Abstract

BackgroundThe development of empirically-grounded policies to change the obesogenic nature of urban environment has been impeded by limited, inconclusive evidence of the link between food environments, dietary behaviors, and health-related outcomes, in part due to inconsistent methods of classifying and analyzing food environments. This study explores how individual and built environment characteristics may be associated with how far and long people travel to food venues,that can serve as a starting point for further policy-oriented research to develop a more nuanced, context-specific delineations of ‘food environments’ in an urban Asian context.MethodsFive hundred twenty nine diners in eight different neighborhoods in Singapore were surveyed about how far and long they travelled to their meal venues, and by what mode. We then examined how respondents’ food-related travel differed by socioeconomic characteristics, as well as objectively-measured built environment characteristics at travel origin and destination, using linear regression models.ResultsLow-income individuals expended more time traveling to meal destinations than high-income individuals, largely because they utilized slower modes like walking rather than driving. Those travelling from areas with high food outlet density travelled shorter distances and times than those from food-sparse areas, while those seeking meals away from their home and work anchor points had lower thresholds for travel. Respondents also travelled longer distances to food-dense locations, compared to food-sparse locations.ConclusionThose seeking to improve food environments of poor individuals should consider studying an intervention radius pegged to typical walking distances, or ways to improve their transport options as a starting point. Policy-focused research on food environments should also be sensitive to locational characteristics, such as food outlet densities and land use.

Highlights

  • The development of empirically-grounded policies to change the obesogenic nature of urban environment has been impeded by limited, inconclusive evidence of the link between food environments, dietary behaviors, and health-related outcomes, in part due to inconsistent methods of classifying and analyzing food environments

  • Food environments are widely believed to be a driver of increasing obesity rates [1]

  • Despite the difficulty in establishing a clear causal link between food environments and obesity, there is still much interest in policy and planning interventions to change the obesogenic nature of urban environments, for vulnerable groups such as the low-income and children [9,10,11]

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Summary

Introduction

The development of empirically-grounded policies to change the obesogenic nature of urban environment has been impeded by limited, inconclusive evidence of the link between food environments, dietary behaviors, and health-related outcomes, in part due to inconsistent methods of classifying and analyzing food environments. Food environments are widely believed to be a driver of increasing obesity rates [1]. Within developed countries such as Australia, Canada, UK, Europe and the US, unhealthy food environments in poorer and minority neighborhoods have been blamed, in part, for higher obesity rates among poor and minority populations compared to richer, non-minority counterparts [2,3,4]. Empirical evidence on how food environments affect dietary behaviors and health outcomes such as obesity rates has been inconclusive and limited in scope [5,6,7,8]. In December 2017, the London Mayor announced a similar initiative to ban new fast food outlets within 400m of schools [13]

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