Int J Health Geogr - Association between proximity to and coverage of traditional fast-food restaurants and non-traditional fast-food outlets and fast-food consumption among rural adults.


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JECTIVE: The objective of this study is to examine the relationship between residential exposure to fast-food entr?es, using two measures of potential spatial access: proximity (distance to the nearest location) and coverage (number of different locations), and weekly consumption of fast-food meals.METHODS: Traditional fast-food restaurants and non-traditional fast-food outlets, such as convenience stores, supermarkets, and grocery stores, from the 2006 Brazos Valley Food Environment Project were linked with individual participants (n = 1409) who completed the nutrition module in the 2006 Brazos Valley Community Health Assessment.RESULTS: Increased age, poverty, increased distance to the nearest fast food, and increased number of different traditional fast-food restaurants, non-traditional fast-food outlets, or fast-food opportunities were associated with less frequent weekly consumption of fast-food meals. The interaction of gender and proximity (distance) or coverage (number) indicated that the association of proximity to or coverage of fast-food locations on fast-food consumption was greater among women and opposite of independent effects.CONCLUSIONS: Results provide impetus for identifying and understanding the complex relationship between access to all fast-food opportunities, rather than to traditional fast-food restaurants alone, and fast-food consumption. The results indicate the importance of further examining the complex interaction of gender and distance in rural areas and particularly in fast-food consumption. Furthermore, this study emphasizes the need for health promotion and policy efforts to consider all sources of fast-food as part of promoting healthful food choices.

Resumo Limpo

jectiv object studi examin relationship residenti exposur fastfood entr use two measur potenti spatial access proxim distanc nearest locat coverag number differ locat week consumpt fastfood mealsmethod tradit fastfood restaur nontradit fastfood outlet conveni store supermarket groceri store brazo valley food environ project link individu particip n complet nutrit modul brazo valley communiti health assessmentresult increas age poverti increas distanc nearest fast food increas number differ tradit fastfood restaur nontradit fastfood outlet fastfood opportun associ less frequent week consumpt fastfood meal interact gender proxim distanc coverag number indic associ proxim coverag fastfood locat fastfood consumpt greater among women opposit independ effectsconclus result provid impetus identifi understand complex relationship access fastfood opportun rather tradit fastfood restaur alon fastfood consumpt result indic import examin complex interact gender distanc rural area particular fastfood consumpt furthermor studi emphas need health promot polici effort consid sourc fastfood part promot health food choic

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