Use of dietary sweeteners by SUS primary health care users in Brazil
DOI:
https://doi.org/10.22239/2317-269X.01843Keywords:
Dietary Sweeteners; Health Risks; Health SurveillanceAbstract
Introduction: Dietary sweeteners have been increasingly used in recent decades. Due to their potential health risks, such products are under health surveillance. Objective:To characterize the use of dietary sweeteners by SUS primary healthcare users in Brazil. Method: This is a cross-sectional, exploratory study drawn on the PNAUM - Services database. Out of the sample of 8,803 adults interviewed by PNAUM among primary care users in a sample of municipalities in Brazilian regions, a subsample of those self-declared users of dietary sweeteners (1,802 adults) was characterized according to demographic, socioeconomic, lifestyle and health status variables. Data were analyzed using SPSS v.22 software and the statistical association was determined by the chi-square test, with a significance level of p < 0.05. Results: 21.0% of those interviewed by PNAUM stated they used dietary sweeteners. There were statistically significant differences in their use across regions, with the highest proportion in the South and the lowest in the Midwest. Women were found to be the highest users, and, for both sexes, the use was higher in the older age groups as well as among those who were married, with elementary schooling, in the “C” economic class and whose self-rated health was good, followed by those with neither good nor bad self-rated health. Women were also found to prevail among the followers of the investigated diets and among those with diabetes and depression, whereas among men those with hypertension and dyslipidemia were more prevalent. Conclusions: A wide use of diet sweeteners was shown among SUS primary healthcare users. Since studies point to potential health-damaging effects of such products, the need for regulation and health surveillance actions towards their rational use is urged.
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