Out-of-home food outlets and area deprivation: case study in Glasgow, UK.
Out-of-home food outlets and area deprivation: case study in Glasgow, UK.
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DOI：
10.1186/1479-5868-2-16
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发表时间：
2005-10-25
期刊：
影响因子：
--
通讯作者：
Burns, Cate
中科院分区：
文献类型：
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作者：
Macintyre, Sally;McKay, Laura;Burns, Cate
背景技术：有一个流行的信念，在家庭外的饮食店，通常服务于能量密集的食物，可能更常见于更贫困的地区，这可能有助于肥胖和相关疾病的发病率较高，在这样的areas.METHODS：我们获得了一个列表中的所有1301出家庭饮食店在格拉斯哥，英国，在2003年，并映射这些单位的邮政编码水平。我们使用2004年苏格兰多重剥夺指数将他们分为五分之一的区域剥夺，并计算了每1000人的出口类型（餐馆，快餐店，咖啡馆和外卖店）的平均密度，以及所有类型的组合。我们还估计了优势比的存在下，任何网点在小面积内quintile.RESULTS：网点的密度，并有任何网点的可能性，是最高的第二个最富裕的五分之一（Q2）和最低的第二个最贫困的五分之一（Q4）。第二季度每1,000人的平均网点数为4.02个，第四季度为1.20个，第五季度为2.03个。以Q2为参考，Q1中具有任何出口的比值比为0.52（CI 0.32-0.84），Q4中为0.50（CI 0.31 - 0.80），Q5中为0.61（CI 0.38 - 0.98）。直销店位于市中心，伦敦西区，和沿着动脉roads.CONCLUSION：在格拉斯哥那些生活在较贫困地区是不是更有可能被暴露在他们的邻居家外的饮食店。改善健康的政策需要基于经验证据的快餐店在特定的国家和地方背景下的位置，而不是流行的“事实”。
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'.