Stress factors and food purchase prioritization during the pandemic of coronavirus disease 2019.

BACKGROUND: The pandemic of coronavirus disease 2019 (COVID-19) pandemic confinement has an impact on stress levels, which causes changes in food purchase and consumption behaviors. The objective of this study is to associate food purchase prioritization with stress level during the COVID-19 pandemic confinement. METHODS: Multicenter, observational and cross-sectional study, an online questionnaire that included data on sociodemographic variables, stress factors and food purchase prioritization was disseminated through digital platforms and social networks. RESULTS: A number of 6357 participants were included, of whom 83.6% were female, 56.3% were from the middle socioeconomic level, 71.2% had completed higher education and 78.3% had a job. At greater stress levels it was observed a higher prioritization of canned foods (Odds ratio (OR): 1.91, 95% CI: 1.56; 2.34), sweets (OR: 1.58, 95% CI: 1.06; 2.34) and flours (OR: 1.45, 95% CI: 1.25; 1.68). While lower stress levels are associated with nuts (OR: 0.75, 95% CI: 0.66; 0.85), vegetables (OR: 0.82, 95% CI: 0.72; 0.94), and fruits (OR: 0.90, 95% CI: 0.80; 1.01), after adjusting for confounders. CONCLUSIONS: There is an association between food purchase prioritization and stress level during the COVID-19 confinement. At greater stress levels, individuals purchase more food, both healthy and unhealthy. The later may have a negative impact on people's health, leading to or further aggravating malnutrition by excess and nutrition-related noncommunicable diseases.

Food insecurity and sociodemographic factors in Latin America during the COVID-19 pandemic / Inseguridad alimentaria y factores sociodemográficos en América Latina durante la pandemia de COVID-19 / Insegurança alimentar e fatores sociodemográficos na América Latina durante a pandemia de COVID-19

[ABSTRACT]. Objective. To understand the association of food insecurity with sociodemographic factors in a sample popu- lation in Latin America during the COVID-19 pandemic. Methods. This was a multicenter cross-sectional study conducted in 10 countries in Latin America using an online survey through various digital platforms from October 14, 2020 to February 15, 2021. Statistical analysis of data was performed by applying descriptive statistics, chi-square test, and logistic regression analysis. Results. Of a total of 6 357 surveys, 58.2% of respondents experienced food security, 29.3% were slightly food insecure, 9.2% were moderately food insecure, and 3.3% were severely food insecure. Concerning the association food insecurity and sociodemographic variables, there is a significant association in the variables studied, including area of residence, education level, occupation, number of persons in the household, house- hold with children younger than 10 years of age, and socioeconomic level. Conclusions. These findings indicate that sociodemographic factors associated with food insecurity during the COVID-19 pandemic in Latin America were rural residence; complete and incomplete basic and secondary schooling; occupation (homemaker, unemployed, and self-employed); low, medium-low, and medium socioeco- nomic level; household with more than four persons; and household with children younger than 10 years of age.

[RESUMEN]. Objetivo. Determinar la asociación de la inseguridad alimentaria con factores sociodemográficos en una muestra de población de América Latina durante la pandemia de COVID-19. Métodos. Se llevó a cabo un estudio transversal multicéntrico en diez países de América Latina mediante una encuesta en línea a través de diversas plataformas digitales, entre el 14 de octubre del 2020 y el 15 de febrero del 2021. Se realizó un análisis estadístico de los datos usando procedimientos de estadística descriptiva, la prueba ji al cuadrado y un análisis de regresión logística. Resultados. En un total de 6 357 encuestas, el 58,2% de las personas encuestadas gozaba de seguridad ali- mentaria, el 29,3% tenía una inseguridad alimentaria leve, el 9,2% una inseguridad alimentaria moderada y el 3,3% una inseguridad alimentaria grave. Por lo que respecta a la asociación entre la inseguridad alimentaria y las variables sociodemográficas, hay una asociación significativa para algunas de las variables estudiadas, como la zona de residencia, el nivel de estudios, la actividad laboral, el número de personas en el hogar, el hogar con menores de 10 años y el nivel socioeconómico. Conclusiones. Estos resultados indican que los factores sociodemográficos asociados a la inseguridad alimentaria durante la pandemia de COVID-19 en América Latina fueron la residencia en zonas rurales; la edu- cación primaria y secundaria completa o no; la actividad laboral (trabajo doméstico, personas desempleadas y trabajadores autónomos); el nivel socioeconómico bajo, medio bajo, y medio; el hogar con más de cuatro personas; y el hogar con menores de 10 años.

[RESUMO]. Objetivo. Compreender a relação entre insegurança alimentar e fatores sociodemográficos em uma amostra populacional da América Latina durante a pandemia de COVID-19. Métodos. Estudo transversal multicêntrico realizado em 10 países da América Latina por meio de uma pesquisa on-line conduzida em diferentes plataformas digitais de 14 de outubro de 2020 a 15 de fevereiro de 2021. A análise estatística dos dados foi realizada por meio da aplicação de estatísticas descritivas, teste qui-quadrado e análise de regressão logística. Resultados. De um total de 6 357 questionários, 58,2% dos entrevistados afirmaram ter segurança alimentar, 29,3% indicaram um nível de insegurança alimentar leve, 9,2% tinham insegurança alimentar moderada e 3,3%, insegurança alimentar grave. No que diz respeito à relação entre insegurança alimentar e variáveis sociodemográficas, há uma relação significativa com as variáveis estudadas, incluindo área de residência, nível de escolaridade, ocupação, número de pessoas no domicílio, domicílio com crianças com menos de 10 anos de idade e nível socioeconômico. Conclusões. Os achados apontam que os fatores sociodemográficos associados à insegurança alimentar durante a pandemia de COVID-19 na América Latina foram residência em zona rural; ensino fundamental e médio completo e incompleto; ocupação (do lar, desempregado(a) e autônomo(a)); nível socioeconômico baixo, médio-baixo e médio; domicílio com mais de quatro pessoas; e domicílio com crianças menores de 10 anos de idade.

Food insecurity and sociodemographic factors in Latin America during the COVID-19 pandemic.

Objective: To understand the association of food insecurity with sociodemographic factors in a sample population in Latin America during the COVID-19 pandemic. Methods: This was a multicenter cross-sectional study conducted in 10 countries in Latin America using an online survey through various digital platforms from October 14, 2020 to February 15, 2021. Statistical analysis of data was performed by applying descriptive statistics, chi-square test, and logistic regression analysis. Results: Of a total of 6 357 surveys, 58.2% of respondents experienced food security, 29.3% were slightly food insecure, 9.2% were moderately food insecure, and 3.3% were severely food insecure. Concerning the association food insecurity and sociodemographic variables, there is a significant association in the variables studied, including area of residence, education level, occupation, number of persons in the household, household with children younger than 10 years of age, and socioeconomic level. Conclusions: These findings indicate that sociodemographic factors associated with food insecurity during the COVID-19 pandemic in Latin America were rural residence; complete and incomplete basic and secondary schooling; occupation (homemaker, unemployed, and self-employed); low, medium-low, and medium socioeconomic level; household with more than four persons; and household with children younger than 10 years of age.

El moralismo de nuestro plato / The Moralism of our Plate: Reflections on Contemporary Food

Antecedentes: el presente trabajo pretendió abordar, desde un enfoque crítico, los discursos dominantes sobre la alimentación saludable en el campo de la promoción de la salud. Reflexión: las exploraciones sobre el tema permitieron evidenciar las tensiones vinculadas a la normalización de los patrones de consumo como estrategia de moralización dietética que se encuentra instalada en los discursos de la alimentación saludable. Conclusión: estos discursos vienen siendo atravesados por una narrativa normalizadora que ha contribuido a la masificación de recomendaciones sobre consumos alimentarios, independiente de las particularidades socioeconómicas, culturales y simbólicas de los grupos poblacionales. Se identifica una uniformidad de los discursos alimentarios desarraigados de su contexto social y cultural. La dieta saludable se visualiza como una nueva categoría organizadora. Se precisa rediscutir las recomendaciones en torno a la alimentación saludable para que estas no profundicen desigualdades, y recuperar así la alimentación como hecho social y objeto político.

Background: This paper aimed to address, from a critical approach, the dominant discourses on healthy eating in the field of health promotion. Reflection: Explorations on the subject allowed to evidence the tensions linked to the normalization of consumption patterns as a strategy of dietary moralization that is installed in the discourses of healthy eating. Conclusion: These discourses have been influenced by a normalizing narrative that has contributed to the massification of recommendations on food consumption regardless of the socio-economic, cultural, and symbolic particularities of population groups. A uniformity of food discourses is identified, uprooted from their social and cultural context. The healthy diet is visualized as a new organizing category. It is necessary to reconsider recommendations on healthy eating so as not to deepen inequalities, and to recover food as a social fact and political object

Consumo de fruta en puestos callejeros de once países iberoamericanos. Estudio multicéntrico / Consumption of fruit in street posts from eleven iberoamerican countries. Multicentric study

INTRODUCCIÓN: La ingesta de comida en la calle es una práctica muy común en personas que trabajan. Hay una gran oferta de comida callejera; Las frutas son siempre parte de esta oferta y se pueden encontrar en diferentes presentaciones. OBJETIVO: Analizar la frecuencia del consumo de fruta en las vías públicas de América Latina. MATERIAL Y MÉTODOS: Se realizó un estudio transversal utilizando un cuestionario de 15 preguntas en formato Google Docs, que fue validado por el método Delphi y aplicado en 11 países: Argentina, Brasil, Chile, Colombia, Costa Rica, Guatemala, Panamá, Paraguay, Perú, Portugal y Uruguay. RESULTADOS: Se encuestó a 8885 personas, más del 50% consume alimentos en la vía pública. Entre los países más consumidores, se destacan Colombia (78%) y Guatemala (76%), seguido de Perú (66%). Con respecto al consumo de fruta en la vía pública, se observa que existe un mayor consumo en Portugal (61%), seguido de Colombia (55%) y Guatemala (51%), y los países con menor consumo son Argentina (26%) y Uruguay (20%). El consumo de fruta en la calle es el mismo en ambos sexos en la mayoría de los países. Por otro lado, en Portugal, Colombia, Argentina, Costa Rica y Chile, el mayor consumo corresponde a personas con educación superior (universitaria o de posgrado). CONCLUSIONES: El consumo de alimentos en la calle es alto en todos los países, incluido el consumo de frutas. Esto puede transformarse en una oportunidad para alentar su consumo, pero los puestos de la calle deben ajustarse a los requisitos necesarios para ofrecer alimentos seguros

INTRODUCTION: The street food intake is a very common practice in working people. There is a great supply of street food; fruits are always part of this offer and can be found in different presentations Objetive: To analyze the frequency of fruit consumption in public roads in Latin America. MATERIAL AND METHODS: A cross-sectional study was carried out using a questionnaire of 15 questions in Google Docs format, which was validated by Delphi method and applied in 11 countries: Argentina, Brazil, Chile, Colombia, Costa Rica, Guatemala, Panama, Paraguay, Peru, Portugal and Uruguay. RESULTS: It was surveyed 8885 people, over 50% consume food on public roads; among the most consuming countries, it is highlighted Colombia (78%) and Guatemala (76%), followed by Peru (66%). With respect to fruit consumption on public roads, it is observed that there is higher consumption in Portugal (61%), followed by Colombia (55%) and Guatemala (51%), and the countries with less consumption are Argentina (26%) and Uruguay (20%). Fruit consumption in the street is the same in both sexes in the most countries. On the other hand, in Portugal, Colombia, Argentina, Costa Rica and Chile, the highest consumption correspond to people with higher education (university or post-graduate). CONCLUSION: Street food consumption is high in all countries, including consumption of fruits. This can be transformed into an opportunity to encourage their consumption, but street posts must be adjusted to the necessary requirements to offer safe food

Barreras para el acceso a una alimentación saludable. Aportes para el análisis del exceso de peso en Argentina / Barriers to access to a healthy diet. Contributions for the analysis of excess weight in Argentina

INTRODUCCIÓN Existe una relación entre la inseguridad alimentaria y el exceso de peso. La obesidad prevalece en grupos de menor nivel socioeconómico. Los altos costos y la escasa asequibilidad a dietas saludables impiden el logro de una alimentación adecuada. Las políticas públicas deben velar por la obligatoriedad de los Estados de garantizar el derecho a una alimentación adecuada. OBJETIVOS Analizar el acceso a una alimentación saludable integrando una mirada político-económica y territorial con enfoque en la desigualdad en Argentina. Objetivos específicos; 1) caracterizar el perfil de exceso de peso en las jurisdicciones de la Argentina desde la perspectiva de las condiciones de vida; 2) Analizar los costos de la dieta habitual y la dieta saludable y su asequibilidad en el país; 3) Analizar las políticas públicas de acceso a los alimentos en el país desde una perspectiva del derecho a la alimentación adecuada. MÉTODOS Objetivo 1; se realizó un diseño ecológico utilizando como fuentes de datos el Censo de Población y Vivienda realizado por el INDEC (2010) y la 4ta ENFR (2018). Objetivo 2; se realizó un diseño descriptivo transversal partiendo de definiciones utilizadas en un estudio previo. Los precios de los productos se obtuvieron del Portal de Precios Claros del Gobierno Nacional. Objetivo 3; se utilizó un diseño descriptivo que consistió en un mapeo normativo a partir de páginas oficiales del gobierno y organismos internacionales. RESULTADOS La privación de bienes y servicios en los territorios se expresa en mayores chances de presentar exceso de peso en la población adulta del país. Esta situación se corresponde con un contexto donde gran parte de la población no puede acceder a una dieta saludable. Argentina aún no cuenta con políticas que garanticen el derecho a la alimentación adecuada de toda la población. CONCLUSIONES Los resultados de este trabajo evidencian la necesidad de considerar las heterogeneidades de los entornos en el diseño de las políticas

[Citizen perception of food insecurity in the city of Santa Fe]. / Inseguridad alimentaria en la ciudad de Santa Fe: percepción de los ciudadanos.

The aim of this research study was to describe the perceived level of food security in the households of the city of Santa Fe, Argentina, in 2011. A descriptive, cross-sectional study was performed, incorporating 592 homes included in the Panel of Households of the Social Observatory of the Universidad Nacional del Litoral. Households were characterized sociodemographically and classified according to the level of food security by applying the Latin American and Caribbean Food Security Scale. Association with sociodemographical factors was determined by odds ratios and logistic regression. It was found that 31.5% of households in Santa Fe show food insecurity: 21.7% is mild, 7.4% is moderate and 2.4% is severe, and insecurity is greater when children live in the household. Food insecurity is positively associated with lack of health coverage, lack of economic activity, inability to save, incomplete secondary level education and four or more people living in the household.

Inseguridad alimentaria en la ciudad de Santa Fe: percepción de los ciudadanos / Citizen perception of food insecurity in the city of Santa Fe

El objetivo de este estudio fue describir el nivel de seguridad alimentaria percibida en los hogares de la ciudad de Santa Fe, Argenttina, en el año 2011. Se realizó un estudio descriptivo, de corte transversal, incluyendo 592 hogares que integran el Panel de Hogares del Observatorio Social de la Universidad Nacional del Litoral. Los hogares se caracterizaron sociodemográficamente, se los clasificó según el nivel de seguridad alimentaria, aplicando la Escala Latinoamericana y Caribeña de Seguridad Alimentaria y se determinó su asociación, mediante odds ratio y regresión logística, con factores sociodemográficos. Se halló que el 31,5% de los hogares santafesinos presenta inseguridad alimentaria, de los cuales el 21,7% es leve, el 7,4% moderada y el 2,4% severa, incrementándose cuando conviven menores. La inseguridad alimentaria se asoció positivamente con no poseer cobertura de salud, actividad económica, capacidad de ahorro ni el secundario completo y con la existencia de cuatro o más integrantes en el hogar.

The aim of this research study was to describe the perceived level of food security in the households of the city of Santa Fe, Argentina, in 2011. A descriptive, cross-sectional study was performed, incorporating 592 homes included in the Panel of Households of the Social Observatory of the Universidad Nacional del Litoral. Households were characterized sociodemographically and classified according to the level of food security by applying the Latin American and Caribbean Food Security Scale. Association with sociodemographical factors was determined by odds ratios and logistic regression. It was found that 31.5% of households in Santa Fe show food insecurity: 21.7% is mild, 7.4% is moderate and 2.4% is severe, and insecurity is greater when children live in the household. Food insecurity is positively associated with lack of health coverage, lack of economic activity, inability to save, incomplete secondary level education and four or more people living in the household.

Inseguridad alimentaria en la ciudad de Santa Fe: percepción de los ciudadanos / Citizen perception of food insecurity in the city of Santa Fe

El objetivo de este estudio fue describir el nivel de seguridad alimentaria percibida en los hogares de la ciudad de Santa Fe, Argenttina, en el año 2011. Se realizó un estudio descriptivo, de corte transversal, incluyendo 592 hogares que integran el Panel de Hogares del Observatorio Social de la Universidad Nacional del Litoral. Los hogares se caracterizaron sociodemográficamente, se los clasificó según el nivel de seguridad alimentaria, aplicando la Escala Latinoamericana y Caribeña de Seguridad Alimentaria y se determinó su asociación, mediante odds ratio y regresión logística, con factores sociodemográficos. Se halló que el 31,5% de los hogares santafesinos presenta inseguridad alimentaria, de los cuales el 21,7% es leve, el 7,4% moderada y el 2,4% severa, incrementándose cuando conviven menores. La inseguridad alimentaria se asoció positivamente con no poseer cobertura de salud, actividad económica, capacidad de ahorro ni el secundario completo y con la existencia de cuatro o más integrantes en el hogar.(AU)

The aim of this research study was to describe the perceived level of food security in the households of the city of Santa Fe, Argentina, in 2011. A descriptive, cross-sectional study was performed, incorporating 592 homes included in the Panel of Households of the Social Observatory of the Universidad Nacional del Litoral. Households were characterized sociodemographically and classified according to the level of food security by applying the Latin American and Caribbean Food Security Scale. Association with sociodemographical factors was determined by odds ratios and logistic regression. It was found that 31.5% of households in Santa Fe show food insecurity: 21.7% is mild, 7.4% is moderate and 2.4% is severe, and insecurity is greater when children live in the household. Food insecurity is positively associated with lack of health coverage, lack of economic activity, inability to save, incomplete secondary level education and four or more people living in the household.(AU)