Abstract
In 1994, the United States, Canada, and Mexico signed the North American Free Trade Agreement (NAFTA) to remove trade barriers and facilitate cross-border trade in goods and services. Worldwide, trade agreements, urbanization and economic development have shaped significant changes in dietary habits. This study aims to evaluate the association between the gradual implementation of NAFTA and changes in apparent consumption of staple foods in Mexico. We analyzed national apparent consumption of animal- and vegetable-source foods, using data from the Food and Agriculture Organization of the United Nations (FAO) from 1970 to 2018. Association between NAFTA and apparent consumption was estimated using interrupted time series analysis (ITSA) with synthetic controls and included two inflection points based on the implementation of NAFTA: 1994, when the agreement began, and 2008 when it was fully implemented. As a result, comparing Mexico with the synthetic control, we found a significant decrease in apparent consumption of pulses, -3.22 and -1.92 kcal/capita/day in the post-1994 and post-2008 periods, respectively. The vegetable-source foods showed an increase of 5.79 kcal/capita/day after 2008. The trends of apparent consumption of animal-source foods, eggs, and milk had significant increases after 1994 and 2008. The apparent consumption of meat increased only after 2008. The implementation of NAFTA was associated with an increase in apparent consumption of food from animal-source and a decrease in consumption of pulses. After 2008, an increase in apparent consumption of vegetable-source foods was observed.