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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Planning policies to restrict fast food and inequalities in child weight in England
T2 - A quasi-experimental analysis
AU - Xiang, Huasheng
AU - Goffe, Louis
AU - Albani, Viviana
AU - Akhter, Nasima
AU - Lake, Amelia
AU - Brown, Heather
PY - 2024/12/31
Y1 - 2024/12/31
N2 - Objectives:England has one of the highest childhood obesity rates in Europe. To promote a healthier food environment in 2015, Gateshead Council in the North-East of England introduced planning guidelines effectively banning any new fast-food outlets. Our aim was to investigate if this policy led to any reductions in childhood overweight and obesity prevalence and inequalities in these outcomes. Methods: We used data from National Child Measurement Programme, Food Standard Agency Food Hygiene Rating Data, and Office of National Statistics between 2012-2020. We estimated a difference in difference model employing propensity score matching to identify a control group. Results: We found no significant change in population level childhood overweight and obesity in Gateshead compared to control areas. In sub-group analysis by area level deprivation, we found that the quintile of deprivation with the highest proportion of fast-food outlets had a statistically significant reduction of 4.80% in the prevalence of childhood overweight and obesity compared to control areas. Conclusion:Restricting fast food outlets in areas with a high concentration of these outlets as part of a package of policies to reduce childhood obesity may help to reduce prevalence and inequalities in childhood overweight and obesity.
AB - Objectives:England has one of the highest childhood obesity rates in Europe. To promote a healthier food environment in 2015, Gateshead Council in the North-East of England introduced planning guidelines effectively banning any new fast-food outlets. Our aim was to investigate if this policy led to any reductions in childhood overweight and obesity prevalence and inequalities in these outcomes. Methods: We used data from National Child Measurement Programme, Food Standard Agency Food Hygiene Rating Data, and Office of National Statistics between 2012-2020. We estimated a difference in difference model employing propensity score matching to identify a control group. Results: We found no significant change in population level childhood overweight and obesity in Gateshead compared to control areas. In sub-group analysis by area level deprivation, we found that the quintile of deprivation with the highest proportion of fast-food outlets had a statistically significant reduction of 4.80% in the prevalence of childhood overweight and obesity compared to control areas. Conclusion:Restricting fast food outlets in areas with a high concentration of these outlets as part of a package of policies to reduce childhood obesity may help to reduce prevalence and inequalities in childhood overweight and obesity.
U2 - 10.1002/oby.24127
DO - 10.1002/oby.24127
M3 - Journal article
C2 - 39439285
VL - 32
SP - 2345
EP - 2353
JO - Obesity
JF - Obesity
SN - 1930-739X
IS - 12
ER -