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Proximity to Fast-Food Outlets and Adolescent BMI: Accounting for Persistent Health Dynamics

Author

Listed:
  • Aoki-Beattie, Yu

    (University of Aberdeen & IZA)

  • Arulampalam, Wiji

    (University of Warwick, CAGE & IZA)

  • Lloyd, Neil

    (University of St Andrews)

  • Mathew, Sushil

    (Imperial College London)

Abstract

We examine the causal effect of exposure to fast-food outlets on adolescent z-BMI using data from the UK Millennium Cohort Study. We develop a novel approach to modelling persistence in adolescent BMI by clustering early childhood BMI trajectories, capturing biologically and behaviourally persistent obesity risk profiles. Including these profiles in the model allows us to separate baseline susceptibility from contemporaneous environmental effects. For identification, we exploit the near-universal transition from primary to secondary school in Great Britain, which creates plausibly exogenous variation in exposure to fast-food outlets around schools. Using this variation, we find that adolescents with at least one major-brand outlet within 400 metres of their school have, on average, a 0.158 standard-deviation higher z-BMI. Effects decline at larger distances, are limited around the home, and do not extend to other food outlets.

Suggested Citation

  • Aoki-Beattie, Yu & Arulampalam, Wiji & Lloyd, Neil & Mathew, Sushil, 2026. "Proximity to Fast-Food Outlets and Adolescent BMI: Accounting for Persistent Health Dynamics," CAGE Online Working Paper Series 791, Competitive Advantage in the Global Economy (CAGE).
    • Handle: RePEc:cge:wacage:791
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    References listed on IDEAS

    as
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    Full references (including those not matched with items on IDEAS)

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    Keywords

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    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • L83 - Industrial Organization - - Industry Studies: Services - - - Sports; Gambling; Restaurants; Recreation; Tourism

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