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Food outlet availability, deprivation and obesity in a multi-ethnic sample of pregnant women in Bradford, UK

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  • Fraser, L.K.
  • Edwards, K.L.
  • Tominitz, M.
  • Clarke, G.P.
  • Hill, A.J.

Abstract

The obesogenic environment model would suggest that increased availability or access to energy dense foods which are high in saturated fat may be related to obesity. The association between food outlet location, deprivation, weight status and ethnicity was analysed using individual level data on a sample of 1198 pregnant women in the UK Born in Bradford cohort using geographic information systems (GIS) methodology. In the non South Asian group 24% were obese as were 17% of the South Asian group (BMI > 30). Food outlet identification methods revealed 886 outlets that were allocated into 5 categories of food shops. More than 95% of all participants lived within 500 m of a fast food outlet. Women in higher areas of deprivation had greater access to fast food outlets and to other forms of food shops. Contrary to hypotheses, there was a negative association between BMI and fast food outlet density in close (250 m) proximity in the South Asian group. Overall, these women had greater access to all food stores including fast food outlets compared to the non South Asian group. The stronger association between area level deprivation and fast food density than with area level deprivation and obesity argues for more detailed accounts of the obesogenic environment that include measures of individual behaviour.

Suggested Citation

  • Fraser, L.K. & Edwards, K.L. & Tominitz, M. & Clarke, G.P. & Hill, A.J., 2012. "Food outlet availability, deprivation and obesity in a multi-ethnic sample of pregnant women in Bradford, UK," Social Science & Medicine, Elsevier, vol. 75(6), pages 1048-1056.
  • Handle: RePEc:eee:socmed:v:75:y:2012:i:6:p:1048-1056
    DOI: 10.1016/j.socscimed.2012.04.041
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    References listed on IDEAS

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    1. Lewis, L.B. & Sloane, D.C. & Nascimento, L.M. & Diamant, A.L. & Guinyard, J.J. & Yancey, A.K. & Flynn, G., 2005. "African Americans' access to healthy food options in South Los Angeles restaurants," American Journal of Public Health, American Public Health Association, vol. 95(4), pages 668-673.
    2. Krieger, N., 1992. "Overcoming the absence of socioeconomic data in medical records: Validation and application of a census-based methodology," American Journal of Public Health, American Public Health Association, vol. 82(5), pages 703-710.
    3. repec:mpr:mprres:3740 is not listed on IDEAS
    4. Davis, B. & Carpenter, C., 2009. "Proximity of fast-food restaurants to schools and adolescent obesity," American Journal of Public Health, American Public Health Association, vol. 99(3), pages 505-510.
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    Cited by:

    1. Man Zhang & Wen Guo & Na Zhang & Hairong He & Yu Zhang & Mingzhu Zhou & Jianfen Zhang & Muxia Li & Guansheng Ma, 2020. "Association between Neighborhood Food Environment and Body Mass Index among Older Adults in Beijing, China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(20), pages 1-16, October.
    2. Shrestha, Samjhana & Kestens, Yan & Thomas, Frédérique & El Aarbaoui, Tarik & Chaix, Basile, 2019. "Spatial access to sport facilities from the multiple places visited and sport practice: Assessing and correcting biases related to selective daily mobility," Social Science & Medicine, Elsevier, vol. 236(C), pages 1-1.
    3. Zaynel Sushil & Stefanie Vandevijvere & Daniel J. Exeter & Boyd Swinburn, 2017. "Food swamps by area socioeconomic deprivation in New Zealand: a national study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(8), pages 869-877, November.

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