Out-of-home Food Outlets and Area Deprivation: Case Study in Glasgow, UK

Overview

Journal Int J Behav Nutr Phys Act

Publisher Biomed Central

Specialties Nutritional Sciences
Orthopedics
Social Sciences

Date 2005 Oct 27

PMID 16248898

Citations 27

Authors

Sally Macintyre

Laura McKay

Steven Cummins

Cate Burns

Affiliations

Soon will be listed here.

Abstract

Background: There is a popular belief that out-of-home eating outlets, which typically serve energy dense food, may be more commonly found in more deprived areas and that this may contribute to higher rates of obesity and related diseases in such areas.

Methods: We obtained a list of all 1301 out-of-home eating outlets in Glasgow, UK, in 2003 and mapped these at unit postcode level. We categorised them into quintiles of area deprivation using the 2004 Scottish Index of Multiple Deprivation and computed mean density of types of outlet (restaurants, fast food restaurants, cafes and takeaways), and all types combined, per 1000 population. We also estimated odds ratios for the presence of any outlets in small areas within the quintiles.

Results: The density of outlets, and the likelihood of having any outlets, was highest in the second most affluent quintile (Q2) and lowest in the second most deprived quintile (Q4). Mean outlets per 1,000 were 4.02 in Q2, 1.20 in Q4 and 2.03 in Q5. With Q2 as the reference, Odds Ratios for having any outlets were 0.52 (CI 0.32-0.84) in Q1, 0.50 (CI 0.31 - 0.80) in Q4 and 0.61 (CI 0.38 - 0.98) in Q5. Outlets were located in the City Centre, West End, and along arterial roads.

Conclusion: In Glasgow those living in poorer areas are not more likely to be exposed to out-of-home eating outlets in their neighbourhoods. Health improvement policies need to be based on empirical evidence about the location of fast food outlets in specific national and local contexts, rather than on popular 'factoids'.

Citing Articles

Food environment, social deprivation and obesity among students from Brazilian public schools.

de Assis M, Leite M, do Carmo A, Andrade A, Pessoa M, Netto M Public Health Nutr. 2018; 22(11):1920-1927.

PMID: 29747717 PMC: 10260461. DOI: 10.1017/S136898001800112X.

Do 'environmental bads' such as alcohol, fast food, tobacco, and gambling outlets cluster and co-locate in more deprived areas in Glasgow City, Scotland?.

MacDonald L, Olsen J, Shortt N, Ellaway A Health Place. 2018; 51:224-231.

PMID: 29747132 PMC: 5989655. DOI: 10.1016/j.healthplace.2018.04.008.

Statistical Approaches Used to Assess the Equity of Access to Food Outlets: A Systematic Review.

Lamb K, Thornton L, Cerin E, Ball K AIMS Public Health. 2018; 2(3):358-401.

PMID: 29546115 PMC: 5690240. DOI: 10.3934/publichealth.2015.3.358.

Relationship between mean daily energy intake and frequency of consumption of out-of-home meals in the UK National Diet and Nutrition Survey.

Goffe L, Rushton S, White M, Adamson A, Adams J Int J Behav Nutr Phys Act. 2017; 14(1):131.

PMID: 28938893 PMC: 5610411. DOI: 10.1186/s12966-017-0589-5.

Does exposure to the food environment differ by socioeconomic position? Comparing area-based and person-centred metrics in the Fenland Study, UK.

Maguire E, Burgoine T, Penney T, Forouhi N, Monsivais P Int J Health Geogr. 2017; 16(1):33.

PMID: 28877706 PMC: 5586029. DOI: 10.1186/s12942-017-0106-8.

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