Details

Autor(en) / Beteiligte

• Rahilly, John
• Williams, Alexandra
• Chang, Michael
• Cummins, Steven
• Derbyshire, Daniel
• Hassan, Suzan
• Huang, Yuru
• Keeble, Matthew
• Liu, Bochu
• Medina-Lara, Antonieta
• Mytton, Oliver
• Savory, Bea
• Schiff, Annie
• Sharp, Stephen J.
• Smith, Richard
• Thompson, Claire
• White, Martin
• Adams, Jean
• Burgoine, Thomas

Titel

Changes in the number and outcome of takeaway food outlet planning applications in response to adoption of management zones around schools in England: A time series analysis

Ist Teil von

• Health & place, 2024-05, Vol.87, p.103237-103237, Article 103237

Ort / Verlag

England: Elsevier Ltd

Erscheinungsjahr

2024

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Physical exposure to takeaway food outlets (“takeaways”) is associated with poor diet and excess weight, which are leading causes of excess morbidity and mortality. At the end of 2017, 35 local authorities (LAs) in England had adopted takeaway management zones (or “exclusion zones”), which is an urban planning intervention designed to reduce physical exposure to takeaways around schools. In this nationwide, natural experimental study, we used interrupted time series analyses to estimate the impact of this intervention on changes in the total number of takeaway planning applications received by LAs and the percentage rejected, at both first decision and after any appeal, within management zones, per quarter of calendar year. Changes in these proximal process measures would precede downstream retail and health impacts. We observed an overall decrease in the number of applications received by intervention LAs at 12 months post-intervention (6.3 fewer, 95% CI -0.1, -12.5), and an increase in the percentage of applications that were rejected at first (additional 18.8%, 95% CI 3.7, 33.9) and final (additional 19.6%, 95% CI 4.7, 34.6) decision, the latter taking into account any appeal outcomes. This effect size for the number of planning applications was maintained at 24 months, although it was not statistically significant. We also identified three distinct sub-types of management zone regulations (full, town centre exempt, and time management zones). The changes observed in rejections were most prominent for full management zones (where the regulations are applied irrespective of overlap with town centres), where the percentage of applications rejected was increased by an additional 46.1% at 24 months. Our findings suggest that takeaway management zone policies may have the potential to curb the proliferation of new takeaways near schools and subsequently impact on population health. •By 2017, 35 LAs in England had adopted management zones designed to curb proliferation of new takeaways around schools.•We conducted a nationwide, natural experimental evaluation of this intervention using interrupted time series analysis.•We observed a decrease in the number of planning applications received and an increase in the percentage that were rejected.•Changes were most prominent for those adopting full management zones thatapplied irrespective of overlap with town centres.•Findings suggest that management zones have the potential to curb proliferation of takeaways and impact population health.