Document Detail

Fast-food environments and family fast-food intake in nonmetropolitan areas.
MedLine Citation:
PMID:  22608373     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Little is known about the influence of in-town fast-food availability on family-level fast-food intake in nonmetropolitan areas.
PURPOSE: The purpose of the current study was to determine whether the presence of chain fast-food outlets was associated with fast-food intake among adolescents and parents, and to assess whether this relationship was moderated by family access to motor vehicles.
METHODS: Telephone surveys were conducted with 1547 adolescent-parent dyads in 32 New Hampshire and Vermont communities between 2007 and 2008. Fast-food intake in the past week was measured through self-report. In-town fast-food outlets were located and enumerated using an onsite audit. Family motor vehicle access was categorized based on the number of vehicles per licensed drivers in the household. Poisson regression was used to determine unadjusted and adjusted risk ratios (RRs). Analyses were conducted in 2011.
RESULTS: About half (52.1%) of adolescents and 34.7% of parents consumed fast food at least once in the past week. Adolescents and parents who lived in towns with five or more fast-food outlets were about 30% more likely to eat fast food compared to those in towns with no fast-food outlets, even after adjusting for individual, family, and town characteristics (RR=1.29, 95% CI= 1.10, 1.51; RR=1.32, 95% CI=1.07, 1.62, respectively). Interaction models demonstrated that the influence of in-town fast-food outlets on fast-food intake was strongest among families with low motor vehicle access.
CONCLUSIONS: In nonmetropolitan areas, household transportation should be considered as an important moderator of the relationship between in-town fast-food outlets and family intake.
Meghan R Longacre; Keith M Drake; Todd A MacKenzie; Lucinda Gibson; Peter Owens; Linda J Titus; Michael L Beach; Madeline A Dalton
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  American journal of preventive medicine     Volume:  42     ISSN:  1873-2607     ISO Abbreviation:  Am J Prev Med     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-05-21     Completed Date:  2012-09-26     Revised Date:  2014-09-15    
Medline Journal Info:
Nlm Unique ID:  8704773     Medline TA:  Am J Prev Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  579-87     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
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MeSH Terms
Fast Foods / utilization*
Food Habits*
Interviews as Topic
Longitudinal Studies
Middle Aged
New Hampshire
Rural Population*
Suburban Population*
Grant Support
P30 CA023108/CA/NCI NIH HHS; R01 ES014218/ES/NIEHS NIH HHS; R01 ES014218/ES/NIEHS NIH HHS; R01 ES014218-01/ES/NIEHS NIH HHS; R01 ES014218-04/ES/NIEHS NIH HHS

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