Fast food price, diet behavior, and cardiometabolic health: Differential associations by neighborhood SES and neighborhood fast food restaurant availability in the CARDIA study.

Academic Article


  • Little research has addressed whether neighborhood context influences associations between fast food price, diet, and cardiometabolic health. We investigated these associations using 25 years of Coronary Artery Risk Development in Young Adults (CARDIA) study data (n=4,469, observations=21,134). We found a negative association between fast food price and consumption, with stronger inverse associations in more (vs. less) deprived neighborhoods [3rd tertile: β=-0.68 (95% CI: (-0.85, -0.51); 1st tertile: β=-0.22 (95% CI: -0.42, -0.02); p-interaction-0.002], and a similar association for BMI [3rd tertile: β=-1.34 (95% CI: -1.54, -1.14); 1st tertile: β=-0.45 (95% CI: -0.66, -0.25); p-interaction<0.001], but not insulin resistance [3rd tertile: β=-0.07 (95% CI: -0.24, 0.09); 1st tertile: β=0.09 (95% CI: -0.08, 0.26); p-interaction=0.40]. We observed no modification of fast food price by fast food availability. Future research on obesity disparities should consider potential differences in the association between fast food prices and health outcomes across neighborhood socioeconomic levels.
  • Published In

  • Health and Place  Journal
  • Keywords

  • Cardiometabolic health, Diet, Fast food, Food environment, Neighborhood deprivation, food Price, Adolescent, Adult, Body Mass Index, Commerce, Diet, Fast Foods, Female, Humans, Insulin Resistance, Longitudinal Studies, Male, Obesity, Residence Characteristics, Restaurants, Risk Factors, Socioeconomic Factors, Young Adult
  • Digital Object Identifier (doi)

    Author List

  • Rummo PE; Meyer KA; Green Howard A; Shikany JM; Guilkey DK; Gordon-Larsen P
  • Start Page

  • 128
  • End Page

  • 135
  • Volume

  • 35