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Published in: Journal of Urban Health 2/2007

01-03-2007

Exploring Associations between Physical Activity and Perceived and Objective Measures of the Built Environment

Authors: Aileen P. McGinn, Kelly R. Evenson, Amy H. Herring, Sara L. Huston, Daniel A. Rodriguez

Published in: Journal of Urban Health | Issue 2/2007

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Abstract

The built environment may be responsible for making nonmotorized transportation inconvenient, resulting in declines in physical activity. However, few studies have assessed both the perceived and objectively measured environment in association with physical activity outcomes. The purpose of this study was to describe the associations between perceptions and objective measures of the built environment and their associations with leisure, walking, and transportation activity. Perception of the environment was assessed from responses to 1,270 telephone surveys conducted in Forsyth County, NC and Jackson, MS from January to July 2003. Participants were asked if high-speed cars, heavy traffic, and lack of crosswalks or sidewalks were problems in their neighborhood or barriers to physical activity. They were also asked if there are places to walk to instead of driving in their neighborhood. Speed, volume, and street connectivity were assessed using Geographic Information Systems (GIS) for both study areas. Locations of crashes were measured using GIS for the NC study area as well. Objective and perceived measures of the built environment were in poor agreement as calculated by kappa coefficients. Few associations were found between any of the physical activity outcomes and perception of speed, volume, or presence of sidewalks as problems in the neighborhood or as barriers to physical activity in regression analyses. Associations between perceptions of having places to walk to and presence of crosswalks differed between study sites. Several associations were found between objective measures of traffic volume, traffic speed, and crashes with leisure, walking, and transportation activity in Forsyth County, NC; however, in Jackson, MS, only traffic volume was associated with any of the physical activity outcomes. When both objective and perceived measures of the built environment were combined into the same model, we observed independent associations with physical activity; thus, we feel that evaluating both objective and perceived measures of the built environment may be necessary when examining the relationship between the built environment and physical activity.
Literature
1.
go back to reference U.S. Department of Health and Human Services Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion. Physical activity and health: a report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion; 1996. U.S. Department of Health and Human Services Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion. Physical activity and health: a report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion; 1996.
2.
go back to reference Pate RR, Pratt M, Blair SN, et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995;273(5):402–407.PubMedCrossRef Pate RR, Pratt M, Blair SN, et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995;273(5):402–407.PubMedCrossRef
3.
go back to reference Breslow L. Social ecological strategies for promoting healthy lifestyles. Am J Health Promot. 1996;10(4):253–257.PubMed Breslow L. Social ecological strategies for promoting healthy lifestyles. Am J Health Promot. 1996;10(4):253–257.PubMed
4.
go back to reference Hill JO, Goldberg JP, Pate RR, Peters JC. Proceedings of the partnership to promote healthy eating and active living summit. Nutr Rev. March 2001;59(3):S4–S6.CrossRef Hill JO, Goldberg JP, Pate RR, Peters JC. Proceedings of the partnership to promote healthy eating and active living summit. Nutr Rev. March 2001;59(3):S4–S6.CrossRef
5.
go back to reference McLeroy KR, Bibeau D, Stecker A, Glanz K. An ecologic perspective on health promotion programs. Health Educ Q. 1988;15(4):351–377.PubMed McLeroy KR, Bibeau D, Stecker A, Glanz K. An ecologic perspective on health promotion programs. Health Educ Q. 1988;15(4):351–377.PubMed
6.
go back to reference von Korff M, Koepsell T, Curry S, Diehr P. Multi-level analysis in epidemiologic research on health behaviors and outcomes. Am J Epidemiol. 1992;135(10):1077–1082. von Korff M, Koepsell T, Curry S, Diehr P. Multi-level analysis in epidemiologic research on health behaviors and outcomes. Am J Epidemiol. 1992;135(10):1077–1082.
7.
go back to reference Green L, McAlister A. Macro-intervention to support health behavior: some theoretical perspectives and practical reflections. Health Educ. 1984;11:322–339. Green L, McAlister A. Macro-intervention to support health behavior: some theoretical perspectives and practical reflections. Health Educ. 1984;11:322–339.
8.
go back to reference Green L, Richard L. The need to combine health education and health promotion: the case of cardiovascular disease prevention. Promot Educ. 1993;1:11–17. Green L, Richard L. The need to combine health education and health promotion: the case of cardiovascular disease prevention. Promot Educ. 1993;1:11–17.
9.
go back to reference Schmid TL, Pratt M, Howze E. Policy as intervention: environmental and policy approaches to the prevention of cardiovascular disease. Am J Public Health. 1995;85:1207–1211.PubMed Schmid TL, Pratt M, Howze E. Policy as intervention: environmental and policy approaches to the prevention of cardiovascular disease. Am J Public Health. 1995;85:1207–1211.PubMed
10.
go back to reference Handy SL, Boarnet MG, Ewing R, Killingsworth R. How the built environment affects physical activity: views from urban planning. Am J Prev Med. 2002;23(2S):64–73.PubMedCrossRef Handy SL, Boarnet MG, Ewing R, Killingsworth R. How the built environment affects physical activity: views from urban planning. Am J Prev Med. 2002;23(2S):64–73.PubMedCrossRef
11.
go back to reference Frumkin H. Urban sprawl and public health. Public Health Rep. May–June 2002;117:201–217.PubMed Frumkin H. Urban sprawl and public health. Public Health Rep. May–June 2002;117:201–217.PubMed
12.
go back to reference Saelens BE, Sallis JF, Frank LD. Environmental correlates of walking and cycling: findings from the transportation, urban design, and planning literatures. Ann Behav Med. 2003;25(2):80–91.PubMedCrossRef Saelens BE, Sallis JF, Frank LD. Environmental correlates of walking and cycling: findings from the transportation, urban design, and planning literatures. Ann Behav Med. 2003;25(2):80–91.PubMedCrossRef
13.
go back to reference 1000 Friends of Oregon. The pedestrian environment (Vol 4a). Portland, OR: Parsons Brinkerhoff Quade & Douglas Inc.; 1993. 1000 Friends of Oregon. The pedestrian environment (Vol 4a). Portland, OR: Parsons Brinkerhoff Quade & Douglas Inc.; 1993.
14.
go back to reference Greenwald M, Boarnet M. The built environment as a determinant of walking behavior: analyzing non-work pedestrian travel in Portland, Oregon. Transp Res Rec. 2002;1780:33–42. Greenwald M, Boarnet M. The built environment as a determinant of walking behavior: analyzing non-work pedestrian travel in Portland, Oregon. Transp Res Rec. 2002;1780:33–42.
15.
go back to reference Cervero R, Kockelman K. Travel demand and the 3Ds: density, diversity, and design. Transp Res Part D Trans Environ. 1997;2(3):199–219.CrossRef Cervero R, Kockelman K. Travel demand and the 3Ds: density, diversity, and design. Transp Res Part D Trans Environ. 1997;2(3):199–219.CrossRef
16.
go back to reference Cervero R, Duncan M. Walking, bicycling and urban landscapes: evidence from the San Francisco Bay Area. Am J Public Health. 2003;93(9):1478–1483.PubMedCrossRef Cervero R, Duncan M. Walking, bicycling and urban landscapes: evidence from the San Francisco Bay Area. Am J Public Health. 2003;93(9):1478–1483.PubMedCrossRef
17.
go back to reference Krizek KJ. Residential relocation and changes in urban travel: does neighborhood-scale urban form matter? J Am Plan Assoc. 2003;69(3):265–282. Krizek KJ. Residential relocation and changes in urban travel: does neighborhood-scale urban form matter? J Am Plan Assoc. 2003;69(3):265–282.
18.
go back to reference Song Y. Comparing urban growth in U.S. metropolitan areas: a spatial analysis of urban form. Int Reg Sci Rev. 2005;28(2):239–265.CrossRef Song Y. Comparing urban growth in U.S. metropolitan areas: a spatial analysis of urban form. Int Reg Sci Rev. 2005;28(2):239–265.CrossRef
19.
go back to reference Song Y, Knaap G-J. Measuring urban form: Is Portland winning the war on sprawl. J Am Plan Assoc. 2004;70(2):210–225. Song Y, Knaap G-J. Measuring urban form: Is Portland winning the war on sprawl. J Am Plan Assoc. 2004;70(2):210–225.
20.
go back to reference Frank LD, Schmid TL, Sallis JF, Chapman J, Saelens BE. Linking objectively measured physical activity with objectively measured urban form: Findings from SMARTRAQ. Am J Prev Med. 2005;28(2 Suppl 2):117–125.PubMedCrossRef Frank LD, Schmid TL, Sallis JF, Chapman J, Saelens BE. Linking objectively measured physical activity with objectively measured urban form: Findings from SMARTRAQ. Am J Prev Med. 2005;28(2 Suppl 2):117–125.PubMedCrossRef
21.
go back to reference Ross C, Dunning A. Land Use Transportation Interaction: An Examination of the 1995 NPTS Data. Atlanta, GA: U.S. Department of Transportation, Federal Highway Administration; 1997. Ross C, Dunning A. Land Use Transportation Interaction: An Examination of the 1995 NPTS Data. Atlanta, GA: U.S. Department of Transportation, Federal Highway Administration; 1997.
22.
go back to reference Frank L, Pivo G. Impacts of mixed use and density on utilization of three modes of travel: Single-occupant vehicle, transit, and walking. Transp Res Rec. 1994;1466:44–52. Frank L, Pivo G. Impacts of mixed use and density on utilization of three modes of travel: Single-occupant vehicle, transit, and walking. Transp Res Rec. 1994;1466:44–52.
23.
go back to reference Eyler AA, Brownson RC, Bacak SJ, Housemann R. The epidemiology of walking for physical activity in the United States. Med Sci Sport Exerc. 2003;35(9):1529–1536.CrossRef Eyler AA, Brownson RC, Bacak SJ, Housemann R. The epidemiology of walking for physical activity in the United States. Med Sci Sport Exerc. 2003;35(9):1529–1536.CrossRef
24.
go back to reference King AC, Castro C, Wilcox S, et al. Personal and environmental factors associated with physical inactivity among different racial/ethnic groups of U.S. middle- and older-aged women. Health Psychol. 2000;19(4):354–364.PubMedCrossRef King AC, Castro C, Wilcox S, et al. Personal and environmental factors associated with physical inactivity among different racial/ethnic groups of U.S. middle- and older-aged women. Health Psychol. 2000;19(4):354–364.PubMedCrossRef
25.
go back to reference Wilcox S, Castro C, King AC, Housemann R, Brownson RC. Determinants of leisure time physical activity in rural compared with urban older and ethnically diverse women in the United States. J Epidemiol Community Health. 2000;54(9):667–672.PubMedCrossRef Wilcox S, Castro C, King AC, Housemann R, Brownson RC. Determinants of leisure time physical activity in rural compared with urban older and ethnically diverse women in the United States. J Epidemiol Community Health. 2000;54(9):667–672.PubMedCrossRef
26.
go back to reference Huston S, Evenson KR, Bors P, Gizlice Z. Neighborhood environment, access to places for physical activity, and leisure time physical activity in a diverse North Carolina population. Am J Health Promot. 2003;18(1):58–69.PubMed Huston S, Evenson KR, Bors P, Gizlice Z. Neighborhood environment, access to places for physical activity, and leisure time physical activity in a diverse North Carolina population. Am J Health Promot. 2003;18(1):58–69.PubMed
27.
go back to reference Kirtland KA, Porter DE, Addy CL, et al. Environmental measures of physical activity supports: Perception versus reality. Am J Prev Med. 2003;24(4):323–331.PubMedCrossRef Kirtland KA, Porter DE, Addy CL, et al. Environmental measures of physical activity supports: Perception versus reality. Am J Prev Med. 2003;24(4):323–331.PubMedCrossRef
28.
go back to reference Troped PJ, Saunders RP, Pate RR, et al. Associations between self-reported and objective physical environmental factors and use of a community rail-trail. Prev Med. 2001;32:191–200.PubMedCrossRef Troped PJ, Saunders RP, Pate RR, et al. Associations between self-reported and objective physical environmental factors and use of a community rail-trail. Prev Med. 2001;32:191–200.PubMedCrossRef
29.
go back to reference Giles-Corti B, Donovan RJ. The relative influence of individual, social and physical environment determinants of physical activity. Soc Sci Med. 2002;54:1793–1812.PubMedCrossRef Giles-Corti B, Donovan RJ. The relative influence of individual, social and physical environment determinants of physical activity. Soc Sci Med. 2002;54:1793–1812.PubMedCrossRef
30.
go back to reference Giles-Corti B, Donovan RJ. Socioeconomic status differences in recreational physical activity levels and real and perceived access to supportive physical environment. Prev Med. 2002;35(6):601–611.PubMedCrossRef Giles-Corti B, Donovan RJ. Socioeconomic status differences in recreational physical activity levels and real and perceived access to supportive physical environment. Prev Med. 2002;35(6):601–611.PubMedCrossRef
31.
go back to reference Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System User’s Guide. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 1998. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System User’s Guide. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 1998.
33.
go back to reference Evenson KR, McGinn AP. Test–retest reliability of a questionnaire to assess physical environmental factors pertaining to physical activity. Int J Behav Nutr Phys Act. 2005;2:7–13.PubMedCrossRef Evenson KR, McGinn AP. Test–retest reliability of a questionnaire to assess physical environmental factors pertaining to physical activity. Int J Behav Nutr Phys Act. 2005;2:7–13.PubMedCrossRef
34.
go back to reference Evenson KR, McGinn AP. Test–retest reliability of adult surveillance measures of physical activity and inactivity. Am J Prev Med. 2005;28(5):470–478.PubMedCrossRef Evenson KR, McGinn AP. Test–retest reliability of adult surveillance measures of physical activity and inactivity. Am J Prev Med. 2005;28(5):470–478.PubMedCrossRef
35.
go back to reference Pikora T, Giles-Corti B, Bull F, Jamrozik K, Donovan R. Developing a framework for assessment of the environmental determinants of walking and cycling. Soc Sci Med. 2003;56:1693–1703.PubMedCrossRef Pikora T, Giles-Corti B, Bull F, Jamrozik K, Donovan R. Developing a framework for assessment of the environmental determinants of walking and cycling. Soc Sci Med. 2003;56:1693–1703.PubMedCrossRef
36.
go back to reference Centers for Disease Control and Prevention. Prevalence of physical activity, including lifestyle activities among adults—United States, 2000–2001. MMWR Morb Mortal Wkly Rep. 2003;52(32):764–769. Centers for Disease Control and Prevention. Prevalence of physical activity, including lifestyle activities among adults—United States, 2000–2001. MMWR Morb Mortal Wkly Rep. 2003;52(32):764–769.
37.
go back to reference Centers for Disease Control and Prevention. Physical activity trends—United States, 1990–1998. MMWR Morb Mortal Wkly Rep. 2001;50(9):166–169. Centers for Disease Control and Prevention. Physical activity trends—United States, 1990–1998. MMWR Morb Mortal Wkly Rep. 2001;50(9):166–169.
38.
go back to reference Strath S, Bassett Jr. D, Ham S, Swartz A. Assessment of physical activity by telephone interview versus objective monitoring. Med Sci Sport Exerc. 2003;35(Suppl 5):S114.CrossRef Strath S, Bassett Jr. D, Ham S, Swartz A. Assessment of physical activity by telephone interview versus objective monitoring. Med Sci Sport Exerc. 2003;35(Suppl 5):S114.CrossRef
39.
go back to reference Baecke JAH, Burema J, Frijters JER. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982;36(5):936–942.PubMed Baecke JAH, Burema J, Frijters JER. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982;36(5):936–942.PubMed
41.
go back to reference Environmental Systems Research Institute Inc. TigerLine Road Network. Environmental Systems Research Institute Inc. Available at: www.esri.com. Accessed July 2003. Environmental Systems Research Institute Inc. TigerLine Road Network. Environmental Systems Research Institute Inc. Available at: www.​esri.​com. Accessed July 2003.
42.
go back to reference Environmental Systems Research Institute, Inc. Spatial Analyst Extension for Arcview 3.x (computer program). Version. Redlands, CA: Environmental Systems Research Institute, Inc.; 1998. Environmental Systems Research Institute, Inc. Spatial Analyst Extension for Arcview 3.x (computer program). Version. Redlands, CA: Environmental Systems Research Institute, Inc.; 1998.
43.
go back to reference Dill J. Measuring Network Connectivity for Bicycling and Walking. Washington DC: 83rd annual meeting of the transportation research board; 2004. Dill J. Measuring Network Connectivity for Bicycling and Walking. Washington DC: 83rd annual meeting of the transportation research board; 2004.
44.
47.
go back to reference Environmental Systems Research Institute Inc. ArcGIS (computer program). Version 8.1. Redlands, CA: Environmental Systems Research Institute Inc.; 2000. Environmental Systems Research Institute Inc. ArcGIS (computer program). Version 8.1. Redlands, CA: Environmental Systems Research Institute Inc.; 2000.
48.
go back to reference SAS Institute Inc. SAS [computer program]. Version 8.2. Cary, NC: SAS Institute Inc.; 2002. SAS Institute Inc. SAS [computer program]. Version 8.2. Cary, NC: SAS Institute Inc.; 2002.
50.
51.
go back to reference Kaiser H. The application of electronic computers to factor analysis. Educ Psychol Meas. 1960;20:141–151.CrossRef Kaiser H. The application of electronic computers to factor analysis. Educ Psychol Meas. 1960;20:141–151.CrossRef
52.
go back to reference Hatcher L, Stepanski E. A Step-by-step Approach to Using the SAS System for Univariate and Multivariate Statistics, 1st edn. Cary, NC: SAS Institute Inc.; 1994. Hatcher L, Stepanski E. A Step-by-step Approach to Using the SAS System for Univariate and Multivariate Statistics, 1st edn. Cary, NC: SAS Institute Inc.; 1994.
53.
go back to reference Landis J, Koch G. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174.PubMedCrossRef Landis J, Koch G. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174.PubMedCrossRef
54.
go back to reference Research Triangle Institute. Sudaan Software for the Statistical Analysis of Correlated Data (computer program). Version 8.0.2. Research Triangle Park, NC: Research Triangle Institute; 2003. Research Triangle Institute. Sudaan Software for the Statistical Analysis of Correlated Data (computer program). Version 8.0.2. Research Triangle Park, NC: Research Triangle Institute; 2003.
55.
go back to reference Little RJ, Lewitzky S, Heeringa S, Lepkowski J, Kessler RC. Assessment of weighting methodology for the National Co-morbidity Survey. Am J Epidemiol. 1997;146(5):439–449.PubMed Little RJ, Lewitzky S, Heeringa S, Lepkowski J, Kessler RC. Assessment of weighting methodology for the National Co-morbidity Survey. Am J Epidemiol. 1997;146(5):439–449.PubMed
56.
go back to reference Hoehner CM, Brennan Ramirez LK, Elliott MB, Handy SL, Brownson RC. Perceived and objective environmental measures and physical activity among urban adults. Am J Prev Med. 2005;28(2Suppl 2):105–116.PubMedCrossRef Hoehner CM, Brennan Ramirez LK, Elliott MB, Handy SL, Brownson RC. Perceived and objective environmental measures and physical activity among urban adults. Am J Prev Med. 2005;28(2Suppl 2):105–116.PubMedCrossRef
57.
go back to reference Ball K, Bauman A, Leslie E, Owen N. Perceived environmental aesthetics and convenience and company are associated with walking for exercise among Australian adults. Prev Med. 2001;33:434–440.PubMedCrossRef Ball K, Bauman A, Leslie E, Owen N. Perceived environmental aesthetics and convenience and company are associated with walking for exercise among Australian adults. Prev Med. 2001;33:434–440.PubMedCrossRef
58.
go back to reference King WC, Brach JS, Belle S, et al. The relationship between convenience of destinations and walking levels in older women. Am J Health Promot. 2003;18(1):74–82.PubMed King WC, Brach JS, Belle S, et al. The relationship between convenience of destinations and walking levels in older women. Am J Health Promot. 2003;18(1):74–82.PubMed
Metadata
Title
Exploring Associations between Physical Activity and Perceived and Objective Measures of the Built Environment
Authors
Aileen P. McGinn
Kelly R. Evenson
Amy H. Herring
Sara L. Huston
Daniel A. Rodriguez
Publication date
01-03-2007
Published in
Journal of Urban Health / Issue 2/2007
Print ISSN: 1099-3460
Electronic ISSN: 1468-2869
DOI
https://doi.org/10.1007/s11524-006-9136-4

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