1% of the total reach), and fast food restaurant 6 (12.2% of the total reach). There is a high number of posts on social media related to food and beverage brands that are popular among children and adolescents, primarily for unhealthy food categories and certain brands. The conversations online surrounding these brands contribute to the normalization of unhealthy food and beverage intake. Given the popularity of social media use amongst of children and adolescents, policies aiming to protect these vulnerable groups need to include the digital food environment.

The community food environment as an effect modifier of the relationship between racial discrimination and food insecurity among adults in Southern Brazil

BackgroundRacial discrimination is linked to unhealthy food environments and a higher prevalence of food insecurity. However, no study has explored their interrelated effects. We analyzed the relationship between racial discrimination, community food environment, and food insecurity in adults of different socioeconomic status. We also investigated the potential modifying effect of the food environment on the relationship between racism and food insecurity.MethodsThis was a cross-sectional study of 400 adults aged 20–70 years residing in the central area of ​​Porto Alegre, the capital of Rio Grande do Sul state. Race and racial discrimination were assessed by self-reported race/skin color using the Experiences of Discrimination scale (EOD), respectively. The food environment was assessed using the Nutrition Environment Measures Survey in Stores (NEMS-S) tool. Food insecurity was assessed using the short version of the Brazilian Food Insecurity Scale (EBIA for short, in Portuguese). Poisson regression with robust variance was employed for the multivariate analysis.ResultsThe prevalence of food insecurity was higher in areas with a poorer food environment (areas 1 and 3; 56.6% and 58.8%, respectively). Racial discrimination was associated with food insecurity, where every 1-point increase in the racial discrimination score increased the likelihood of food insecurity by 7% (prevalence ratio [PR] 1.07; 95% CI, 1.03–1.20). When stratifying the analyses by food environment, racial discrimination was associated with food insecurity only in areas with a poorer food environment (PR 1.06; 95% CI, 1.01–1.10).ConclusionsExperiences of racial discrimination were associated with a higher prevalence of food insecurity in the study population. The community food environment was an effect modifier of this relationship, highlighting the relevance of interventions in the food environment focused on areas with a greater presence of Black people as a way of combating racism and food insecurity.