'It does help but there is a limit': Young people's perspectives on policies that restrict hot food takeaways opening near schools

BackgroundLocal authorities (LAs) in England are increasingly using the planning system to control 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 (TMZs) include restrictions on planning permission to open new takeaways within a certain distance of a school. In this qualitative study we explore young peoples perspectives of TMZs. MethodsWe purposively recruited 46 young people (aged 11-18 years old) attending secondary school across two contrasting London LAs with operating TMZs. We conducted semi-structured, walking group interviews ("go-alongs") in January-February 2023 in the local food environment close to participants schools. We analysed data using framework analysis. ResultsParticipants generally viewed TMZs as reasonable and uncontroversial but were not always aware that TMZs were in operation. Although participants understood that TMZs 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 TMZs 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. ConclusionsOur findings suggest that although young people find TMZs acceptable and believe they have some positive impact on diet, they did not perceive TMZs 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. HighlightsO_LIYoung peoples perspectives of takeaway management zones are explored C_LIO_LIAcceptability of zones was high as the existing food environment remains unchanged C_LIO_LIThe impact of takeaway management zones was deemed limited by its focus and scope C_LIO_LIConsidering wider aspects of the food environment is key for policy development C_LIO_LIFuture policy should also consider young peoples social and emotional needs C_LI