Physical and online food outlet availability and its influence on out-of-home dietary behaviours in Great Britain: A repeated cross-sectional study

IF 3.6 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Ssm-Population Health Pub Date : 2025-03-05 DOI:10.1016/j.ssmph.2025.101773

Jody C. Hoenink , Yuru Huang , Matthew Keeble , Joreintje D. Mackenbach , Maria G.M. de Pinho , Lana Vanderlee , David Hammond , Christine M. White , Thomas Burgoine , Jean Adams

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引用次数: 0

Abstract

Background

As online food delivery service (OFDS) platforms gain popularity, understanding their impact on diet alongside physical food outlets is important for addressing suboptimal dietary quality. This study examined the independent and combined associations between physical and online food outlet availability and out-of-home dietary behaviours in 2019 and 2022. We also explored whether associations between physical outlet availability and dietary behaviours are modified by online food outlet availability.

Methods

In this repeated cross-sectional analysis, we used British data from the adult International Food Policy Study (IFPS) in 2019 (n = 2912) and 2022 (n = 3544). Postcodes were used to assess neighbourhood food outlet availability using Ordnance Survey data and to determine OFDS availability on three platforms through web scraping. Associations were examined between neighbourhood outlet and OFDS availability with self-reported frequency of physical food outlet use, online food outlet use, and consuming meals prepared out-of-home.

Results

In 2019 and 2022, both neighbourhood and OFDS availability were positively associated with all outcome measures. In 2019, after mutual adjustment, both availability measures remained associated with online food outlet use and consuming meals prepared out-of-home. However, in 2022, only OFDS availability was associated with these outcomes. For example, a one standard deviation increase in OFDS availability was associated with a 9% (95%CI 3%–14%) increase in frequency of consuming meals prepared out-of-home after adjusting for neighbourhood outlet availability. OFDS availability also modified associations between neighbourhood outlets and both online food outlet use and out-of-home meal consumption. As OFDS availability increased, the link between neighbourhood outlets and out-of-home meal consumption weakened.

Conclusion

Neighbourhood outlet availability may influence out-of-home dietary behaviours, but its impact appears to weaken when OFDS availability is considered. Public health strategies should address the growing influence of OFDS platforms to improve dietary quality.

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在英国，实体和在线食品出口的可用性及其对户外饮食行为的影响：一项重复的横断面研究

随着在线外卖服务（OFDS）平台越来越受欢迎，了解它们对饮食的影响以及实体食品网点对于解决次优饮食质量非常重要。本研究调查了2019年和2022年实体和在线食品门店供应与户外饮食行为之间的独立和综合关联。我们还探讨了实体门店供应与饮食行为之间的关联是否会被在线食品门店供应所改变。方法在这项重复的横断面分析中，我们使用了2019年（n = 2912）和2022年（n = 3544）成人国际粮食政策研究（IFPS）的英国数据。邮政编码被用来利用地形测量数据来评估社区食品销售点的可用性，并通过网络抓取来确定OFDS在三个平台上的可用性。通过自我报告的实体食品店使用频率、在线食品店使用频率和消费在家外准备的饭菜，研究了社区食品店和OFDS可用性之间的联系。结果在2019年和2022年，社区和OFDS的可用性与所有结局指标均呈正相关。2019年，经过相互调整，这两项可用性指标仍与在线食品店的使用和在家外准备的饭菜有关。然而，在2022年，只有OFDS的可用性与这些结果相关。例如，在调整社区门店供应后，OFDS供应的一个标准差增加与外出就餐频率增加9% （95%CI 3%-14%）相关。OFDS的可用性也改变了社区网点与在线食品网点使用和外出用餐消费之间的联系。随着OFDS供应的增加，社区网点和外出就餐消费之间的联系减弱了。结论社区餐厅的可获得性可能会影响外出饮食行为，但考虑到OFDS的可获得性，其影响减弱。公共卫生战略应解决OFDS平台在提高饮食质量方面日益增长的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ssm-Population Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.50

自引率

2.10%

发文量

298

审稿时长

101 days

期刊介绍： SSM - Population Health. The new online only, open access, peer reviewed journal in all areas relating Social Science research to population health. SSM - Population Health shares the same Editors-in Chief and general approach to manuscripts as its sister journal, Social Science & Medicine. The journal takes a broad approach to the field especially welcoming interdisciplinary papers from across the Social Sciences and allied areas. SSM - Population Health offers an alternative outlet for work which might not be considered, or is classed as ''out of scope'' elsewhere, and prioritizes fast peer review and publication to the benefit of authors and readers. The journal welcomes all types of paper from traditional primary research articles, replication studies, short communications, methodological studies, instrument validation, opinion pieces, literature reviews, etc. SSM - Population Health also offers the opportunity to publish special issues or sections to reflect current interest and research in topical or developing areas. The journal fully supports authors wanting to present their research in an innovative fashion though the use of multimedia formats.