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Socioeconomic inequalities in food outlet access through an online food delivery service in England: A cross-sectional descriptive analysis
Applied Geography ( IF 4.732 ) Pub Date : 2021-06-29 , DOI: 10.1016/j.apgeog.2021.102498
Matthew Keeble 1 , Jean Adams 1 , Tom R P Bishop 2 , Thomas Burgoine 1
Affiliation  

Online food delivery services facilitate ‘online’ access to food outlets selling food prepared away-from-home. Online food outlet access has not previously been investigated in England or across an entire country. Systematic differences in online food outlet access could exacerbate existing health inequalities, which is a public health concern. However, this is not known. Across postcode districts in England (n = 2118), we identified and described the number of food outlets and unique cuisine types accessible online from the market leader (Just Eat). We investigated associations with area-level deprivation using adjusted negative binomial regression models. We also compared the number of food outlets accessible online with the number physically accessible in the neighbourhood (1600m Euclidean buffers of postcode district geographic centroids) and investigated associations with deprivation using an adjusted general linear model. For each outcome, we predicted means and 95% confidence intervals. In November 2019, 29,232 food outlets were registered to accept orders online. Overall, the median number of food outlets accessible online per postcode district was 63.5 (IQR; 16.0–156.0). For the number of food outlets accessible online as a percentage of the number accessible within the neighbourhood, the median was 63.4% (IQR; 35.6–96.5). Analysis using negative binomial regression showed that online food outlet access was highest in the most deprived postcode districts (n = 106.1; 95% CI: 91.9, 120.3). The number of food outlets accessible online as a percentage of those accessible within the neighbourhood was highest in the least deprived postcode districts (n = 86.2%; 95% CI: 78.6, 93.7). In England, online food outlet access is socioeconomically patterned. Further research is required to understand how online food outlet access is related to using online food delivery services.



中文翻译:

英格兰通过在线食品配送服务获得食品出口的社会经济不平等:横断面描述性分析

在线食品配送服务有助于“在线”访问销售在外地准备的食品的食品店。以前在英格兰或整个国家都没有调查过在线食品店的访问。在线食品商店访问的系统性差异可能会加剧现有的健康不平等,这是一个公共卫生问题。但是,这不得而知。在英格兰 (n = 2118) 的邮政编码区,我们确定并描述了可从市场领导者 (Just Eat) 在线获得的食品店和独特美食类型的数量。我们使用调整后的负二项式回归模型研究了与区域级剥夺的关联。我们还比较了可在线访问的食品店数量与附近可实际访问的数量(邮政编码区地理质心的 1600 米欧几里德缓冲区),并使用调整后的一般线性模型调查了与剥夺的关联。对于每个结果,我们预测均值和 95% 置信区间。2019 年 11 月,共有 29,232 家餐饮店注册在线接受订单。总体而言,每个邮政编码区可在线访问的食品店的中位数为 63.5(IQR;16.0–156.0)。对于可在线访问的食品店数量占社区内可访问数量的百分比,中位数为 63.4%(IQR;35.6-96.5)。使用负二项式回归的分析表明,在最贫困的邮政编码区,在线食品店的访问量最高(n = 106.1;95% CI:91.9, 120.3)。在最贫困的邮政编码区,可在线访问的食品店数量占社区内可访问点的百分比最高(n = 86.2%;95% CI:78.6, 93.7)。在英格兰,在线食品商店的访问是社会经济模式的。需要进一步研究以了解在线食品商店访问与使用在线食品配送服务之间的关系。

更新日期:2021-06-30
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