TY - JOUR
T1 - Exploring the Relation of Spatial Access to Fast Food Outlets With Body Weight
T2 - A Mediation Analysis
AU - Mackenbach, Joreintje D.
AU - Charreire, H. lène
AU - Glonti, Ketevan
AU - Bárdos, Helga
AU - Rutter, Harry
AU - Compernolle, Sofie
AU - de Bourdeaudhuij, Ilse
AU - Nijpels, Giel
AU - Brug, Johannes
AU - Oppert, Jean-Michel
AU - Lakerveld, Jeroen
N1 - doi: 10.1177/0013916517749876
PY - 2019/5/1
Y1 - 2019/5/1
N2 - We examined explanatory pathways for the association between spatial access to fast food outlets and body weight in 5,076 European adults (18+). The total effect of spatial access to fast food outlets on self-reported weight status was examined using regression analyses accounting for clustering at the neighborhood level. Perceived availability and usage of fast food outlets, and fast food consumption, were considered as potential mediators and age, gender, socioeconomic status, and urban region as potential moderators. Spatial access to fast food outlets was not significantly related to weight status. Spatial access to fast food outlets was associated with perceptions about and usage of fast food outlets, and this was in turn associated with greater reported fast food consumption and unhealthier weight status. We found limited evidence for mediation effects and no evidence for effect modification.
AB - We examined explanatory pathways for the association between spatial access to fast food outlets and body weight in 5,076 European adults (18+). The total effect of spatial access to fast food outlets on self-reported weight status was examined using regression analyses accounting for clustering at the neighborhood level. Perceived availability and usage of fast food outlets, and fast food consumption, were considered as potential mediators and age, gender, socioeconomic status, and urban region as potential moderators. Spatial access to fast food outlets was not significantly related to weight status. Spatial access to fast food outlets was associated with perceptions about and usage of fast food outlets, and this was in turn associated with greater reported fast food consumption and unhealthier weight status. We found limited evidence for mediation effects and no evidence for effect modification.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85063868767&origin=inward
U2 - https://doi.org/10.1177/0013916517749876
DO - https://doi.org/10.1177/0013916517749876
M3 - Article
SN - 0013-9165
VL - 51
SP - 401
EP - 430
JO - ENVIRONMENT AND BEHAVIOR
JF - ENVIRONMENT AND BEHAVIOR
IS - 4
ER -