Table 3.
Component and total scores (expressed as means with their standard errors) on the Brazilian Healthy Eating Index-Revised (BHEI-R) according to structural social determinants of health among 643 adults (aged 20–59 years) and 545 older adults (aged ≥60 years) from the 2015 Health Survey of São Paulo (2015 ISA-Capital) with Focus on Nutrition Study (2015 ISA-Nutrition), Brazil
| BHEI-R component (maximum score)* | Education† | Income‡ | Occupation§ | Sex | Race | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Low | Middle | P ║ | High | P ║,¶ | Low | Middle | P ║ | High | P ║,¶ | Blue collar | White collar | P ║ | Other | P ║,¶ | Male | Female | P ║ | White | Races other than white | P ║ | ||||||||||||||
| Mean | se | Mean | se | Mean | se | Mean | se | Mean | se | Mean | se | Mean | se | Mean | se | Mean | se | Mean | se | Mean | se | Mean | se | Mean | se | |||||||||
| Total fruit (5) | 4·07 | 0·02 | 3·76 | 0·02 | <0·001 | 3·74 | 0·02 | <0·001 | 3·76 | 0·02 | 3·85 | 0·02 | 0·002 | 3·88 | 0·02 | <0·001 | 3·76 | 0·01 | 3·73 | 0·02 | 0·251 | 4·12 | 0·02 | <0·001 | 3·83 | 0·02 | 3·86 | 0·02 | 0·179 | 3·89 | 0·02 | 3·79 | 0·01 | <0·001 |
| Whole fruit (5) | 3·73 | 0·02 | 3·44 | 0·02 | <0·001 | 3·45 | 0·02 | <0·001 | 3·46 | 0·02 | 3·52 | 0·02 | 0·024 | 3·56 | 0·03 | 0·002 | 3·41 | 0·01 | 3·44 | 0·02 | 0·326 | 3·82 | 0·02 | <0·001 | 3·40 | 0·01 | 3·65 | 0·01 | <0·001 | 3·59 | 0·02 | 3·46 | 0·01 | <0·001 |
| Total vegetable (5) | 4·75 | 0·00 | 4·71 | 0·00 | <0·001 | 4·70 | 0·00 | <0·001 | 4·71 | 0·00 | 4·72 | 0·00 | 0·001 | 4·73 | 0·00 | <0·001 | 4·71 | 0·00 | 4·70 | 0·00 | 0·005 | 4·76 | 0·00 | <0·001 | 4·73 | 0·00 | 4·71 | 0·00 | <0·001 | 4·73 | 0·00 | 4·71 | 0·00 | <0·001 |
| DGOV&L (5) | 4·29 | 0·01 | 4·24 | 0·01 | <0·001 | 4·21 | 0·01 | <0·001 | 4·23 | 0·01 | 4·26 | 0·01 | 0·002 | 4·25 | 0·01 | 0·077 | 4·28 | 0·01 | 4·21 | 0·01 | <0·001 | 4·25 | 0·01 | 0·008 | 4·39 | 0·00 | 4·11 | 0·00 | <0·001 | 4·24 | 0·01 | 4·26 | 0·01 | 0·066 |
| Total grains (5) | 4·86 | 0·00 | 4·86 | 0·00 | <0·001 | 4·86 | 0·00 | 0·399 | 4·86 | 0·00 | 4·86 | 0·00 | 0·327 | 4·86 | 0·00 | 0·709 | 4·87 | 0·00 | 4·86 | 0·00 | <0·001 | 4·85 | 0·00 | <0·001 | 4·89 | 0·00 | 4·84 | 0·00 | <0·001 | 4·86 | 0·00 | 4·87 | 0·00 | <0·001 |
| Whole grains (5) | 0·66 | 0·01 | 0·61 | 0·00 | <0·001 | 0·62 | 0·01 | <0·001 | 0·62 | 0·01 | 0·62 | 0·00 | 0·534 | 0·63 | 0·01 | 0·103 | 0·59 | 0·00 | 0·62 | 0·01 | <0·001 | 0·69 | 0·00 | <0·001 | 0·56 | 0·00 | 0·70 | 0·00 | <0·001 | 0·64 | 0·00 | 0·61 | 0·00 | <0·001 |
| Milk and dairy (10) | 5·47 | 0·03 | 5·18 | 0·03 | <0·001 | 5·26 | 0·04 | <0·001 | 5·24 | 0·03 | 5·25 | 0·03 | 0·875 | 5·32 | 0·05 | 0·206 | 5·07 | 0·03 | 5·27 | 0·04 | <0·001 | 5·68 | 0·02 | <0·001 | 4·80 | 0·01 | 5·76 | 0·02 | <0·001 | 5·39 | 0·03 | 5·18 | 0·02 | <0·001 |
| Meats, eggs and legumes (10) | 9·42 | 0·01 | 9·45 | 0·01 | 0·037 | 9·41 | 0·02 | 0·686 | 9·43 | 0·01 | 9·45 | 0·01 | 0·144 | 9·43 | 0·02 | 0·981 | 9·51 | 0·01 | 9·41 | 0·02 | <0·001 | 9·34 | 0·01 | <0·001 | 9·65 | 0·00 | 9·22 | 0·00 | <0·001 | 9·40 | 0·01 | 9·47 | 0·01 | <0·001 |
| Oils (10) | 9·88 | 0·00 | 9·90 | 0·00 | <0·001 | 9·90 | 0·00 | <0·001 | 9·90 | 0·00 | 9·90 | 0·00 | 0·129 | 9·89 | 0·00 | 0·017 | 9·91 | 0·00 | 9·90 | 0·00 | 0·017 | 9·86 | 0·00 | <0·001 | 9·92 | 0·00 | 9·87 | 0·00 | <0·001 | 9·89 | 0·00 | 9·90 | 0·00 | <0·001 |
| Saturated fat (10) | 7·32 | 0·01 | 7·23 | 0·01 | <0·001 | 7·18 | 0·02 | <0·001 | 7·21 | 0·02 | 7·26 | 0·01 | 0·002 | 7·25 | 0·02 | 0·062 | 7·29 | 0·01 | 7·17 | 0·02 | <0·001 | 7·25 | 0·01 | 0·026 | 7·47 | 0·01 | 7·02 | 0·01 | <0·001 | 7·23 | 0·01 | 7·26 | 0·01 | 0·087 |
| Sodium (10) | 2·32 | 0·02 | 2·54 | 0·02 | <0·001 | 2·61 | 0·02 | <0·001 | 2·57 | 0·02 | 2·47 | 0·02 | <0·001 | 2·47 | 0·02 | 0·002 | 2·48 | 0·02 | 2·63 | 0·03 | <0·001 | 2·38 | 0·02 | <0·001 | 2·24 | 0·01 | 2·76 | 0·01 | <0·001 | 2·50 | 0·02 | 2·50 | 0·02 | 0·827 |
| SoFAAS (20) | 9·97 | 0·06 | 9·05 | 0·05 | <0·001 | 8·97 | 0·06 | <0·001 | 9·04 | 0·06 | 9·30 | 0·06 | 0·001 | 9·40 | 0·06 | <0·001 | 9·08 | 0·04 | 8·93 | 0·07 | 0·076 | 10·09 | 0·06 | <0·001 | 9·35 | 0·05 | 9·22 | 0·05 | 0·047 | 9·42 | 0·05 | 9·14 | 0·04 | <0·001 |
| BHEI-R (100) | 66·74 | 0·11 | 65·00 | 0·10 | <0·001 | 64·92 | 0·12 | <0·001 | 65·02 | 0·11 | 65·47 | 0·11 | 0·004 | 65·68 | 0·13 | <0·001 | 64·96 | 0·07 | 64·86 | 0·13 | 0·525 | 67·09 | 0·12 | <0·001 | 65·22 | 0·09 | 65·71 | 0·09 | <0·001 | 65·77 | 0·09 | 65·15 | 0·08 | <0·001 |
DGOV&L, dark-green and orange vegetables and legumes; oils, vegetable oils, seed oils and fish oils; SoFAAS, energy from solid fat, alcohol and added sugar.
Analyses considered the sample weight and were adjusted by sex and age.
Education (low, <7 years; middle, 7–12 years; high, >12 years).
Monthly household income per capita (low, <$US 236; middle, $US 236–708; high, >$US 708).
Excluded the category unemployed.
Descriptive level of the Wald test: P < 0·05.
Wald test between low and high categories, or between blue collar and others.