Neighbourhood deprivation and outlet density for tobacco, alcohol and fast food: first hints of obesogenic and addictive environments in Germany
Objective: The current discussion regarding ‘place effects on health’ is increasingly focusing on the characteristics of a specific physical environment. Our study investigated whether socially deprived residential areas are more likely than affluent neighbourhoods to provide access to addictive sub...
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| Main Authors: | , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2013
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| In: |
Public health nutrition
Year: 2013, Volume: 16, Issue: 7, Pages: 1168-1177 |
| ISSN: | 1475-2727 |
| DOI: | 10.1017/S1368980012003321 |
| Online Access: | Verlag, kostenfrei, Volltext: http://dx.doi.org/10.1017/S1368980012003321
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| Author Notes: | Sven Schneider and Johannes Gruber |
| Summary: | Objective: The current discussion regarding ‘place effects on health’ is increasingly focusing on the characteristics of a specific physical environment. Our study investigated whether socially deprived residential areas are more likely than affluent neighbourhoods to provide access to addictive substances and fast food. Design: In this ecological study the total number of tobacco, alcohol and fast-food outlets was recorded and visualized using a geographic information system. Area affluence was measured through the percentage of parents with children of kindergarten or school age with joint annual taxable income <€12 272. Setting: Eighteen social areas in Cologne, Germany. Subjects: All social areas in four districts in Cologne, Germany, with a total of 92 000 inhabitants, were analysed. Results: In the investigation area, 339 tobacco, 353 alcohol and sixty-seven fast-food outlets were identified. As area affluence declined the availability of the following potentially health damaging sources increased: cigarettes (Kendall's tau = 0·433; P = 0·012), alcohol (Kendall's tau = 0·341, P = 0·049) and fast food (Kendall's tau = 0·473; P = 0·009). Conclusions: The availability of addictive substances and fast food can be seen to have a contextual influence on an individual's lifestyle and can, in the form of physical exposure to obesogenic and addictive environments, contribute to a culmination of health risks. |
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| Item Description: | Published online: 10 July 2012 Gesehen am 18.06.2018 |
| Physical Description: | Online Resource |
| ISSN: | 1475-2727 |
| DOI: | 10.1017/S1368980012003321 |