Journal
HEALTH & PLACE
Volume 23, Issue -, Pages 104-110Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.healthplace.2013.05.005
Keywords
Adolescent obesity; New York City; Fast food; Retail ecology; Neighborhoods
Categories
Funding
- Robert Wood Johnson Foundation Active Living Foundation
- Robert Wood Johnson Foundation Health & Society Scholar Program
- Eunice Kennedy Shriver National Institute of Child Health and Human Development [K01HD067390]
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Policies target fast food outlets to curb adolescent obesity. We argue that researchers should examine the entire retail ecology of neighborhoods, not just fast food outlets. We examine the association between the neighborhood retail environment and obesity using Fitnessgram data collected from 94,348 New York City public high school students. In generalized hierarchical linear models, the number of fast food restaurants predicted lower odds of obesity for adolescents (OR:0.972 per establishment; CI:0.957-0.988). In a placebo test we found that banks - a measure of neighborhood retail ecology - also predicted lower obesity (OR:0.979 per bank; CI:0.962-0.994). Retail disinvestment might be associated with greater obesity; accordingly, public health research should study the influence of general retail disinvestment not just food-specific investment. (C) 2013 Elsevier Ltd. All rights reserved
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