Access to Fast Food and Food Prices: Relationship with Fruit and Vegetable Consumption and Overweight among Adolescents
Abstract
We examine the extent to which food prices and restaurant outlet density are associated with adolescent fruit and vegetable consumption, body mass index (BMI), and the probability of overweight. We use repeated cross-sections of individual-level data on adolescents from the Monitoring the Future Surveys from 1997 to 2003 combined with fast food and fruit and vegetable prices obtained from the American Chamber of Commerce Researchers Association and fast food and full-service restaurant outlet density measures obtained from Dun & Bradstreet. The results suggest that the price of a fast food meal is an important determinant of adolescents' body weight and eating habits: a 10% increase in the price of a fast food meal leads to a 3.0% increase in the probability of frequent fruit and vegetable consumption, a 0.4% decrease in BMI, and a 5.9% decrease in probability of overweight. The price of fruits and vegetables and restaurant outlet density are less important determinants, although these variables typically have the expected sign and are often statistically associated with our outcome measures. Despite these findings, changes in all observed economic and socio-demographic characteristics together only explain roughly one-quarter of the change in mean BMI and one-fifth of the change in overweight over the 1997-2003 sampling period.
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In a cross-sectional analysis among adolescents, the price of a fast-food meal was linked to both eating habits and adiposity: a 10% greater price for a fast-food meal was associated with a 3% higher probability of fruit and vegetable consumption, a 0.4 lower BMI, and a 5.9% lower probability of being overweight.
“In a cross-sectional analysis among adolescents, the price of a fast-food meal was linked to both eating habits and adiposity: a 10% greater price for a fast-food meal was associated with a 3% higher probability of fruit and vegetable consumption, a 0.4 lower BMI, and a 5.9% lower probability of being overweight.170”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [170]
In observational analyses, lower prices of fruits and vegetables were associated with greater intake of these foods, as well as with lower BMI, including in prospective studies.
“In observational analyses, lower prices of fruits and vegetables were associated with greater intake of these foods,171 as well as with lower BMI,170,172 including in prospective studies.173”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [170]
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- Authors
- Powell, L. M., Auld, M. C., Chaloupka, F. J., O’Malley, P. M., & Johnston, L. D.
- Affiliations
- University of Illinois Chicago (US)
- Venue
- Advances in Health Economics and Health Services Research
- Publisher
- Emerald (MCB UP )
- Published
- 2006-12-02
- Volume
- 17
- Pages
- 23-48
- ISSN
- 0731-2199 (ISSN-L)
- OpenAlex
- W3937381
- Cited by
- 140
- References
- 34
- Citations by year
- 2024: 3 · 2023: 3 · 2022: 6 · 2021: 5 · 2020: 5 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 3 · 2015: 9 · 2014: 10 · 2013: 14 · 2012: 13
- FWCI
- 46.73
- Type
- book chapter
- Language
- en
- Open access
- closed
- Locations
- Advances in health economics and health services research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Robert Wood Johnson Foundation
- University of Michigan
- University of Illinois at Chicago
- 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 › Economics, Econometrics and Finance › Economics and Econometrics › Economics of Agriculture and Food Markets
- Keywords
- food prices, fruit and vegetable intake, adolescent overweight, body mass index, adolescent eating behavior, food environment
- MeSH terms
- Adolescent, Adolescent Behavior, Child, Costs and Cost Analysis, Female, Food, Fruit, Humans, Male, Surveys and Questionnaires, Residence Characteristics, Restaurants, United States, Vegetables, Body Mass Index, Models, Econometric, Overweight
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