The association between accessibility of local convenience stores and unhealthy diet
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
The association between accessibility of local convenience stores and unhealthy diet. / Lind, Pernille L; Jensen, Pernille V; Glümer, Charlotte; Toft, Ulla.
In: European Journal of Public Health, Vol. 26, No. 4, 08.2016, p. 634-9.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - The association between accessibility of local convenience stores and unhealthy diet
AU - Lind, Pernille L
AU - Jensen, Pernille V
AU - Glümer, Charlotte
AU - Toft, Ulla
N1 - © The Author 2016. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
PY - 2016/8
Y1 - 2016/8
N2 - BACKGROUND: High accessibility of unhealthy food stores may contribute to a poor dietary quality. Research on the link between neighbourhood food environment and consumption is limited, especially in a European context. The objective of this study was to examine the relationship between convenience stores (CS) and dietary quality within the Capital Region of Denmark.METHOD: Cross-sectional study of the geographic food environment in the Capital Region of Denmark based on 47 623 subjects (age 16+ years) with complete information on retail food environment and dietary quality. A categorization procedure to identify CS from a government list of inspected food stores (the Smiley register) was developed. Using GIS network analyses, density of CS within 0.25 km and 0.5 km network buffers from residency was calculated for participants in metropolitan and non-metropolitan areas, respectively. Information on dietary intake and confounders is derived from a questionnaire survey. Multi-level analyses were performed, adjusting for age, sex, individual socio-economic factors and area socio-economic status.RESULTS: In the non-metropolitan population, the odds of having an unhealthy diet increased significantly (P < 0.0001) with increased density of CS. Compared to individuals who did not have a CS within 0.5 km from their home, the odds ratios were 1.20 (95% CI: 1.09-1.33) and 1.37 (95% CI: 1.19-1.57) for individuals having 1 or ≥2 CS, respectively. In the fully adjusted model, the overall association remained significant (P = 0.015) and odds ratios diminished to 1.14 (1.02-1.27) and 1.18 (1.01-1.38).CONCLUSION: High accessibility of CS in neighbourhoods is associated with less healthy dietary habits among residents.
AB - BACKGROUND: High accessibility of unhealthy food stores may contribute to a poor dietary quality. Research on the link between neighbourhood food environment and consumption is limited, especially in a European context. The objective of this study was to examine the relationship between convenience stores (CS) and dietary quality within the Capital Region of Denmark.METHOD: Cross-sectional study of the geographic food environment in the Capital Region of Denmark based on 47 623 subjects (age 16+ years) with complete information on retail food environment and dietary quality. A categorization procedure to identify CS from a government list of inspected food stores (the Smiley register) was developed. Using GIS network analyses, density of CS within 0.25 km and 0.5 km network buffers from residency was calculated for participants in metropolitan and non-metropolitan areas, respectively. Information on dietary intake and confounders is derived from a questionnaire survey. Multi-level analyses were performed, adjusting for age, sex, individual socio-economic factors and area socio-economic status.RESULTS: In the non-metropolitan population, the odds of having an unhealthy diet increased significantly (P < 0.0001) with increased density of CS. Compared to individuals who did not have a CS within 0.5 km from their home, the odds ratios were 1.20 (95% CI: 1.09-1.33) and 1.37 (95% CI: 1.19-1.57) for individuals having 1 or ≥2 CS, respectively. In the fully adjusted model, the overall association remained significant (P = 0.015) and odds ratios diminished to 1.14 (1.02-1.27) and 1.18 (1.01-1.38).CONCLUSION: High accessibility of CS in neighbourhoods is associated with less healthy dietary habits among residents.
KW - Adolescent
KW - Adult
KW - Commerce/statistics & numerical data
KW - Cross-Sectional Studies
KW - Denmark
KW - Diet/methods
KW - Feeding Behavior
KW - Female
KW - Food Supply/statistics & numerical data
KW - Humans
KW - Male
KW - Middle Aged
KW - Residence Characteristics/statistics & numerical data
KW - Young Adult
U2 - 10.1093/eurpub/ckv242
DO - 10.1093/eurpub/ckv242
M3 - Journal article
C2 - 26851817
VL - 26
SP - 634
EP - 639
JO - European Journal of Public Health
JF - European Journal of Public Health
SN - 1101-1262
IS - 4
ER -
ID: 259568954