Introduction
This is the first nationwide spatial analysis of retail food environments around more
and less socioeconomically deprived schools in New Zealand.
Methods
Addresses from all food outlets were retrieved from 66 City and District Councils
in 2014. All fast food, takeaway, and convenience outlets (FFTCs) were geocoded and
(spatially) validated in 2015. Density and proximity of FFTCs around/from all schools
were stratified by urban/rural area and quintile of school socioeconomic deprivation.
Results
About 68.5% urban and 14.0% rural schools had a convenience store within 800 m; 62.0%
urban and 9.5% rural schools had a fast food or takeaway outlet within 800 m. Median
road distance to the closest convenience store from urban schools was significantly
higher for the least (617 m) versus the most deprived (521 m) schools (p<0.001); the opposite was found for rural schools. Median FFTC density was 2.4 (0.8–4.8)
per km2 and maximum density was 85 per km2 within 800 m of urban schools. Median density of convenience stores around the least
deprived urban schools was significantly lower than around the most deprived schools
(p<0.01).
Conclusions
Access to unhealthy foods through FFTCs within walking distance from urban schools
is substantial in New Zealand, and greater for the most versus the least deprived
schools. Health promoters should work with retailers to explore feasible actions to
reduce children’s exposure to unhealthy foods before and after school, and provisions
to allow Councils to restrict new FFTCs in school neighborhoods could be included
in the Local Government Act.
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Article info
Publication history
Published online: April 26, 2016
Identification
Copyright
© 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
