The fast-food restaurant’s sales continued to struggle in the first three months of 2015, despite the first efforts of its planned turnaround.

McDonald’s MCD 2.34% reported a more severe sales decline than expected in the first three months of the year Wednesday, with business dropping off from the United States, to Europe and Asia, as fewer customers came in to eat its fast-food offerings. The poor results continue an erosion in business that has been accelerating despite the fast-food chain’s efforts to stanch the bleeding.

The world’s biggest restaurant company continued to grapple with problems that have bedeviled it for the last few quarters, as detailed in a Fortune profile in November: changing consumer tastes, an overly complicated menu, stiff competition from fast-casual chains such as Chipotle Mexican Grill CMG -6.84% and Panera Bread PRNA , and the lingering effects of a food scare last summer in Asia.

Globally, sales at restaurants open at least 13 months (comparable sales) fell 2.3% in the quarter ended March 31, worse than the 1.8% Wall Street analysts had expected, according to Consensus Matrix.

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