ArticlePublic health nutrition2022
The interplay between fast-food outlet exposure, household food insecurity and diet quality in disadvantaged districts.
Article in Public health nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- The Association between Community Food Environments and Health Outcomes in High-Income Countries: A Systematic Literature Review.Current nutrition reports · 2025Pooled it
- Association between junk food consumption and mental health problems in adults: a systematic review and meta-analysis.BMC psychiatry · 2024Pooled it
- Diet Quality, Food Security Among Mexican-Born Women and Their Associations with Perceived Neighborhood Food Environment.Nutrients · 2026Article
- Food Insecurity and Binge Eating: Exploring Reward-Based Eating, Psychological Distress, and Diet Quality as Underlying Mechanisms.Nutrients · 2026Article
- Exploring the role of place visitation big data on small area health measure estimation.Computational urban science · 2026Article
- Determinants of food insecurity among adults residing in peri-urban municipal settings in Flanders, Belgium.BMC public health · 2024Article
- Evaluation of the In Vivo Anti-Atherosclerotic Activity of Quercetin Isolated from the Hairy Roots ofLife (Basel, Switzerland) · 2023Article
- Development of a neighborhood obesogenic built environment characteristics index for the Netherlands.Obesity (Silver Spring, Md.) · 2023Article
- A Qualitative Study Exploring Management of Food Intake in the United Kingdom During the Coronavirus Pandemic.Frontiers in psychology · 2022Article
- Food insecurity in Dutch disadvantaged neighbourhoods: a socio-ecological approach.Journal of nutritional science · 2022Article
- Large health disparities in cardiovascular death in men and women, by ethnicity and socioeconomic status in an urban based population cohort.EClinicalMedicine · 2021Article
- [Changes in perceived food insecurity and eating behavior in the Netherlands since the COVID-19-crisis].TSG : tijdschrift voor gezondheidswetenschappen · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe current study aimed to explore the interplay between food insecurity, fast-food outlet exposure and dietary quality in disadvantaged neighbourhoods.
designIn this cross-sectional study, main associations between fast-food outlet density and proximity, food insecurity status and dietary quality were assessed using Generalized Estimating Equation analyses. We assessed potential moderation by fast-food outlet exposure in the association between food insecurity status and dietary quality by testing for effect modification between food insecurity status and fast-food outlet density and proximity.
settingA deprived urban area in the Netherlands.
participantsWe included 226 adult participants with at least one child below the age of 18 years living at home.
resultsFast-food outlet exposure was not associated with experiencing food insecurity (fast-food outlet density: b = -0·026, 95 % CI = -0·076; 0·024; fast-food outlet proximity: b = -0·003, 95 % CI = -0·033; 0·026). Experiencing food insecurity was associated with lower dietary quality (b = -0·48 per unit increase, 95 % CI = -0·94; -0·012). This association was moderated by fast-food outlet proximity (Pinteraction = 0·008), and stratified results revealed that the adverse effect of food insecurity on dietary quality was more pronounced for those with the nearest fast-food outlet located closer to the home.
conclusionsFood insecurity but not fast-food outlet density is associated with dietary quality. However, the association between food insecurity and dietary quality may be modified by the food environment. These findings could inform policymakers to promote a healthier food environment including less fast-food outlets, with particular emphasis on areas with high percentages of food insecure households.
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