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1.
Am J Health Promot ; 21(5): 448-59, 2007.
Article in English | MEDLINE | ID: mdl-17515010

ABSTRACT

PURPOSE: This study established a framework to audit environments supporting walking in neighborhoods. DESIGN: Cross-sectional analysis using a telephone survey and 200 objective environmental variables. SETTING. Urbanized King County, WA. SUBJECTS. 608 randomly sampled adults. Measures. Walking measures constructed from survey questions; objective environmental measures taken from parcel-level databases in Geographic Information Systems. ANALYSIS: Multinomial models estimated the odds of people engaging in moderate walking (<149 min/wk) and in walking sufficiently to meet recommendations for health (150+ min/ wk), relative to not walking" and in walking sufficiently, relative to walking moderately. A base model consisted of survey variables, and final models incorporated both survey and environmental variables. RESULTS. Survey variables strongly associated with walking sufficiently to enhance health included household income, not having difficulty walking, using transit, perceiving social support for walking walking outside of the neighborhood, and having a dog (p < .01). The models isolated 14 environmental variables associated with walking sufficiently (pseudo R2 up to 0. 46). Measures of distance to neighborhood destinations dominated the results: shorter distances to grocery stores/markets, restaurants, and retail stores, but longer distances to offices or mixed-use buildings (p < .01 or .05). The density of the respondent's parcel was also strongly associated with walking sufficiently (p < .01). Conclusions. The study offered valid environmental measures of neighborhood walkability.


Subject(s)
Environment Design , Health Promotion/methods , Urban Health , Walking/psychology , Adolescent , Adult , Aged , Cross-Sectional Studies , Female , Geographic Information Systems , Humans , Interviews as Topic , Logistic Models , Male , Middle Aged , Residence Characteristics , Socioeconomic Factors , Surveys and Questionnaires , Walking/physiology , Washington
2.
J Phys Act Health ; 3(s1): S99-S117, 2006 Feb.
Article in English | MEDLINE | ID: mdl-28834523

ABSTRACT

BACKGROUND: The concept of walkable neighborhoods is increasingly important in physical activity research and intervention. However, limited theoretical understanding and measurable definitions remain a challenge. METHODS: This paper reviews theories defining neighborhoods and offers an empirical approach to identify measurable attributes and thresholds of walkable neighborhoods. Bivariate and multivariate analyses are used for self-reported socio-demographic background, neighborhood walking behavior and perception, and objective measures of environments. RESULTS: Environmental attributes positively associated with walking sufficiently to meet health recommendations included higher residential density and smaller street-blocks around home, and shorter distances to food and daily retail facilities from home. Threshold distances for eating/drinking establishments and grocery stores were 860 and 1445 feet. CONCLUSIONS: Results questioned theoretical constructs of neighborhoods centered on recreation and educational uses. They pointed to finer mixes of uses than those characterizing suburban neighborhoods, and small spatial units of analysis and intervention to capture and promote neighborhood walkability.

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