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Prev Med. 2017 Sep;102:79-85. doi: 10.1016/j.ypmed.2017.07.002. Epub 2017 Jul 8.

Temporal growth and spatial distribution of the fast food industry and its relationship with economic development in China - 2005-2012.

Author information

1
Systems-Oriented Global Childhood Obesity Intervention Program, Fisher Institute of Health and Well-being, College of Health, Ball State University, Muncie, IN, 47306, USA; Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, Richmond, VA 23219, USA.
2
Department of Geography, University at Buffalo, The State University of New York, NY 14261, USA.
3
School of Community and Environmental Health, Old Dominion University, Norfolk, VA 23529, USA.
4
National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100053, China.
5
Key Laboratory of Public Health Safety, Ministry of Education, Department of Environmental Health, School of Public Health, Fudan University, Shanghai 200433, China.
6
Systems-Oriented Global Childhood Obesity Intervention Program, Fisher Institute of Health and Well-being, College of Health, Ball State University, Muncie, IN, 47306, USA; Department of Nutrition and Health Sciences, College of Health, Ball State University, Muncie, IN 47306, USA. Electronic address: ywang26@bsu.edu.

Abstract

The fast food (FF) industry has expanded rapidly in China during the past two decades, in parallel with an increase in the prevalence of obesity. Using government-reported longitudinal data from 21 provinces and cities in China, this study examined the growth over time and the spatial distribution patterns of the FF industry as well as the key social economic factors involved. We visualized the temporal and geographic distributions of FF industry development and conducted cross-sectional and longitudinal spatial analysis to assess associations between macroeconomic conditions, population dynamics, and the growth and distributional changes of the industry. It grew faster in the southeast coastal (more economically developed) areas since 2005 than in other regions. The industry was: 1) highly correlated with Gross Domestic Product; 2) highly correlated with per capita disposable income for urban residents; 3) moderately correlated with urban population; and 4) not correlated with an increase of population size. The mean center of the FF industry shifted westward as the mean center of the GDP moved in the same direction, while the mean center of the population shifted eastward. The results suggest that the rapid FF industry expansion in China was closely associated with economic growth and that improving the food environment should be a major component in local economic development planning.

KEYWORDS:

China; Diet; Economic development; Fast foods; Policy; Public health

PMID:
28694060
DOI:
10.1016/j.ypmed.2017.07.002
[Indexed for MEDLINE]

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