“It does help but there's a limit …”: Young people's perspectives on policies to manage hot food takeaways opening near schools

IF 5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Social Science & Medicine Pub Date : 2025-03-01 Epub Date: 2025-02-05 DOI:10.1016/j.socscimed.2025.117810
B. Savory , C. Thompson , S. Hassan , J. Adams , B. Amies-Cull , M. Chang , D. Derbyshire , M. Keeble , B. Liu , A. Medina-Lara , O.T. Mytton , J. Rahilly , N. Rogers , R. Smith , M. White , T. Burgoine , S. Cummins
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Abstract

Background

Local authorities (LAs) in England are increasingly using the planning system to manage the proliferation of hot food takeaway outlets (‘takeaways’) near schools as part of a range of policies to promote healthy weight in children. These takeaway ‘management zones’ include restrictions on planning permission to open new takeaways within a certain distance of schools. In this qualitative study we explore young people's perspectives of management zones.

Methods

We purposively recruited 46 young people (aged 11–18 years) attending secondary school across two London LAs with operating management zones. We conducted semi-structured, walking group (“go-along”) interviews in January–February 2023 in the local food environment close to participants’ schools. We analysed data using framework analysis.

Results

Participants generally viewed management zones as reasonable and uncontroversial but were not always aware that management zones were in operation. Although participants understood that management zones prevented new outlets from opening, they observed they did not seem to reduce existing provision. This was viewed positively as it did not result in the closure of local takeaways perceived as important components of the social fabric of school life. Participants believed that the potential health impact of management zones is limited by their exclusive focus on takeaways as other food retail commonly patronised by young people, such as convenience stores, are important sources of unhealthy food. Participants also identified inadequacies in the wider food environment, including the school dining environment and access to food delivery apps.

Conclusions

Our findings suggest that although young people find management zones acceptable and believe they have some positive impact on diet, they did not perceive management zones as effective as they could be. Participants articulated that the management of takeaways on their own is unlikely to reduce exposure to unhealthy foods. Widening the remit of planning policy to include outlets selling convenience foods may be important for policy optimisation.
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“这确实有帮助,但也有局限性……”:年轻人对学校附近开设的热食外卖管理政策的看法
背景:英国地方当局(LAs)越来越多地使用规划系统来管理学校附近热食外卖店(“外卖”)的扩散,作为促进儿童健康体重的一系列政策的一部分。这些外卖“管理区”包括限制在学校一定距离内开设新外卖的规划许可。在这个定性研究中,我们探讨了年轻人对管理区的看法。方法我们有目的地招募了46名在伦敦两个有经营管理区的LAs就读中学的年轻人(11-18岁)。我们于2023年1月至2月在参与者学校附近的当地食物环境中进行了半结构化的步行小组(“随同”)访谈。我们使用框架分析来分析数据。结果受访者普遍认为管理分区是合理和无争议的,但并不总是意识到管理分区正在运作。虽然与会者明白,管理区阻碍了新网点的开设,但他们认为,管理区似乎并没有减少现有的供应。这被认为是积极的,因为它没有导致被视为学校生活社会结构重要组成部分的当地外卖关闭。与会者认为,管理区对健康的潜在影响是有限的,因为他们只关注外卖,因为年轻人经常光顾的其他食品零售,如便利店,是不健康食品的重要来源。参与者还指出了更广泛的食品环境中的不足之处,包括学校餐饮环境和食品配送应用程序的使用。结论我们的研究结果表明,尽管年轻人认为管理区是可以接受的,并且相信他们对饮食有一些积极的影响,但他们并没有认为管理区是有效的。与会者明确表示,自己管理外卖不太可能减少对不健康食品的接触。扩大规划政策的范围,包括销售方便食品的网点,可能对政策优化很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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