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Am J Public Health. 2016 Sep;106(9):1556-62. doi: 10.2105/AJPH.2016.303259. Epub 2016 Jul 26.

Sociodemographic Disparities in Proximity of Schools to Tobacco Outlets and Fast-Food Restaurants.

Author information

  • 1At the time of the study, Heather D'Angelo was with the Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill. Laura Linnan, Leslie Lytle, and Kurt M. Ribisl are with the Department of Health Behavior, Gillings School of Global Public Health. Alice Ammerman and Penny Gordon-Larsen are with the Department of Nutrition, Gillings School of Global Public Health.

Abstract

OBJECTIVES:

To examine the association of school sociodemographic characteristics with tobacco outlet and fast-food restaurant availability near schools in a national study.

METHODS:

Business lists and data from the National Center for Education Statistics were used to calculate the numbers of tobacco outlets and fast-food restaurants within 800 meters of public schools in 97 US counties.

RESULTS:

More than 50% of schools with a majority of Hispanic students had both a fast-food restaurant and tobacco outlet nearby, compared with 21% of schools with a majority of White students. In adjusted models, each 10% increase in the number of low-income and Hispanic students enrolled in a school led to a 3% to 5% increase in the odds of the school having both a fast-food restaurant and a tobacco outlet nearby.

CONCLUSIONS:

Low-income and Hispanic students are disproportionately exposed to both tobacco outlets and fast-food restaurants near their schools. Easy access to tobacco products and fast food may influence youth smoking initiation and contribute to poor dietary intake.

PMID:
27459453
PMCID:
PMC4981785
DOI:
10.2105/AJPH.2016.303259
[PubMed - in process]
Free PMC Article
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