title: Association between proximity to and coverage of traditional fast-food restaurants and non-traditional fast-food outlets and fast-food consumption among rural adults.
abstract: OBJECTIVE
  The objective of this study is to examine the relationship between residential exposure to fast-food entrées, using two measures of potential spatial access: proximity (distance to the nearest location) and coverage (number of different locations), and weekly consumption of fast-food meals.
  
  
  METHODS
  Traditional fast-food restaurants and non-traditional fast-food outlets, such as convenience stores, supermarkets, and grocery stores, from the 2006 Brazos Valley Food Environment Project were linked with individual participants (n = 1409) who completed the nutrition module in the 2006 Brazos Valley Community Health Assessment.
  
  
  RESULTS
  Increased age, poverty, increased distance to the nearest fast food, and increased number of different traditional fast-food restaurants, non-traditional fast-food outlets, or fast-food opportunities were associated with less frequent weekly consumption of fast-food meals. The interaction of gender and proximity (distance) or coverage (number) indicated that the association of proximity to or coverage of fast-food locations on fast-food consumption was greater among women and opposite of independent effects.
  
  
  CONCLUSIONS
  Results provide impetus for identifying and understanding the complex relationship between access to all fast-food opportunities, rather than to traditional fast-food restaurants alone, and fast-food consumption. The results indicate the importance of further examining the complex interaction of gender and distance in rural areas and particularly in fast-food consumption. Furthermore, this study emphasizes the need for health promotion and policy efforts to consider all sources of fast-food as part of promoting healthful food choices.
authors: Program for Research in Nutrition and Health Disparities, School of Rural Public Health, Texas A&M Health Science Center, MS 1266, College Station, TX 77843-1266, USA. jrsharkey@srph.tamhsc.edu
authors: Joseph R
authors: JR
authors: Sharkey
authors: Cassandra M
authors: CM
authors: Johnson
authors: Wesley R
authors: WR
authors: Dean
authors: Scott A
authors: SA
authors: Horel
references: Arch Pediatr Adolesc Med. 2005 Jul;159(7):626-31
references: 15996994
references: Am J Health Promot. 2006 Jul-Aug;20(6):411-21
references: 16871821
references: J Am Diet Assoc. 2005 Jan;105(1):38-45
references: 15635343
references: Public Health Nutr. 2004 Dec;7(8):1089-96
references: 15548348
references: Am J Prev Med. 2008 Feb;34(2):127-33
references: 18201642
references: Lancet. 2005 Jan 1-7;365(9453):36-42
references: 15639678
references: J Epidemiol Community Health. 2008 Mar;62(3):191-7
references: 18272732
references: J Adolesc Health. 2008 Jul;43(1):79-86
references: 18565441
references: Int J Obes Relat Metab Disord. 2001 Dec;25(12):1823-33
references: 11781764
references: Obesity (Silver Spring). 2009 Jul;17(7):1369-74
references: 19343015
references: Obes Rev. 2011 May;12(5):e460-71
references: 20149118
references: Nutr J. 2011 Jan 25;10:10
references: 21266055
references: Public Health Nutr. 2009 Jul;12(7):888-95
references: 18647424
references: J Am Coll Nutr. 2004 Apr;23(2):163-8
references: 15047683
references: J Am Diet Assoc. 2006 Dec;106(12):2001-7
references: 17126631
references: Am J Prev Med. 2006 Apr;30(4):327-332
references: 16530620
references: J Nutr Educ Behav. 2011 Nov-Dec;43(6):426-33
references: 21616721
references: J Adolesc Health. 2006 Dec;39(6):842-9
references: 17116514
references: Am J Epidemiol. 2010 Dec 1;172(11):1324-33
references: 20961970
references: J Nutr Elder. 2005;25(2):101-12
references: 17182469
references: Int J Behav Nutr Phys Act. 2009 May 27;6:28
references: 19473503
references: J Urban Health. 2009 Sep;86(5):683-95
references: 19533365
references: Prev Med. 2008 Dec;47(6):600-4
references: 18976684
references: Public Health Nutr. 2009 Oct;12(10):1767-74
references: 19105866
references: Int J Behav Nutr Phys Act. 2006 Jan 25;3:2
references: 16436207
references: J Nutr. 2009 Nov;139(11):2113-8
references: 19776183
references: Am J Prev Med. 2009 Apr;36(4 Suppl):S151-5
references: 19285206
references: J Am Diet Assoc. 2008 Dec;108(12):2066-70
references: 19027410
references: Int J Obes Relat Metab Disord. 2000 Oct;24(10):1353-9
references: 11093299
references: J Nutr. 2008 Mar;138(3):620-7
references: 18287376
references: Obes Res Clin Pract. 2008 Jul;2(2):71-142
references: 24351729
references: J Nutr Educ Behav. 2002 May-Jun;34(3):140-50
references: 12047838
references: Am J Health Promot. 2004 Nov-Dec;19(2):137-43
references: 15559714
references: Int J Health Geogr. 2009 Feb 16;8:9
references: 19220879
references: Am J Epidemiol. 2009 Jul 1;170(1):29-36
references: 19429879
references: Am J Prev Med. 2007 May;32(5):375-82
references: 17478262
references: Int J Obes (Lond). 2005 Jun;29(6):703-10
references: 15809667
references: J Am Diet Assoc. 2007 Dec;107(12):2071-6
references: 18060892
references: Health Place. 2008 Dec;14(4):740-54
references: 18234537
references: Int J Health Geogr. 2010 May 25;9:26
references: 20500853
references: Am J Mens Health. 2009 Sep;3(3):201-13
references: 19477748
references: Obes Rev. 2008 Nov;9(6):535-47
references: 18346099
references: Am J Clin Nutr. 2010 Mar;91(3):771-6
references: 20089726
references: BMC Public Health. 2008 Nov 28;8:395
references: 19040722
references: J Am Diet Assoc. 2003 Oct;103(10):1332-8
references: 14520253
references: Public Health Nutr. 2007 Jan;10(1):16-23
references: 17212838
references: BMC Geriatr. 2010 Jun 02;10:32
references: 20525208
references: Rural Remote Health. 2004 Oct-Dec;4(4):311
references: 15887990