Objective: We examined associations between fast-food intake and perceived and objective fast-food outlet exposure. Design: Information from the Health Behaviours in School-aged Children Study was linked to fast-food outlets in seventy-five school neighbourhoods. We used multivariate multilevel logistic regression analyses to examine associations between at least weekly fast-food intake and perceived and objective fast-food outlet measures. Subjects: Data represent 4642 adolescents (aged 11-15 years) in Denmark. Results: Boys reporting two or more fast-food outlets had 34 % higher odds consuming fast food at least weekly. We detected higher odds of at least weekly fast-food intake among 15-year-old 9th graders (OR all = 1·74; 95 % CI 1·40, 2·18; OR boys = 2·20; 95 % CI 1·66, 2·91; OR girls = 1·41; 95 % CI 1·03, 1·92), Danish speakers (OR all = 2·32; 95 % CI 1·68, 3·19; OR boys = 2·58; 95 % CI 1·69, 3·93; OR girls = 2·37; 95 % CI 1·46, 3·84) and those travelling 15 min or less to school (OR all = 1·21; 95 % CI 1·00, 1·46; OR girls = 1·44; 95 % CI 1·08, 1·93) compared with 11-year-old 5th graders, non-Danish speakers and those with longer travel times. Boys from middle-(OR = 1·28; 95 % CI 1·00, 1·65) and girls from low-income families (OR = 1·46; 95 % CI 1·05, 2·04) had higher odds of at least weekly fast-food intake compared with those from high-income backgrounds. Girls attending schools with canteens (OR = 1·47; 95 % CI 1·00, 2·15) had higher odds of at least weekly fastfood intake than girls at schools without canteens. Conclusions: The present study demonstrates that perceived food outlets may impact fast-food intake in boys while proximity impacts intake in girls. Public health planning could target food environments that emphasize a better understanding of how adolescents use local resources.