title: Secular trends in fast-food restaurant use among adolescents and maternal caregivers from 1999 to 2010.
abstract: OBJECTIVE
  We examined trends from 1999 to 2010 in adolescents' self-reported fast-food restaurant use alongside maternal reports of fast-food consumption and purchasing from restaurants for family meals.
  
  
  METHODS
  Middle- and high-school student participants from Minneapolis-St Paul, Minnesota, represented diverse ethnic/racial and socioeconomic backgrounds. Adolescents completed classroom-administered surveys and maternal caregivers responded by phone or mail.
  
  
  RESULTS
  The overall prevalence of frequent fast-food consumption, defined as 3 or more times per week, decreased from 1999 to 2010 among adolescents (1999: 25%; 2010: 19%; P < .001) and maternal caregivers (1999: 17%; 2010: 11%; P < .001), but sociodemographic disparities were apparent. For example, the prevalence of frequent fast-food consumption remained highest and did not significantly decrease among Black or Native American youths. The overall prevalence of frequent fast-food purchases for family meals did not significantly decrease; large decreases were observed only among Hispanic families (1999: 18%; 2010: 6%; P < .001).
  
  
  CONCLUSIONS
  In light of previous findings linking frequent fast-food consumption to greater weight gain and poor nutrition, the observed decreases in consumption are encouraging and interventions are needed to address observed disparities.
authors.affiliation: Nicole Larson, Peter J. Hannan, Melissa N. Laska, and Dianne Neumark-Sztainer are with Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis. Jayne A. Fulkerson is with Center for Child and Family Health Promotion Research, School of Nursing, University of Minnesota. Marla E. Eisenberg is with Division of General Pediatrics and Adolescent Health, Medical School, University of Minnesota.
authors.forename: Nicole
authors.initials: N
authors.lastname: Larson
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Hannan
authors.forename: Jayne A
authors.initials: JA
authors.lastname: Fulkerson
authors.forename: Melissa N
authors.initials: MN
authors.lastname: Laska
authors.forename: Marla E
authors.initials: ME
authors.lastname: Eisenberg
authors.forename: Dianne
authors.initials: D
authors.lastname: Neumark-Sztainer
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D003430:Cross-Sectional Studies; D057140:Fast Foods / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008910:Minnesota; D009035:Mothers; D015995:Prevalence; D012737:Sex Factors; D012959:Socioeconomic Factors; D014505:Urban Population / Q000706:statistics & numerical data*