Journal
HEALTH & PLACE
Volume 15, Issue 1, Pages 193-197Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.healthplace.2008.04.003
Keywords
Neighbourhoods; Fast food; Accessibility; Health inequalities; Geographical Information Systems (GIS)
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Differential locational access to fast-food retailing between neighbourhoods of varying socioeconomic status has been suggested as a contextual explanation for the social distribution of diet-related mortality and morbidity. This New Zealand study examines whether neighbourhood access to fast-food outlets is associated with individual diet-related health outcomes. Travel distances to the closest fast-food outlet (multinational and locally operated) were calculated for all neighbourhoods and appended to a national health survey. Residents in neighbourhoods with the furthest access to a multinational fast-food outlet were more likely to eat the recommended intake of vegetables but also be overweight. There was no association with fruit consumption. Access to locally operated fast-food outlets was not associated with the consumption of the recommended fruit and vegetables or being overweight. Better neighbourhood access to fast-food retailing is unlikely to be a key contextual driver for inequalities in diet-related health outcomes in New Zealand. (c) 2008 Elsevier Ltd. All rights reserved
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