Aims To examine the extent and content of outdoor food advertisements and food availability from outlets in the vicinity of secondary schools. Methods The sample of schools (n=10) was randomly selected from a sample frame of schools in both an urban and rural region (Wellington and Wairarapa regions respectively) and at each extreme of the socioeconomic status (SES) distribution (based on school characteristics). An area of 1-km radius around the schools was examined for food and non-food product advertisements and shops/outlets. Results Out of 1408 outdoor advertisements for products, 61.5% were for food (i.e. 28 per square kilometre). The major categories were soft drinks (21.6%), frozen confectionary (16.2%), savoury snacks (11.4%), and alcohol (8.1%). Overall, 70.2% of food advertisements were for foods classified as 'unhealthy' (i.e. inconsistent with the national nutritional guidelines for adolescents). A majority of the 224 outlets sold food (i.e. 56.3%). Those that primarily sold food were (on average) closer than other outlets to the secondary schools (p=0.03). Out of those schools that sold meals, the proportion of these that advertised a salad option was significantly lower in the low SES neighbourhoods (p=0.006). Other significantly different patterns for food outlet distribution, and category of advertised food were found by SES and rurality. Conclusion Although only a pilot study, the information obtained suggests that food advertising and food outlets are prevalent in the vicinity of secondary schools and that the advertising is generally not compatible with nutritional guidelines for adolescents. Larger studies into such advertising are needed as well as consideration of policy options to control aspects of the 'obesogenic environment.'
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Univ Otago, Dunedin Sch Med, Dept Prevent & Social Med, Dunedin 9054, New ZealandUniv Otago, Dunedin Sch Med, Dept Prevent & Social Med, Dunedin 9054, New Zealand
Collins, C.
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Richards, R.
Reeder, A. I.
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Univ Otago, Dunedin Sch Med, Dept Prevent & Social Med, Canc Soc Social & Behav Res Unit, Dunedin 9054, New ZealandUniv Otago, Dunedin Sch Med, Dept Prevent & Social Med, Dunedin 9054, New Zealand
Reeder, A. I.
Gray, A. R.
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Univ Otago, Dunedin Sch Med, Dept Prevent & Social Med, Canc Soc Social & Behav Res Unit, Dunedin 9054, New ZealandUniv Otago, Dunedin Sch Med, Dept Prevent & Social Med, Dunedin 9054, New Zealand
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Philip R Lee Inst Hlth Policy Studies, San Francisco, CA USAPhilip R Lee Inst Hlth Policy Studies, San Francisco, CA USA
Patel, Anisha I.
Bogart, Laura M.
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Childrens Hosp Boston, Div Gen Pediat, Boston, MA USA
Harvard Univ, Sch Med, Boston, MA USA
RAND Corp, Santa Monica, CA USAPhilip R Lee Inst Hlth Policy Studies, San Francisco, CA USA
Bogart, Laura M.
Elliott, Marc N.
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RAND Corp, Santa Monica, CA USAPhilip R Lee Inst Hlth Policy Studies, San Francisco, CA USA
Elliott, Marc N.
Lamb, Sheila
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Los Angeles Unified Sch Dist, Los Angeles, CA USAPhilip R Lee Inst Hlth Policy Studies, San Francisco, CA USA
Lamb, Sheila
Uyeda, Kimberly E.
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Los Angeles Unified Sch Dist, Los Angeles, CA USAPhilip R Lee Inst Hlth Policy Studies, San Francisco, CA USA
Uyeda, Kimberly E.
Hawes-Dawson, Jennifer
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RAND Corp, Santa Monica, CA USAPhilip R Lee Inst Hlth Policy Studies, San Francisco, CA USA
Hawes-Dawson, Jennifer
Klein, David J.
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Childrens Hosp Boston, Div Gen Pediat, Boston, MA USA
Harvard Univ, Sch Med, Boston, MA USA
RAND Corp, Santa Monica, CA USAPhilip R Lee Inst Hlth Policy Studies, San Francisco, CA USA
Klein, David J.
Schuster, Mark A.
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Childrens Hosp Boston, Div Gen Pediat, Boston, MA USA
Harvard Univ, Sch Med, Boston, MA USA
RAND Corp, Santa Monica, CA USAPhilip R Lee Inst Hlth Policy Studies, San Francisco, CA USA