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4 results

  • Adolescents’ perceptions of food outlets in the school neighbourhood and their unhealthy snacking behaviour on the way to and from school

  • Margaretha Liliana Situmorang, Sandra Mandic, Michael Keall, Melody Smith, Niamh Donnellan, Kirsten J Coppell
  • Journal:
    Public Health Nutrition / Volume 27 / Issue 1 / 2024
    Published online by Cambridge University Press:
    07 October 2024, e198
    • Article
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      • Open access
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  • Objective:

    To understand the relationship between adolescents’ unhealthy snacking behaviour during their school journey and their perceived and objective measures of food outlet availability in the school neighbourhood.

    Design:

    A cross-sectional survey enquired about socio-demographic information, school transport modes, perceived presence of food outlets in the school neighbourhood and unhealthy food purchase and consumption on the school journey. A geographical information system analysis of the food outlets within 500 m and 1000 m school buffers was undertaken. Data were analysed using generalised linear mixed modelling.

    Setting:

    All twelve secondary schools in Dunedin, Aotearoa New Zealand, March 2020–June 2022.

    Participants:

    Adolescents aged 13–18 years (n 725) who reported being familiar with their school neighbourhood.

    Results:

    Perceived availability of food outlets in the school neighbourhood was inversely correlated with distance to the closest food outlet from school and positively correlated with food outlet density within 500 m and 1000 m school buffers. Adolescents’ purchase and consumption of unhealthy snacks and drinks during the school journey were associated with perceived availability of food outlets and with shorter distance to the closest food outlet from school. Mixed transport users, girls and those living in high-deprivation neighbourhoods had higher odds of purchasing and consuming unhealthy snacks and drinks during the school journey than active transport users, boys and those living in low-deprivation neighbourhoods, respectively.

    Conclusions:

    Adolescents perceptions of the food environment and close access to food outlets in the school neighbourhood may influence adolescents’ food purchase and consumption behaviours during the school journey.

  • Chapter 10 - Exclusion from Material Resources

  • from Section 2 - Participation of People with Mental Health Conditions
  • Jed Boardman, King's College London, Helen Killaspy, University College London, Gillian Mezey, St George's Hospital Medical School, University of London
  • Book:
    Social Inclusion and Mental Health
    Published online:
    24 November 2022
    Print publication:
    08 December 2022, pp 194-226

  • Summary

    This chapter outlines the levels of poverty, debt, and financial hardship in people with mental health conditions, the social security system, and living conditions, including neighbourhood deprivation, housing, and transport. People with mental health conditions are more likely to be excluded from material resources than others in society. They are over-represented in low-income group, those living in poor housing, and deprived environments. They are likely to be in debt or have other financial difficulties and to be receiving inadequate amounts of state benefits. The severity of the condition and its longevity exacerbates the degree of exclusion. There appears to be a two-way relationship between mental ill-health and material deprivation: social and environmental aspects of material exclusion play a role in the cause of mental ill-health and mental ill-health leads to material exclusion. Poverty mediates the relationship between mental health conditions and the many other social problems that people face, as well as impeding their ability to cope with their mental health difficulties. People’s responses to poor conditions are universal and, for those with mental health conditions, may be more appropriately seen as a consequence of their impoverished circumstances rather than due to their mental health conditions.

  • Experiences of neighbourhood exclusion and inclusion among older people living in deprived inner-city areas in Belgium and England

  • TINE BUFFEL, CHRIS PHILLIPSON, THOMAS SCHARF
  • Journal:
    Ageing & Society / Volume 33 / Issue 1 / January 2013
    Published online by Cambridge University Press:
    03 December 2012, pp. 89-109
    Print publication:
    January 2013

  • This article explores conceptual and empirical aspects of the social exclusion/inclusion debate in later life, with a particular focus on issues of place and space in urban settings. Exploratory findings are reported from two empirical studies in Belgium and England, which sought to examine experiences of social exclusion and inclusion among people aged 60 and over living in deprived inner-city neighbourhoods. Semi-structured interviews were conducted with an ethnically diverse sample of 102 older people in Belgium and 124 in England. Thematic analysis of interview data identifies four issues in relation to the neighbourhood dimension of social exclusion/inclusion in later life: experiences of community change; feelings of security and safety; the management of urban space; and strategies of control. The results suggest that neighbourhoods have a significant influence on shaping the experience of exclusion and inclusion in later life, with a number of similarities identified across the different study areas. The article concludes by discussing conceptual and policy issues raised by the research.

  • Variations in fresh fruit and vegetable quality by store type, urban–rural setting and neighbourhood deprivation in Scotland

  • Steven Cummins, Dianna M Smith, Mathew Taylor, John Dawson, David Marshall, Leigh Sparks, Annie S Anderson
  • Journal:
    Public Health Nutrition / Volume 12 / Issue 11 / November 2009
    Published online by Cambridge University Press:
    26 February 2009, pp. 2044-2050
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  • Objective

    Neighbourhood differences in access to fresh fruit and vegetables may explain social inequalities in diet. Investigations have focused on variations in cost and availability as barriers to the purchase and consumption of fresh produce; investigations of quality have been neglected. Here we investigate whether produce quality systematically varies by food store type, rural–urban location and neighbourhood deprivation in a selection of communities across Scotland.

    Design

    Cross-sectional survey of twelve fresh fruit and vegetable items in 288 food stores in ten communities across Scotland. Communities were selected to reflect a range of urban–rural settings and a food retail census was conducted in each location. The quality of twelve fruit and vegetable items within each food store was evaluated. Data from the Scottish Executive were used to characterise each small area by deprivation and urban–rural classification.

    Setting

    Scotland.

    Results

    Quality of fruit and vegetables within the surveyed stores was high. Medium-sized stores, stores in small town and rural areas, and stores in more affluent areas tended to have the highest-quality fresh fruit and vegetables. Stores where food is secondary, stores in urban settings and stores in more deprived areas tended have the lowest-quality fresh produce. Although differences in quality were not always statistically significant, patterns were consistent for the majority of fruit and vegetable items.

    Conclusions

    The study provides evidence that variations in food quality may plausibly be a micro-environmental mediating variable in food purchase and consumption and help partially explain neighbourhood differences in food consumption patterns.