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 -