McDonald’s Restaurants and Neighborhood Deprivation in Scotland and England
Abstract
Background Features of the local fast food environment have been hypothesized to contribute to the greater prevalence of obesity in deprived neighborhoods. However, few studies have investigated whether fast food outlets are more likely to be found in poorer areas, and those that have are local case studies. In this paper, using national-level data, we examine the association between neighborhood deprivation and the density of McDonald's restaurants in small census areas (neighborhoods) in Scotland and England.Methods Data on population, deprivation, and the location of McDonald's Restaurants were obtained for 38,987 small areas in Scotland and England (6505 "data zones" in Scotland, and 32,482 "super output areas" in England) in January 2005. Measures of McDonald's restaurants per 1000 people for each area were calculated, and areas were divided into quintiles of deprivation. Associations between neighborhood deprivation and outlet density were examined during February 2005, using one-way analysis of variance in Scotland, England, and both countries combined.Results Statistically significant positive associations were found between neighborhood deprivation and the mean number of McDonald's outlets per 1000 people for Scotland (p<0.001), England (p<0.001), and both countries combined (p<0.001). These associations were broadly linear with greater mean numbers of outlets per 1000 people occurring as deprivation levels increased.Conclusions Observed associations between presence or absence of fast food outlets and neighborhood deprivation may provide support for environmental explanations for the higher prevalence of obesity in poor neighborhoods.
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In the United Kingdom, neighborhood deprivation was positively associated with per capita density of McDonald's outlets in both Scotland and England (P<0.001).
“In a much broader analysis across the United Kingdom, neighborhood deprivation as defined by a compound measure of income, employment, health, education, and housing was positively associated with per capita density of McDonald’s outlets in both Scotland and England (P<0.001).336”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [336]
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Elgar, F. J., Xie, A., Pförtner, T., White, J., & Pickett, K. E. (2016) · Social Science & Medicine · doi:10.1016/j.socscimed.2016.01.039 · Cited by 56 · see citing works
Chen, X., & Clark, J. K. (2015) · The Professional Geographer · doi:10.1080/00330124.2015.1032876 · Cited by 55 · see citing works
Sharkey, J. R., Johnson, C., Dean, W. R., & Horel, S. A. (2011) · Nutrition Journal · doi:10.1186/1475-2891-10-10 · Cited by 51 · see citing works
Socio-economic differences in outdoor food advertising in a city in Northern England
Adams, J. M., Ganiti, E., & White, M. J. (2011) · Public Health Nutrition · doi:10.1017/s1368980010003332 · Cited by 50 · see citing works
Food environments of young people: linking individual behaviour to environmental context
Tyrrell, R., Greenhalgh, F., Hodgson, S., Wills, W., Mathers, J. C., Adamson, A., & Lake, A. A. (2016) · Journal of Public Health · doi:10.1093/pubmed/fdw019 · Cited by 50 · see citing works
- Authors
- CUMMINS, S., MCKAY, L., & MACINTYRE, S.
- Affiliations
- University of London (GB)
- MRC/CSO Social and Public Health Sciences Unit (GB)
- Corresponding author
- CUMMINS, S
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2005-11
- Volume
- 29
- Issue
- 4
- Pages
- 308-310
- ISSN
- 0749-3797 (ISSN-L)
- OpenAlex
- W2082529005
- Cited by
- 255
- References
- 15
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 1 · 2023: 10 · 2022: 5 · 2021: 3 · 2020: 4 · 2019: 5 · 2018: 7 · 2017: 7 · 2016: 15 · 2015: 11 · 2014: 17 · 2013: 11 · 2012: 20
- FWCI
- 22.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Transportation › Urban Transport and Accessibility
- Keywords
- fast food restaurants, neighborhood disadvantage, obesity, food environment, socioeconomic disparities, Scotland, England
- MeSH terms
- England, Feeding Behavior, Humans, Obesity, Poverty Areas, Residence Characteristics, Restaurants, Scotland
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