The University of Southampton
University of Southampton Institutional Repository

Greater access to healthy food outlets in the home and school environment is associated with better dietary quality in young children

Greater access to healthy food outlets in the home and school environment is associated with better dietary quality in young children
Greater access to healthy food outlets in the home and school environment is associated with better dietary quality in young children


To explore associations between dietary quality and access to different types of food outlets around both home and school in primary school-aged children.

Cross-sectional observational study.

Hampshire, UK.

Children (n 1173) in the Southampton Women’s Survey underwent dietary assessment at age 6 years by FFQ and a standardised diet quality score was calculated. An activity space around each child’s home and school was created using ArcGIS. Cross-sectional observational food outlet data were overlaid to derive four food environment measures: counts of supermarkets, healthy specialty stores (e.g. greengrocers), fast-food outlets and total number of outlets, and a relative measure representing healthy outlets (supermarkets and specialty stores) as a proportion of total retail and fast-food outlets.

In univariate multilevel linear regression analyses, better diet score was associated with exposure to greater number of healthy specialty stores (β=0·025 sd/store: 95 % CI 0·007, 0·044) and greater exposure to healthy outlets relative to all outlets in children’s activity spaces (β=0·068 sd/10 % increase in healthy outlets as a proportion of total outlets, 95 % CI 0·018, 0·117). After adjustment for mothers’ educational qualification and level of home neighbourhood deprivation, the relationship between diet and healthy specialty stores remained robust (P=0·002) while the relationship with the relative measure weakened (P=0·095). Greater exposure to supermarkets and fast-food outlets was associated with better diet only in the adjusted models (P=0·017 and P=0·014, respectively).

The results strengthen the argument for local authorities to increase the number of healthy food outlets to which young children are exposed.
1368-9800
3316-3325
Barrett, Millie
d27de185-a092-4a5e-b3c0-6741f486b8b3
Crozier, Sarah
9c3595ce-45b0-44fa-8c4c-4c555e628a03
Lewis, Daniel
e4012b77-3224-472f-a05d-98a0fbd9a4d1
Godfrey, Keith
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Robinson, Sian
ba591c98-4380-456a-be8a-c452f992b69b
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Inskip, Hazel
5fb4470a-9379-49b2-a533-9da8e61058b7
Baird, Janis
f4bf2039-6118-436f-ab69-df8b4d17f824
Vogel, Christina
768f1dcd-2697-4aae-95cc-ee2f6d63dff5
Barrett, Millie
d27de185-a092-4a5e-b3c0-6741f486b8b3
Crozier, Sarah
9c3595ce-45b0-44fa-8c4c-4c555e628a03
Lewis, Daniel
e4012b77-3224-472f-a05d-98a0fbd9a4d1
Godfrey, Keith
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Robinson, Sian
ba591c98-4380-456a-be8a-c452f992b69b
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Inskip, Hazel
5fb4470a-9379-49b2-a533-9da8e61058b7
Baird, Janis
f4bf2039-6118-436f-ab69-df8b4d17f824
Vogel, Christina
768f1dcd-2697-4aae-95cc-ee2f6d63dff5

Barrett, Millie, Crozier, Sarah, Lewis, Daniel, Godfrey, Keith, Robinson, Sian, Cooper, Cyrus, Inskip, Hazel, Baird, Janis and Vogel, Christina (2017) Greater access to healthy food outlets in the home and school environment is associated with better dietary quality in young children. Public Health Nutrition, 20 (18), 3316-3325. (doi:10.1017/S1368980017002075).

Record type: Article

Abstract



To explore associations between dietary quality and access to different types of food outlets around both home and school in primary school-aged children.

Cross-sectional observational study.

Hampshire, UK.

Children (n 1173) in the Southampton Women’s Survey underwent dietary assessment at age 6 years by FFQ and a standardised diet quality score was calculated. An activity space around each child’s home and school was created using ArcGIS. Cross-sectional observational food outlet data were overlaid to derive four food environment measures: counts of supermarkets, healthy specialty stores (e.g. greengrocers), fast-food outlets and total number of outlets, and a relative measure representing healthy outlets (supermarkets and specialty stores) as a proportion of total retail and fast-food outlets.

In univariate multilevel linear regression analyses, better diet score was associated with exposure to greater number of healthy specialty stores (β=0·025 sd/store: 95 % CI 0·007, 0·044) and greater exposure to healthy outlets relative to all outlets in children’s activity spaces (β=0·068 sd/10 % increase in healthy outlets as a proportion of total outlets, 95 % CI 0·018, 0·117). After adjustment for mothers’ educational qualification and level of home neighbourhood deprivation, the relationship between diet and healthy specialty stores remained robust (P=0·002) while the relationship with the relative measure weakened (P=0·095). Greater exposure to supermarkets and fast-food outlets was associated with better diet only in the adjusted models (P=0·017 and P=0·014, respectively).

The results strengthen the argument for local authorities to increase the number of healthy food outlets to which young children are exposed.

Text
SWSActivitySpaceDietpublication_notrack07062017F - Accepted Manuscript
Download (223kB)

More information

Accepted/In Press date: 4 July 2017
e-pub ahead of print date: 31 August 2017
Published date: December 2017
Organisations: Human Development & Health, Medical Research Council

Identifiers

Local EPrints ID: 412038
URI: http://eprints.soton.ac.uk/id/eprint/412038
ISSN: 1368-9800
PURE UUID: c98a3b74-c467-417e-a3df-1e3f14e19bd9
ORCID for Sarah Crozier: ORCID iD orcid.org/0000-0002-9524-1127
ORCID for Keith Godfrey: ORCID iD orcid.org/0000-0002-4643-0618
ORCID for Sian Robinson: ORCID iD orcid.org/0000-0003-1766-7269
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for Hazel Inskip: ORCID iD orcid.org/0000-0001-8897-1749
ORCID for Janis Baird: ORCID iD orcid.org/0000-0002-4039-4361

Catalogue record

Date deposited: 05 Jul 2017 16:31
Last modified: 17 Dec 2019 06:03

Export record

Altmetrics

Contributors

Author: Millie Barrett
Author: Sarah Crozier ORCID iD
Author: Daniel Lewis
Author: Keith Godfrey ORCID iD
Author: Sian Robinson ORCID iD
Author: Cyrus Cooper ORCID iD
Author: Hazel Inskip ORCID iD
Author: Janis Baird ORCID iD
Author: Christina Vogel

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×