scholarly journals Associations between online food outlet access and online food delivery service use amongst adults in the UK: a cross-sectional analysis of linked data

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Matthew Keeble ◽  
Jean Adams ◽  
Lana Vanderlee ◽  
David Hammond ◽  
Thomas Burgoine
Keyword(s):  
Service Use ◽  
Food Policy ◽  
Multinomial Logistic Regression ◽  
Food Delivery ◽  
Food Outlet ◽  
Cross Sectional ◽  
Delivery Service ◽  
Food Outlets ◽  
Online Access ◽  
The Uk

Abstract Background Online food delivery services facilitate ‘online’ access to food outlets that typically sell lenergy-dense nutrient-poor food. Greater online food outlet access might be related to the use of this purchasing format and living with excess bodyweight, however, this is not known. We aimed to investigate the association between aspects of online food outlet access and online food delivery service use, and differences according to customer sociodemographic characteristics, as well as the association between the number of food outlets accessible online and bodyweight. Methods In 2019, we used an automated data collection method to collect data on all food outlets in the UK registered with the leading online food delivery service Just Eat (n = 33,204). We linked this with contemporaneous data on food purchasing, bodyweight, and sociodemographic information collected through the International Food Policy Study (analytic sample n = 3067). We used adjusted binomial logistic, linear, and multinomial logistic regression models to examine associations. Results Adults in the UK had online access to a median of 85 food outlets (IQR: 34–181) and 85 unique types of cuisine (IQR: 64–108), and 15.1% reported online food delivery service use in the previous week. Those with the greatest number of accessible food outlets (quarter four, 182–879) had 71% greater odds of online food delivery service use (OR: 1.71; 95% CI: 1.09, 2.68) compared to those with the least (quarter one, 0–34). This pattern was evident amongst adults with a university degree (OR: 2.11; 95% CI: 1.15, 3.85), adults aged between 18 and 29 years (OR: 3.27, 95% CI: 1.59, 6.72), those living with children (OR: 1.94; 95% CI: 1.01; 3.75), and females at each level of increased exposure. We found no association between the number of unique types of cuisine accessible online and online food delivery service use, or between the number of food outlets accessible online and bodyweight. Conclusions The number of food outlets accessible online is positively associated with online food delivery service use. Adults with the highest education, younger adults, those living with children, and females, were particularly susceptible to the greatest online food outlet access. Further research is required to investigate the possible health implications of online food delivery service use.

scholarly journals Use of Online Food Delivery Services to Order Food Prepared Away-From-Home and Associated Sociodemographic Characteristics: A Cross-Sectional, Multi-Country Analysis

2020 ◽  
Vol 17 (14) ◽  
pp. 5190 ◽  
Author(s):  
Matthew Keeble ◽  
Jean Adams ◽  
Gary Sacks ◽  
Lana Vanderlee ◽  
Christine M. White ◽  
...  
Keyword(s):  
Online Survey ◽  
Service Use ◽  
Food Policy ◽  
Median Number ◽  
Food Delivery ◽  
Sociodemographic Characteristics ◽  
Cross Sectional ◽  
Delivery Service ◽  
The Past ◽  
Delivery Services

Online food delivery services like Just Eat and Grubhub facilitate online ordering and home delivery of food prepared away-from-home. It is poorly understood how these services are used and by whom. This study investigated the prevalence of online food delivery service use and sociodemographic characteristics of customers, in and across Australia, Canada, Mexico, the UK, and the USA. We analyzed online survey data (n = 19,378) from the International Food Policy Study, conducted in 2018. We identified respondents who reported any online food delivery service use in the past 7 days and calculated the frequency of use and number of meals ordered. We investigated whether odds of any online food delivery service use in the past 7 days differed by sociodemographic characteristics using adjusted logistic regression. Overall, 15% of respondents (n = 2929) reported online food delivery service use, with the greatest prevalence amongst respondents in Mexico (n = 839 (26%)). Online food delivery services had most frequently been used once and the median number of meals purchased through this mode of order was two. Odds of any online food delivery service use were lower per additional year of age (OR: 0.95; 95% CI: 0.94, 0.95) and greater for respondents who were male (OR: 1.50; 95% CI: 1.35, 1.66), that identified with an ethnic minority (OR: 1.57; 95% CI: 1.38, 1.78), were highly educated (OR: 1.66; 95% CI: 1.46, 1.90), or living with children (OR: 2.71; 95% CI: 2.44, 3.01). Further research is required to explore how online food delivery services may influence diet and health.

scholarly journals Public acceptability of the UK Soft Drinks Industry Levy: repeat cross-sectional analysis of the International Food Policy Study (2017–2019)

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e051677
Author(s):  
Jean Adams ◽  
David Pell ◽  
Tarra L Penney ◽  
David Hammond ◽  
Lana Vanderlee ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Logistic Regression Model ◽  
Food Policy ◽  
Perceived Effectiveness ◽  
Policy Study ◽  
Cross Sectional ◽  
Public Acceptability ◽  
Adjusted Logistic Regression ◽  
The Uk

ObjectivesTo determine whether public acceptability, in terms of both support for and perceived effectiveness of, the UK Soft Drinks Industry Levy (SDIL) changed between 4 months prior to, and 8 and 20 months after, implementation.DesignRepeat cross-sectional online survey.SettingThe UK.ParticipantsUK respondents to the International Food Policy Study aged 18–64 years who provided information on all variables of interest in November–December 2017 (4 months prior to SDIL implementation), 2018 (8 months after) or 2019 (20 months after; n=10 284).Outcome measuresSelf-reported support for, and perceived effectiveness of, the SDIL.ResultsThe adjusted logistic regression model predicted that 70% (95% CI: 68% to 72%) of participants supported the SDIL in 2017, 68% (95% CI: 67% to 70%) in 2018 and 68% (95% CI: 66% to 70%) in 2019. There was no evidence of a difference in support in 2018 vs 2017 (OR: 0.93; 95% CI: 0.81 to 1.05); or in 2019 vs 2017 (OR: 0.90; 95% CI: 0.78 to 1.03). The adjusted logistic regression model predicted that 72% (95% CI: 70% to 74%) of participants perceived the SDIL to be effective in 2017, 67% (95% CI: 65% to 69%) in 2018 and 67% (95% CI: 64% to 69%) in 2019. There was evidence that perceived effectiveness decreased a small amount in 2018 vs 2017 (OR: 0.78; 95% CI: 0.69 to 0.88). The difference in 2019 vs 2017 was similar.ConclusionsWe found high support for the SDIL among UK adults and this did not change between 4 months before implementation and 8 or 20 months after. While perceived effectiveness remained high, there was evidence that this decreased slightly after implementation in 2018, but no further in 2019. Greater understanding of influences on public acceptability of effective structural public health interventions is required.

scholarly journals Comparisons of Costs between Black Caribbean and White British Patients with Advanced Multiple Sclerosis in the UK

2014 ◽  
Vol 2014 ◽  
pp. 1-12
Author(s):  
Wayne Smith ◽  
Paul McCrone ◽  
Cassie Goddard ◽  
Wei Gao ◽  
Rachel Burman ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Ethnic Groups ◽  
Service Use ◽  
Unit Cost ◽  
Geographical Area ◽  
Population Based ◽  
Cross Sectional ◽  
Black Caribbean ◽  
Significant Difference ◽  
The Uk

Background. Multiple sclerosis (MS) is now more common among black and minority ethnic groups in the UK but little is known about the costs of care amongst different ethnic groups.Objective. This study examined and compared service use and costs for people severely affected with MS from Black Caribbean (BC) and White British (WB) backgrounds in the UK and identified predictors of cost for both groups.Method. Population-based cross-sectional study of 43 BC and 43 WB patients with MS (EDSS ≥ 6) and their informal caregivers recruited from an MS service in southeast London. Interviews collected data on health and social service use and informal care support. Costs were calculated using UK unit cost data. Using regression analyses we compared costs between the ethnic groups and identified possible predictors of cost.Results. The mean (SD) costs for the WB and BC groups were£25,778 (£39,387) and£23,186 (£30,433), respectively. Results identified no significant difference in total cost between the two ethnic groups. The EDSS score alone was a significant predictor of cost.Conclusion. Similar costs between ethnic groups indicate that with regard to this MS service and geographical area, access to care was not affected by ethnicity.

scholarly journals Junk Food on Demand: A Cross-Sectional Analysis of the Nutritional Quality of Popular Online Food Delivery Outlets in Australia and New Zealand

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3107
Author(s):  
Stephanie R. Partridge ◽  
Alice A. Gibson ◽  
Rajshri Roy ◽  
Jessica A. Malloy ◽  
Rebecca Raeside ◽  
...  
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Young People ◽  
Nutritional Quality ◽  
Population Level ◽  
Food Delivery ◽  
Dietary Guidelines ◽  
Cross Sectional ◽  
Food Outlets

The demand for convenience and the increasing role of digital technology in everyday life has fueled the use of online food delivery services (OFD’s), of which young people are the largest users globally. OFD’s are disrupting traditional food environments, yet research evaluating the public health implications of such services is lacking. We evaluated the characteristics and nutritional quality of popular food outlets on a market-leading platform (UberEATS®) in a cross-sectional observational study conducted in two international cities: Sydney (Australia) and Auckland (New Zealand). A systematic search using publicly available population-level data was used to identify geographical areas with above-average concentrations (>30%) of young people (15–34-years). A standardized data extraction protocol was used to identify the ten most popular food outlets within each area. The nutritional quality of food outlets was assessed using the Food Environment Score (FES) (range: −10 ‘unhealthiest’ to 10 ‘healthiest’). Additionally, the most popular menu items from each food outlet were classified as discretionary or core foods/beverages according to the Australian Dietary Guidelines. The majority of popular food outlets were classified as ‘unhealthy’ (FES range −10 to −5; 73.5%, 789/1074) and were predominately takeaway franchise stores (59.6%, 470/789, e.g., McDonald’s®). 85.9% of all popular menu items were discretionary (n = 4958/5769). This study highlights the pervasion and accessibility of discretionary foods on OFD’s. This study demonstrated that the most popular food outlets on the market-leading online food delivery service are unhealthy and popular menu items are mostly discretionary foods; facilitating the purchase of foods of poor nutritional quality. Consideration of OFD’s in public health nutrition strategies and policies in critical.

scholarly journals Selecting a healthy diet score: lessons from a study of diet and health in early old age (the Boyd Orr cohort)

2005 ◽  
Vol 8 (3) ◽  
pp. 321-326 ◽  
Author(s):  
M Maynard ◽  
AR Ness ◽  
L Abraham ◽  
D Blane ◽  
C Bates ◽  
...  
Keyword(s):  
Old Age ◽  
Food Policy ◽  
Saturated Fat ◽  
Healthy Diet ◽  
Strongly Correlated ◽  
Cross Sectional ◽  
Long Term Follow Up ◽  
The Uk ◽  
Diet Score ◽  
Early Old Age

AbstractObjectivesTo describe the selection and modification of an appropriate diet score to assess diet quality in early old age.Design and settingCross-sectional analyses of the Boyd Orr cohort – a long-term follow-up of men and women whose families took part in a survey of diet and health in pre-war Britain. Dietary data were obtained from a 113-item food-frequency questionnaire. A nine-item Healthy Diet Indicator (HDI) developed by Huijbregts and colleagues was identified from the literature and modified because some dietary variables were unavailable and to accord more closely with recommendations of the UK Committee on Medical Aspects of Food Policy.SubjectsIn total, 1475 traced, surviving cohort members aged 60 years and over.ResultsModification resulted in a 12-item Healthy Diet Score (HDS). We found that about half the variation in the HDS was explained by variation in the HDI (r = 0.71). There was, however, little misclassification of subjects (<10%) into extreme thirds of the distribution by the HDS compared with the HDI. Items of the score most strongly correlated with overall score were saturated fat (r = −0.57), red meat (r = −0.46), dietary fibre (r = 0.58), fruit and vegetables (r = 0.54) and percentage energy from carbohydrates (r = 0.51). Modifying existing items had greater impact on agreement between HDI and HDS than the addition of new items.ConclusionsThe selection and modification of diet scores is more complicated than often assumed. Furthermore, modest changes to an existing score can produce a score that is different from the original, and although it was not possible to test this issue, it may no longer predict subsequent health experience.

scholarly journals The Relationship between Self-Reported Exposure to Sugar-Sweetened Beverage Promotions and Intake: Cross-Sectional Analysis of the 2017 International Food Policy Study

Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 3047 ◽  
Author(s):  
Hannah Forde ◽  
Martin White ◽  
Louis Levy ◽  
Felix Greaves ◽  
David Hammond ◽  
...  
Keyword(s):  
Food Policy ◽  
Multinomial Logistic Regression ◽  
Relative Risk Ratio ◽  
Policy Study ◽  
Cross Sectional ◽  
Sugar Sweetened Beverage ◽  
Logistic Regression Models ◽  
Sweetened Beverage ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

Sugar-sweetened beverage (SSB) consumption is independently associated with several non-communicable diseases, so policymakers are increasingly implementing measures, such as marketing regulation, to reduce intake. To help understand how such measures work, this study examined the association between SSB consumption and self-reported exposure to SSB promotions, both overall and by type of promotion, and whether these relationships vary between the UK, USA, Canada, Mexico, and Australia. Cross-sectional analysis of the online 2017 International Food Policy Study was performed (n = 15,515). Participants were grouped into 5265 (34%) non-, 5117 (33%) low-, and 5133 (33%) high-SSB consumers. Multinomial logistic regression models examined whether SSB consumption varied by exposure to total SSB promotion and by type: traditional, digital, recreational environment, and functional environment. Multiplicative interactions were included to investigate international variations. An additional unit of total self-reported SSB promotion exposure increased the likelihood of participants being low SSB consumers (relative risk ratio (RRR) = 1.08, 95% confidence interval (CI) = 1.06–1.10) and high SSB consumers (RRR = 1.13, 95% CI = 1.11–1.16). Only exposure to traditional and digital promotion increased the likelihood of participants being SSB consumers, though this may be explained by degree of exposure, which was not measured in this study. Some evidence illustrated international variation in these relationships.

scholarly journals Accessibility of health and social services to immigrant elders: the Islington Study

2002 ◽  
Vol 180 (4) ◽  
pp. 369-373 ◽  
Author(s):  
G. Livingston ◽  
G. Leavey ◽  
G. Kitchen ◽  
M. Manela ◽  
S. Sembhi ◽  
...  
Keyword(s):  
Social Services ◽  
Service Use ◽  
Somatic Symptoms ◽  
Cross Sectional Study ◽  
Service Utilisation ◽  
Cross Sectional ◽  
Older Immigrants ◽  
Idiom Of Distress ◽  
The Uk ◽  
Access Services

BackgroundNumbers of immigrant elders are increasing and it is unclear whether they can access services.AimsTo examine service utilisation of older immigrants compared with their UK-born counterparts and relate it to health difficulties.MethodCross-sectional study in inner London measuring service use, mental health and disability.ResultsA total of 1085 people aged ⩾65 years were interviewed. Independent predictors of contact with a general practitioner included being born in Cyprus. Cypriots were the only immigrant population to report significantly more somatic symptoms than those born in the UK (P=0.005). Africans and Caribbeans used daycare and other social services most frequently.ConclusionsImmigrants could access services. Africans and Caribbeans appear to have poorer physical health and thus have greater contact with services. Cypriots who experience depression may present with prominent somatic symptoms. This is likely to be due to a different idiom of distress.

scholarly journals Neighborhood food typologies, fast food outlet visitation and snack food purchasing among adolescents in Melbourne, Australia

2021 ◽  
pp. 1-24
Author(s):  
Venurs HY Loh ◽  
Maartje P Poelman ◽  
Jenny Veitch ◽  
Sarah A McNaughton ◽  
Rebecca M Leech ◽  
...  
Keyword(s):  
Fast Food ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Snack Food ◽  
Food Environments ◽  
Food Outlet ◽  
Cross Sectional ◽  
Food Purchasing ◽  
Fast Food Outlet ◽  
Food Outlets

Abstract Objective: Despite the increased attention on neighborhood food environments and dietary behaviors, studies focusing on adolescents are limited. This study aims to characterize typologies of food environments surrounding adolescents and their associations with fast food outlet visitation and snack food purchasing to/from school. Design: The number of food outlets (supermarket; green grocers; butcher/seafood/deli; bakeries; convenience stores; fast food/takeaways; café and restaurants) within a 1km buffer from home were determined using a Geographic Information System. Adolescents self-reported frequency of fast food outlet visitation and snack food purchasing to/from school. Latent Profile Analysis was conducted to identify typologies of the food environment. Cross-sectional multilevel logistic regression analyses were conducted to examine the relationships between food typologies, fast food outlet visitations and snack food purchasing to/from school. Setting: Melbourne, Australia Participants: 410 adolescents (mean age= 15.5 (SD=1.5) years) Results: Four distinct typologies of food outlets were identified: 1) limited variety/low number; 2) some variety/low number; 3) high variety/medium number; 4) high variety/high number. Adolescents living in Typologies 1 and 2 had three times higher odds of visiting fast food outlets ≥1 per week (Typology 1: OR= 3.71, 95%CI 1.23, 11.19; Typology 2: OR= 3.65, 95% CI 1.21, 10.99) than those living in Typology 4. No evidence of association was found between typologies of the food environments and snack food purchasing behavior to/from school among adolescents. Conclusion: Local government could emphasize an overall balance of food outlets when designing neighborhoods to reduce propensity for fast food outlet visitation among adolescents.

Sandwich or long lunch? Lack of time and attendance of food outlets by French workers

2021 ◽  
Vol 14 (2) ◽  
pp. 164-180
Author(s):  
Camille Massey ◽  
Damien Brémaud ◽  
Laure Saulais
Keyword(s):  
Time Constraints ◽  
Food Outlet ◽  
Cross Sectional Survey ◽  
Dietary Practices ◽  
Cross Sectional ◽  
Content Type ◽  
Four Dimensions ◽  
Food Outlets ◽  
Logistic Regressions ◽  
Wage Earners

PurposeThis study explores the relation between workers' choices of food outlets for lunch during the workday and their time constraints.Design/methodology/approachA cross-sectional survey was conducted among 1,132 French wage-earners in order to identify the dimensions indicative of lack of time among workers and to examine their associations with the likelihood of different food outlet choices.FindingsExploratory factor analysis revealed four dimensions indicative of lack of time. Binary logistic regressions revealed that each dimension was linked to at least one food outlet choice. This research suggests that the dietary practices of workers are associated with their time constraints.Practical implicationsTime constraints play a role in attendance of food outlets for lunch and should be taken into account when promoting healthier lunch behaviors among employees.Originality/valueThis is the first research investigating the links between time constraints and attendance of food outlets in the context of lunch during the workday.

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