Fast Food Restaurants and Food Stores
Year: 2011
Type: article
Abstract: BACKGROUND: A growing body of cross-sectional, small-sample research has led to policy strategies to reduce food deserts--neighborhoods with little or no access to healthy foods--by limiting fast food restaurants and small food stores and increasing access to supermarkets in low-income neighborhoods. METHODS: We used 15 years of longitudinal data from the Coronary Artery Risk Development in Young Adults (CARDIA) study, a cohort of US young adults (aged 18-30 years at baseline) (n = 5115), with linked time-varying geographic information system-derived food resource measures. Using repeated measures from 4 examination periods (n = 15,854 person-examination observations) and conditional regression (conditioned on the individual), we modeled fast food consumption, diet quality, and adherence to fruit and vegetable recommendations as a function of fast food chain, supermarket, or grocery store availability (counts per population) within less than 1.00 km, 1.00 to 2.99 km, 3.00 to 4.99 km, and 5.00 to 8.05 km of respondents' homes. Models were sex stratified, controlled for individual sociodemographic characteristics and neighborhood poverty, and tested for interaction by individual-level income. RESULTS: Fast food consumption was related to fast food availability among low-income respondents, particularly within 1.00 to 2.99 km of home among men (coefficient, 0.34; 95% confidence interval, 0.16-0.51). Greater supermarket availability was generally unrelated to diet quality and fruit and vegetable intake, and relationships between grocery store availability and diet outcomes were mixed. CONCLUSION: Our findings provide some evidence for zoning restrictions on fast food restaurants within 3 km of low-income residents but suggest that increased access to food stores may require complementary or alternative strategies to promote dietary behavior change.
Source: Archives of Internal Medicine
Author: Janne Boone-Heinonen
Institution: University of North Carolina at Chapel Hill
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: green
Funders: Northwestern University, University of Minnesota, National Institutes of Health, Kaiser Foundation Research Institute, University of North Carolina at Chapel Hill, National Institute on Alcohol Abuse and Alcoholism, National Heart, Lung, and Blood Institute, National Institute of Mental Health, National Cancer Institute, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Environmental Health Sciences, National Center for Research Resources, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Carolina Population Center, University of North Carolina at Chapel Hill
Awards: CARDIA, Obesity and the Environment: The Transition to Adulthood, Carolina Population Center, G1241292848, G1469524250, CARDIA, G1648020610, CARDIA, G1789099407, Environmental Changes and Health Outcomes across 25 Years: Four US Cities, G1875467020, G191650467, G1958863888, G2272251213, G2277026667, G2323469504, CARDIA, G2982975052, G3107571658, G3396487927, University of Massachusetts Center for Clinical and Translational Science, G3906582721, G4085988807, G4165892905, Coronary Artery Risk Development in Young Adults (CARDIA) Study - Field Center, G4762875940, G4798441548, G50822097, G510023084, G5557719294, G582705428, G5835610291, G633297803, G6338010018, Obesity and Metabolic Risk Disparities: Underlying Food Environment Factors, Diet, Activity, Obesity & The Built Environment Dynamics, G6520056932, UNC Interdisciplinary Obesity Training (IDOT)(RMI), G6817973296, G715477388, Determinants and Consequences of Alcohol Consumption, Young Adult Environmental and Physical Activity Dynamics, G8948866618, G9000028181, G9000039219, G9000121483, G9000124754, G9000131094, G9000144966, G9000176846, G9000205553, G9000350284, UNC Center for Environmental Health and Susceptibility, Nutrition Obesity Research Center (NORC)
OpenAlex ID: W2026994539