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Updated: May 16, 2026

Assessment of Social Transmission of Food Preferences Behaviors
Published on: January 25, 2018
Association between fast food purchasing and the local food environment
Lukar E Thornton1, A M Kavanagh
1Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, Australia.
Healthier food environments may reduce fast food consumption. A new food environment score (FES) indicated that areas with healthier food options were associated with less frequent fast food purchasing.
Area of Science:
- Public Health
- Nutritional Epidemiology
- Environmental Health
Background:
- Understanding the impact of local food environments on dietary choices is crucial for public health interventions.
- Fast food consumption remains a significant public health concern, linked to various chronic diseases.
Purpose of the Study:
- To develop and validate an instrument to measure food environment characteristics.
- To investigate the association between the overall food environment and fast food purchasing behaviors.
Main Methods:
- A food environment score (FES) was created by categorizing and weighting food stores based on their contribution to healthy/unhealthy eating.
- A cross-sectional study utilized multilevel multinomial regression with 2547 participants.
- The study analyzed the relationship between FES and fast food purchasing habits.
Main Results:
- Higher healthy FES tertiles were linked to a lower likelihood of both infrequent and frequent fast food purchasing.
- Infrequent fast food purchasing remained significant (OR 0.52) in healthier food environments when accounting for unhealthy FES.
- Living in areas with a higher unhealthy FES than healthy FES increased infrequent fast food purchasing (OR 1.35).
Conclusions:
- Healthier food environments show potential in discouraging fast food consumption.
- The findings suggest that improving the food environment could be a viable strategy to reduce reliance on fast food.
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