Fast food purchasing and access to fast food restaurants : a multilevel analysis of VicLANES Thornton, Lukar E, Bentley, Rebecca J and Kavanagh, Anne M 2009, Fast food purchasing and access to fast food restaurants : a multilevel analysis of VicLANES, International journal of behavioral nutrition and physical activity, vol. 6, no. 28, pp. 1-10, doi: 10.1186/1479-5868-6-28. Attached Files Name Description MIMEType Size Downloads thornton-fastfoodpurchasing-2009.pdf Published version application/pdf 368.08KB 370 Title Fast food purchasing and access to fast food restaurants : a multilevel analysis of VicLANES Author(s) Thornton, Lukar E orcid.org/0000-0001-8759-8671 Bentley, Rebecca J Kavanagh, Anne M Journal name International journal of behavioral nutrition and physical activity Volume number 6 Issue number 28 Start page 1 End page 10 Total pages 10 Publisher BioMed Central Place of publication London, England Publication date 2009-05-27 ISSN 1479-5868 Summary Background : While previous research on fast food access and purchasing has not found evidence of an association, these studies have had methodological problems including aggregation error, lack of specificity between the exposures and outcomes, and lack of adjustment for potential confounding. In this paper we attempt to address these methodological problems using data from the Victorian Lifestyle and Neighbourhood Environments Study (VicLANES) – a cross-sectional multilevel study conducted within metropolitan Melbourne, Australia in 2003. Methods : The VicLANES data used in this analysis included 2547 participants from 49 census collector districts in metropolitan Melbourne, Australia. The outcome of interest was the total frequency of fast food purchased for consumption at home within the previous month (never, monthly and weekly) from five major fast food chains (Red Rooster, McDonalds, Kentucky Fried Chicken, Hungry Jacks and Pizza Hut). Three measures of fast food access were created: density and variety, defined as the number of fast food restaurants and the number of different fast food chains within 3 kilometres of road network distance respectively, and proximity defined as the road network distance to the closest fast food restaurant. Multilevel multinomial models were used to estimate the associations between fast food restaurant access and purchasing with never purchased as the reference category. Models were adjusted for confounders including determinants of demand (attitudes and tastes that influence food purchasing decisions) as well as individual and area socio-economic characteristics. Results : Purchasing fast food on a monthly basis was related to the variety of fast food restaurants (odds ratio 1.13; 95% confidence interval 1.02 – 1.25) after adjusting for individual and area characteristics. Density and proximity were not found to be significant predictors of fast food purchasing after adjustment for individual socio-economic predictors. Conclusion : Although we found an independent association between fast food purchasing and access to a wider variety of fast food restaurant, density and proximity were not significant predictors. The methods used in our study are an advance on previous analyses. Language eng DOI 10.1186/1479-5868-6-28 Field of Research 111706 Epidemiology Socio Economic Objective 920401 Behaviour and Health HERDC Research category C1 Refereed article in a scholarly journal Copyright notice ©2009, The Authors Free to Read? Yes Use Rights Persistent URL http://hdl.handle.net/10536/DRO/DU:30021679 Document type: Journal Article Collections: Faculty of Health School of Exercise and Nutrition Sciences Institute for Physical Activity and Nutrition Open Access Collection Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. 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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.