Food environment in Brazil: food deserts and food swamps in large urban cities

Authors

  • Giovani William Gianetti University of São Paulo image/svg+xml
  • Mariana Giannotti University of São Paulo image/svg+xml
  • Gabriel Caldeira Centro de Estudos da Metrópole. São Paulo, SP, Brasil
  • Naila Takahashi University of São Paulo image/svg+xml
  • Cláudia Roberta Bocca Santos Ministério do Desenvolvimento e Assistência Social, Família e Combate à Fome. Secretaria Nacional de Segurança Alimentar e Nutricional. Brasília, DF, Brasil
  • Ariene Silva do Carmo Federal University of Ouro Preto image/svg+xml
  • Rodrigo Fernando Maule University of São Paulo image/svg+xml
  • Gisele Ane Bortolini Ministério do Desenvolvimento e Assistência Social, Família e Combate à Fome. Secretaria Nacional de Segurança Alimentar e Nutricional. Brasília, DF, Brasil
  • Ronaldo Torres University of São Paulo image/svg+xml
  • Rogério de S. Nóia-Júnior University of São Paulo image/svg+xml
  • Bruna Pitasi Arguelhes Ministério do Desenvolvimento e Assistência Social, Família e Combate à Fome. Secretaria Nacional de Segurança Alimentar e Nutricional. Brasília, DF, Brasil
  • Patrícia Chaves Gentil Ministério do Desenvolvimento e Assistência Social, Família e Combate à Fome. Secretaria Nacional de Segurança Alimentar e Nutricional. Brasília, DF, Brasil
  • Lilian Rahal dos Santos Ministério do Desenvolvimento e Assistência Social, Família e Combate à Fome. Secretaria Nacional de Segurança Alimentar e Nutricional. Brasília, DF, Brasil
  • Márcia Muchagata Ministério do Desenvolvimento e Assistência Social, Família e Combate à Fome. Secretaria Nacional de Segurança Alimentar e Nutricional. Brasília, DF, Brasil
  • Sergio Paganini Martins University of São Paulo image/svg+xml

DOI:

https://doi.org/10.11606/s1518-8787.2026060007379

Keywords:

Food Environment, Public Policy, Food Security, Public Health

Abstract

OBJECTIVE: To assess the availability of healthy and unhealthy food establishments in Brazil and, thereby, map food deserts and food swamps. To analyze maps of food deserts and food swamps in conjunction with indicators of social inequality. METHODS: Data from the Relação Anual de Informações Sociais (RAIS, 2022), integrated with consumption profiles from the Pesquisa de Orçamentos Familiares (POF, 2017–2018), were used to classify establishments according to the Dietary Guidelines for the Brazilian Population. At the municipal level, the density of establishments with healthy and unhealthy profiles was estimated for Brazilian municipalities. At the intramunicipal level, food deserts and food swamps were identified in urban municipalities with more than 300,000 inhabitants, by cross-referencing the results with income indicators from the Cadastro Único. RESULTS: At the municipal level, it was observed that the North and Northeast regions concentrate most municipalities with low densities of healthy establishments, while the South and Southeast have higher densities of unhealthy establishments. At the intramunicipal level, approximately 25 million people reside in food deserts, corresponding to 32.3% of the population of the 91 municipalities analyzed, and approximately 15 million live in food swamps (19% of the population). Among individuals in the Cadastro Único with a per capita income below half the minimum wage, 38% live in food deserts and 10% in food swamps. CONCLUSION: The results highlight the overlap between socioeconomic vulnerability and adverse food environments, reinforcing the urgency of public policies aimed at regulating the food environment, strengthening public food supply infrastructure, and promoting territorial equity in access to healthy foods.

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References

1. Louzada MLC, Cruz GL, Silva KAAN, Grassi AGF, Andrade GC, Rauber F et al. Consumo de alimentos ultraprocessados no Brasil: distribuição e evolução temporal 2008–2018. Rev Saúde Pública. 2023;57(1):12. https://doi.org/10.11606/s1518-8787.2023057004744

2. Instituto Brasileiro de Geografia e Estatística. Pesquisa de Orçamentos Familiares 2017/2018. Rio de Janeiro: IBGE; 2018 [citado 2025 ago 21]. Disponível em: https://www.ibge.gov.br/pof2024/

3. Instituto Brasileiro de Geografia e Estatística. PNAD Contínua - Pesquisa Nacional por Amostra de Domicílios Contínua. Rio de Janeiro: IBGE; 2024 [citado 2025 set 16]. Disponível em: https://www.ibge.gov.br/estatisticas/sociais/saude/17270-pnad-continua.html

4. Ministério da Saúde (BR). Estado nutricional e consumo alimentar. Brasília: Ministério da Saúde. 2024 [citado 2025 ago 21]. p. 1–82. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/ vigitel_2006_2023_estado_nutricional.pdf

5. Swinburn BA, Kraak VI, Allender S, Atkins VJ, Baker PI, Bogard JR et al. The global syndemic of obesity, undernutrition, and climate change: the Lancet Commission report. Lancet. 2019;393(10173):791-846. https://doi.org/10.1016/S0140-6736(18)32822-8

6. Garrido G, Severo FC, Bonfim SMV, Dias LF, Domingos ALG, Jones AD et al. The role of food consumption in the global syndemic: a scoping review and conceptual model. Int J Environ Res Public Health. 2025;22(6):897. https://doi.org/10.3390/ijerph22060897

7. Amancio LS, Schemiko LB, Retondario A. Ambiente alimentar em um território de vulnerabilidade social em Piraquara-PR. Saude Debate. 2024;48(141):e8575. https://doi.org/10.1590/2358-289820241418575P

8. Lucan SC, Maroko AR, Patel AN, Gjonbalaj I, Elbel B, Schechter CB. Healthful and lesshealthful foods and drinks from storefront and non-storefront businesses: implications for ‘food deserts’, ‘food swamps’ and food-source disparities. Public Health Nutr. 2020;23(8):1428-39. https://doi.org/10.1017/S1368980019004832

9. Ares G, Turra S, Bonilla L, Costa M, Verdier S, Brunet G et al. WEIRD and non-consensual food deserts and swamps: a scoping review of operational definitions. Health Place. 2024;89:103315. https://doi.org/10.1016/j.healthplace.2024.103315

10. Ministério do Trabalho e Emprego (BR). RAIS - Relação anual de informações sociais. Brasília: Ministério do Trabalho e Emprego; 2022 [citado 2025 ago 21]. Disponível em: https://www.rais.gov.br/sitio/index.jsf

11. Câmara Interministerial de Segurança Alimentar e Nutricional (BR). Mapeamento da insegurança alimentar e nutricional. Brasília: Caisan; 2018.

12. Ministério da Saúde (BR). Guia alimentar para a população brasileira. Brasília: Ministério da Saúde; 2014. Disponível em: www.saude.gov.br/bvs

13. Instituto Brasileiro de Geografia e Estatística. Áreas Urbanizadas do Brasil 2019. Brasília: IBGE; 2019 [citado 2025 ago 21]. Disponível em: https://www.ibge.gov.br/apps/areas_urbanizadas/pdf/ Informativo_Areas_Urbanizadas_do_Brasil_2019.pdf

14. R Core Team. R: A Language and Environment for Statistical Computing. Vienna: R Foundation for Statistical Computing; 2017.

15. Cooksey-Stowers K, Schwartz M, Brownell K. Food swamps predict obesity rates better than food deserts in the United States. Int J Environ Res Public Health. 2017;14(11):1366. https://doi.org/10.3390/ijerph14111366

16. Peres CMC, Costa BVL, Pessoa MC, Honório OS, Carmo AS, Silva TPR et al. O ambiente alimentar comunitário e a presença de pântanos alimentares no entorno das escolas de uma metrópole brasileira. Cad Saude Publica. 2021;37(5):e000. https://doi.org/10.1590/0102-311X00205120

17. Tonumaipe’a D, Cammock R, Conn C. Food havens not swamps: a strength-based approach to sustainable food environments. Health Promot Int. 2021;36(6):1795-805. https://doi.org/10.1093/heapro/daab021

18. Honório OS, Pessoa MC, Gratão LHA, Rocha LL, Castro IRR, Canella DS et al. Social inequalities in the surrounding areas of food deserts and food swamps in a Brazilian metropolis. Int J Equity Health. 2021;20(1):168. https://doi.org/10.1186/s12939-021-01501-7

19. Borges DC, Vargas JCB, Honório OS, Mendes LL, Canuto R. Social and ethnic-racial inequities in the occurrence of food deserts in a Brazilian state capital. Food Secur. 2024;16(3):595-606. https://doi.org/10.1007/s12571-024-01450-3

20. Silva JML, Oliveira JS, Casagrande Borges D, Honório OS, Mendes LL, Canuto R. Social inequities in food deserts and food swamps in a northeastern Brazilian capital. J Biosoc Sci. 2024;56(3):493-503. https://doi.org/10.1017/S0021932023000327

21. Honório OS, Mendes LL, Moreira CC, Araújo ML, Pessoa MC. Evolution of food deserts and food swamps in a Brazilian metropolis between 2008 and 2020. Cien Saúde Colet. 2024;29(10). https://doi.org/10.1590/1413-812320242910.09582023

22. Bevel MS, Tsai MH, Parham A, Andrzejak SE, Jones S, Moore JX. Association of food deserts and food swamps with obesity-related cancer mortality in the US. JAMA Oncol. 2023;9(7):909-16. https://doi.org/10.1001/jamaoncol.2023.0634

23. Linhares IW, Horta PM, Carmo AS, Rocha LL, Jardim MZ, Honório OS et al. Residential and school food swamps and overweight in children and adolescents: a crosssectional analysis in urban Brazil. Int J Environ Res Public Health. 2025;22(8):1240. https://doi.org/10.3390/ijerph22081240

Published

2026-05-17

Issue

Section

Original Articles

How to Cite

Gianetti, G. W., Giannotti, M., Caldeira, G., Takahashi, N., Santos, C. R. B., Carmo, A. S. do, Maule, R. F., Bortolini, G. A., Torres, R., Nóia-Júnior, R. de S., Arguelhes, B. P., Gentil, P. C., Santos, L. R. dos, Muchagata, M., & Martins, S. P. (2026). Food environment in Brazil: food deserts and food swamps in large urban cities. Revista De Saúde Pública, 60, e252193. https://doi.org/10.11606/s1518-8787.2026060007379

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