The paper by Austin and colleagues(1) on the clustering of fast-food
restaurants around Chicago schools (September 2005) is a welcome addition
to the food environment literature. Their traditional statistics
demonstrating that unhealthy food outlets are near schools are
unassailable. Furthermore, they are correct to claim that their spatial
clustering method is a novel application of spatial statistics to the food
environment problem. Unfortunately, their results for the level of
clustering around schools can be misleading without proper consideration
for an important assumption of their chosen test.
Like other point pattern tests, the bivariate K function is evaluated
against the assumption of complete spatial randomness.(2) In the present
example restaurant locations are initially assumed to be free to vary over
the entire Chicago area. However, they actually lack such freedom. A
casual comparison of Austin et al.’s Figure 1 to a city map shows that
virtually all of the larger gaps between locations are due to large parks,
bodies of water, and other urban features and zones off-limits to
restaurants. The effect of this unaccounted constraint on location is to
force restaurants and schools to be closer together. The effect is
exacerbated to the extent that school locations are under the same
constraints.
While this does not invalidate the K values of Austin et al., it puts
the question of cause of clustering in a different light. It is less
likely that the reported strength of clustering is any different than
would be found for other types of retail establishments, or for random
points in “allowed” areas for that matter. Nor do the findings support the
notion that fast-food restaurants are targeting kids. The authors are
careful to avoid such a suggestion, but a casual reader could easily come
away with this impression.
More applications of spatial statistics are needed if we are to
succeed in stemming the ubiquity of unhealthy foods available to America’s
children. However, it is important that we apply them in a useful and
convincing manner. Fast food corporations are well-financed, with well-
trained spatial analysts at their disposal to advise them on retail site
selection. There is little doubt that these experts could detect
weaknesses such as that cited above, and will be called upon to criticize
such work if the industry feels threatened by public health research. The
argument that fast-food restaurants are too close to schools is supported
by simple distance measurements. The argument for spatial clustering
should await stronger analyses.
1. Austin SB, Melly SJ, Sanchez BN, Patel A, Buka S, Gortmaker SL.
Clustering of fast-food restaurants around schools: A novel application of
spatial statistics to the study of food environments. Am J Public Health.
2005;95:1575-1581.
2. Bailey TC, Gatrell AC. Interactive Spatial Data Analysis. New
York, NY: Prentice Hall; 1995.