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Retail food environment around schools in barcelona by neighborhood socioeconomic status: implications for local food policy

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dc.contributor.author Londoño-Cañola, Catalina
dc.contributor.author Serral, Gemma
dc.contributor.author Díez, Julia
dc.contributor.author Martínez-García, Alba
dc.contributor.author Franco, Manuel
dc.contributor.author Artazcoz Lazcano, Lucía, 1963-
dc.contributor.author Ariza, Carlos
dc.date.accessioned 2023-03-21T07:13:35Z
dc.date.available 2023-03-21T07:13:35Z
dc.date.issued 2023
dc.identifier.citation Londoño-Cañola C, Serral G, Díez J, Martínez-García A, Franco M, Artazcoz L, et al. Retail food environment around schools in barcelona by neighborhood socioeconomic status: implications for local food policy. IJERPH. 2023 Jan 01;20(1):649. DOI: 10.3390/ijerph20010649
dc.identifier.issn 1660-4601
dc.identifier.uri http://hdl.handle.net/10230/56303
dc.description.abstract Childhood obesity is a relevant public health problem. The school food environment has been identified as an important factor for promoting healthy eating behaviors. This study assessed the availability of and proximity to unhealthy food stores around schools (n = 22) in the city of Barcelona and its association with neighborhood socioeconomic status (NSES). We conducted this cross-sectional study between 2019 and 2020. First, we identified all food retailers (n = 153) within a 400-m buffer around each school and identified those selling unhealthy food products. Then, we used Poison regression models to measure the association between NSES and the healthy food availability index (HFAI), adjusting for population density and distance. A total of 95% of the food establishments studied were classified as unhealthy (n = 146). In all, 90% of schools that had, at least, two unhealthy retailers in their proximity. There were significant differences in the mean distance to unhealthy establishments according to neighborhood SES and population density (p < 0.05). We found a positive association between schools located in higher SES neighborhoods and a higher availability and affordability of healthy food products (IIR = 1.67, 95% CI = 1.45–1.91 p = 0.000). We found strong social inequalities in the supply of healthy foods in Barcelona. Local food policy interventions addressing retail food environment around schools should consider socioeconomic inequalities.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartof International Journal of Environmental Research and Public Health. 2023 Jan 01;20(1):649
dc.rights © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.title Retail food environment around schools in barcelona by neighborhood socioeconomic status: implications for local food policy
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.3390/ijerph20010649
dc.subject.keyword Food environment
dc.subject.keyword Food access
dc.subject.keyword Nutrition environment measures surveys
dc.subject.keyword Health inequalities
dc.subject.keyword Socioeconomic status
dc.subject.keyword Geographic information system
dc.subject.keyword Schools
dc.subject.keyword Children
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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