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Transportation-Efficient Land Use Mapping Index (TELUMI), a Tool to Assess Multimodal Transportation Options in Metropolitan Regions

Moudon, Anne Vernez; Sohn, D. W.; Kavage, Sarah E.; Mabry, Jean E. (2011). Transportation-Efficient Land Use Mapping Index (TELUMI), a Tool to Assess Multimodal Transportation Options in Metropolitan Regions. International Journal Of Sustainable Transportation, 5(2), 111 – 133.

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Abstract

The Transportation-Efficient Land Use Mapping Index (TELUMI) is a tool to visualize and to quantify micro-level metropolitan land use and development patterns as they affect travel demand. It can assist transportation and urban planning authorities in identifying zones where land use supports multimodal travel and in determining a region's transportation system efficiency. An application of the TELUMI in the Seattle region showed that residential units and employment concentrated in transportation-efficient areas covering less than 20 percent of the region. An interactive, multi-scaled tool, the TELUMI can also support scenario building to simulate land use changes that improve transportation system performance.

Keywords

Urban; Geographic Information Systems; Land Use; Mapping Index; Metropolitan; Multimodal Travel; Transportation Efficiency

The Geography of Diabetes by Census Tract in a Large Sample of Insured Adults in King County, Washington, 2005-2006

Drewnowski, Adam; Rehm, Colin D.; Moudon, Anne V.; Arterburn, David. (2014). The Geography of Diabetes by Census Tract in a Large Sample of Insured Adults in King County, Washington, 2005-2006. Preventing Chronic Disease, 11.

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Abstract

Introduction Identifying areas of high diabetes prevalence can have an impact on public health prevention and intervention programs. Local health practitioners and public health agencies lack small-area data on obesity and diabetes. Methods Clinical data from the Group Health Cooperative health care system were used to estimate diabetes prevalence among 59,767 adults by census tract. Area-based measures of socioeconomic status and the Modified Retail Food Environment Index were obtained at the census-tract level in King County, Washington. Spatial analyses and regression models were used to assess the relationship between census tract level diabetes and area-based socioeconomic status and food environment variables. The mediating effect of obesity on the geographic distribution of diabetes was also examined. Results In this population of insured adults, diabetes was concentrated in south and southeast King County, with smoothed diabetes prevalence ranging from 6.9% to 21.2%. In spatial regression models, home value and college education were more strongly associated with diabetes than was household income. For each 50% increase in median home value, diabetes prevalence was 1.2 percentage points lower. The Modified Retail Food Environment Index was not related to diabetes at the census-tract level. The observed associations between area-based socioeconomic status and diabetes were largely mediated by obesity (home value, 58%; education, 47%). Conclusion The observed geographic disparities in diabetes among insured adults by census tract point to the importance of area socioeconomic status. Small-area studies can help health professionals design community-based programs for diabetes prevention and control.

Keywords

Prevalence; Obesity; Us; Disease

Physical Activity and the Built Environment in Residential Neighborhoods of Seoul and Seattle: An Empirical Study Based on Housewives’ GPS Walking Data and Travel Diaries

Park, Sohyun; Choi, Yeemyung; Seo, Hanlim; Moudon, Anne Vernez; Bae, C. -h. Christine; Baek, So-ra. (2016). Physical Activity and the Built Environment in Residential Neighborhoods of Seoul and Seattle: An Empirical Study Based on Housewives’ GPS Walking Data and Travel Diaries. Journal Of Asian Architecture And Building Engineering, 15(3), 471 – 478.

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Abstract

This paper is based on a collaborative pilot-study to ascertain the characteristic walking patterns and neighborhood features in residential areas of Seoul, Korea and Seattle, USA. As for sample sites, four case neighborhoods were selected: two from Seoul and two from in and outside of the Seattle-Shoreline areas. As for participants, thirty Korean housewives in Seoul and thirty Korean-American housewives in the Seattle area were selected respectively, and their socio-demographic characteristics, GPS records, and travel diary data for seven days were collected and analyzed. Considering the typical rainy seasons in the two cities, data collections, including the physical activity assessment by GPS devices, were carried out from May to June and from September to October in Seoul, and from July to October in Seattle during the year 2010. Noteworthy research findings include the following: Korean participants in Seoul walk about 2.6 km on average per day, while Korean-American participants in Seattle walk about 400m on average per day. In the case sites of Seoul, 75% of grocery shopping activities happen within the neighborhood by walking, while only 17% of those activities on foot happen in the case sites of Seattle. As for the most walking activity, about 70% of total walking amounts are related to utilitarian walking in Seoul sites, while 50% of total walking are related to recreational walking in Seattle sites. Recreational walking and utilitarian walking occur separately in Seattle sites, while the two walking types are often combined in Seoul sites, which also contribute to more walking amounts and farther walking distances in Seoul sites. This paper empirically confirms the widely held assumptions in part that residents in Seoul, a relatively high-density and high mixed-use city, walk more than those in Seattle, a relatively low-density and low mixed-use city. This paper also recognizes that in the case of both cities, more walking activities occur in the neighborhood built environment, where finely-grained street networks, small lots and blocks, various pedestrian destinations, public transit access, etc are provided in close connection. The amount and frequency of walking activities, as well as the fineness of neighborhood features, however, are remarkably different in the two cities, whose implications deserve in-depth exploration in further studies.

Keywords

Urban Design; Physical Activity; Neighborhood Environment; Objective Measures; Gps Walking Data; International Comparative Study

The Association between Park Facilities and the Occurrence of Physical Activity during Park Visits

Stewart, Orion Theodore; Moudon, Anne Vernez; Littman, Alyson; Seto, Edmund; Saelens, Brian E. (2018). The Association between Park Facilities and the Occurrence of Physical Activity during Park Visits. Journal Of Leisure Research, 49(3-5), 217 – 235.

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Abstract

Prior research has found a positive relationship between the variety of park facilities and park-based physical activity (PA) but has not provided an estimate of the effect that additional different PA facilities have on whether an individual is active during a park visit. Using objective measures of park visits and PA from an urban sample of 225 adults in King County, Washington, we compared the variety of PA facilities in parks visited where an individual was active to PA facilities in parks where the same individual was sedentary. Each additional different PA facility at a park was associated with a 6% increased probability of being active during a visit. Adding different PA facilities to a park appears to have a moderate effect on whether an individual is active during a park visit, which could translate into large community health impacts when scaled up to multiple park visitors.

Keywords

Accelerometer Data; Built Environment; Walking; Density; Health; Adults; Size; Gps; Attractiveness; Improvements; Measurement; Parks; Physical Activity; Quantitative Research; Urban Planning

Measurement of Neighborhood-Based Physical Activity Bouts

Duncan, Glen E.; Hurvitz, Philip M.; Moudon, Anne Vernez; Avery, Ally R.; Tsang, Siny. (2021). Measurement of Neighborhood-Based Physical Activity Bouts. Health & Place, 70.

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Abstract

This study examined how buffer type (shape), size, and the allocation of activity bouts inside buffers that delineate the neighborhood spatially produce different estimates of neighborhood-based physical activity. A sample of 375 adults wore a global positioning system (GPS) data logger and accelerometer over 2 weeks under free-living conditions. Analytically, the amount of neighborhood physical activity measured objectively varies substantially, not only due to buffer shape and size, but by how GPS-based activity bouts are identified with respect to containment within neighborhood buffers. To move the neighborhood-effects literature forward, it is critical to delineate the spatial extent of the neighborhood, given how different ways of measuring GPS-based activity containment will result in different levels of physical activity across different buffer types and sizes.

Keywords

Built Environment; Walking; Home; Accelerometry; Geographic Information Systems; Gps; Neighborhood; Physical Activity

Obesity and Supermarket Access: Proximity or Price?

Drewnowski, Adam; Aggarwal, Anju; Hurvitz, Philip M.; Monsivais, Pablo; Moudon, Anne V. (2012). Obesity and Supermarket Access: Proximity or Price? American Journal Of Public Health, 102(8), e74 – e80.

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Abstract

Objectives. We examined whether physical proximity to supermarkets or supermarket price was more strongly associated with obesity risk. Methods. The Seattle Obesity Study (SOS) collected and geocoded data on home addresses and food shopping destinations for a representative sample of adult residents of King County, Washington. Supermarkets were stratified into 3 price levels based on average cost of the market basket. Sociodemographic and health data were obtained from a telephone survey. Modified Poisson regression was used to test the associations between obesity and supermarket variables. Results. Only 1 in 7 respondents reported shopping at the nearest supermarket. The risk of obesity was not associated with street network distances between home and the nearest supermarket or the supermarket that SOS participants reported as their primary food source. The type of supermarket, by price, was found to be inversely and significantly associated with obesity rates, even after adjusting for individual-level sociodemographic and lifestyle variables, and proximity measures (adjusted relative risk = 0.34; 95% confidence interval = 0.19, 0.63) Conclusions. Improving physical access to supermarkets may be one strategy to deal with the obesity epidemic; improving economic access to healthy foods is another. [ABSTRACT FROM AUTHOR]; Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Keywords

Natural Foods; Obesity Risk Factors; Surveys; Cluster Analysis (statistics); Confidence Intervals; Correlation (statistics); Food Service; Geographic Information Systems; Poisson Distribution; Population Geography; Research Funding; User Charges; Residential Patterns; Socioeconomic Factors; Relative Medical Risk; Statistical Models; Descriptive Statistics; Economics; Washington (state)

Stepping Towards Causation in Studies of Neighborhood and Environmental Effects: How Twin Research Can Overcome Problems of Selection and Reverse Causation

Duncan, Glen E.; Mills, Brianna; Strachan, Eric; Hurvitz, Philip; Huang, Ruizhu; Moudon, Anne Vernez; Turkheimer, Eric. (2014). Stepping Towards Causation in Studies of Neighborhood and Environmental Effects: How Twin Research Can Overcome Problems of Selection and Reverse Causation. Health & Place, 27, 106 – 111.

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Abstract

No causal evidence is available to translate associations between neighborhood characteristics and health outcomes into beneficial changes to built environments. Observed associations may be causal or result from uncontrolled confounds related to family upbringing. Twin designs can help neighborhood effects studies overcome selection and reverse causation problems in specifying causal mechanisms. Beyond quantifying genetic effects (i.e., heritability coefficients), we provide examples of innovative measures and analytic methods that use twins as quasi-experimental controls for confounding by environmental effects. We conclude that collaboration among investigators from multiple fields can move the field forward by designing studies that step toward causation. (C) 2014 Elsevier Ltd. All rights reserved,

Keywords

Residential Location; Methylation; Gene; Interplay; Obesity; Causality; Environment Design; Lifestyle Risk Reduction; Social And Built Environments; Twin Studies

Secondary GIS Built Environment Data for Health Research: Guidance for Data Development

Stewart, Orion T.; Carlos, Heather A.; Lee, Chanam; Berke, Ethan M.; Hurvitz, Philip M.; Li, Li; Moudon, Anne Vernez; Doescher, Mark P. (2016). Secondary GIS Built Environment Data for Health Research: Guidance for Data Development. Journal Of Transport & Health, 3(4), 529 – 539.

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Abstract

Built environment (BE) data in geographic information system (GIS) format are increasingly available from public agencies and private providers. These data can provide objective, low-cost BE data over large regions and are often used in public health research and surveillance. Yet challenges exist in repurposing GIS data for health research. The GIS data do not always capture desired constructs; the data can be of varying quality and completeness; and the data definitions, structures, and spatial representations are often inconsistent across sources. Using the Small Town Walkability study as an illustration, we describe (a) the range of BE characteristics measurable in a GIS that may be associated with active living, (b) the availability of these data across nine U.S. small towns, (c) inconsistencies in the GIS BE data that were available, and (d) strategies for developing accurate, complete, and consistent GIS BE data appropriate for research. Based on a conceptual framework and existing literature, objectively measurable characteristics of the BE potentially related to active living were classified under nine domains: generalized land uses, morphology, density, destinations, transportation system, traffic conditions, neighborhood behavioral conditions, economic environment, and regional location. At least some secondary GIS data were available across all nine towns for seven of the 9 BE domains. Data representing high-resolution or behavioral aspects of the BE were often not available. Available GIS BE data - especially tax parcel data often contained varying attributes and levels of detail across sources. When GIS BE data were available from multiple sources, the accuracy, completeness, and consistency of the data could be reasonable ensured for use in research. But this required careful attention to the definition and spatial representation of the BE characteristic of interest. Manipulation of the secondary source data was often required, which was facilitated through protocols. (C) 2015 Elsevier Ltd. All rights reserved.

Keywords

Geographic Information-systems; Physical-activity; Land-use; Walking; Neighborhood; Associations; Density; Design; Adults; Travel; Active Travel; Pedestrian; Urban Design; Community Health; Rural

The Moving to Health (M2H) Approach to Natural Experiment Research: A Paradigm Shift for Studies on Built Environment and Health

Drewnowski, A.; Arterburn, D.; Zane, J.; Aggarwal, A.; Gupta, S.; Hurvitz, P. M.; Moudon, A., V; Bobb, J.; Cook, A.; Lozano, P.; Rosenberg, D. (2019). The Moving to Health (M2H) Approach to Natural Experiment Research: A Paradigm Shift for Studies on Built Environment and Health. Ssm-population Health, 7.

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Abstract

Improving the built environment (BE) is viewed as one strategy to improve community diets and health. The present goal is to review the literature on the effects of BE on health, highlight its limitations, and explore the growing use of natural experiments in BE research, such as the advent of new supermarkets, revitalized parks, or new transportation systems. Based on recent studies on movers, a paradigm shift in built-environment health research may be imminent. Following the classic Moving to Opportunity study in the US, the present Moving to Health (M2H) strategy takes advantage of the fact that changing residential location can entail overnight changes in multiple BE variables. The necessary conditions for applying the M2H strategy to Geographic Information Systems (GIS) databases and to large longitudinal cohorts are outlined below. Also outlined are significant limitations of this approach, including the use of electronic medical records in lieu of survey data. The key research question is whether documented changes in BE exposure can be linked to changes in health outcomes in a causal manner. The use of geo-localized clinical information from regional health care systems should permit new insights into the social and environmental determinants of health.

Keywords

Body-mass Index; Neighborhood Food Environment; Residential Property-values; Cardiometabolic Risk-factors; New-york-city; Physical-activity; Obesity Rates; King County; Weight-gain; Land-use; Built Environment (be); Geographic Information Systems (gis); Electronic Medical Records; Natural Experiments; Obesity; Diabetes; Residential Mobility

Measuring the Urban Forms of Shanghai’s City Center and Its New Districts: A Neighborhood-Level Comparative Analysis

Lin, Lin; Chen, Xueming (Jimmy); Moudon, Anne Vernez. (2021). Measuring the Urban Forms of Shanghai’s City Center and Its New Districts: A Neighborhood-Level Comparative Analysis. Sustainability, 13(15).

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Abstract

Rapid urban expansion has radically transformed the city centers and the new districts of Chinese cities. Both areas have undergone unique redevelopment and development over the past decades, generating unique urban forms worthy of study. To date, few studies have investigated development patterns and land use intensities at the neighborhood level. The present study aims to fill the gap and compare the densities of different types of developments and the spatial compositions of different commercial uses at the neighborhood level. We captured the attributes of their built environment that support instrumental activities of daily living of 710 neighborhoods centered on the public elementary schools of the entire Shanghai municipality using application programming interfaces provided in Baidu Map services. The 200 m neighborhood provided the best fit to capture the variations of the built environment. Overall, city center neighborhoods had significantly higher residential densities and housed more daily routine destinations than their counterparts in the new districts. Unexpectedly, however, the total length of streets was considerably smaller in city-center neighborhoods, likely reflecting the prominence of the wide multilane vehicular roads surrounding large center city redevelopment projects. The findings point to convergence between the city center's urban forms and that of the new districts.

Keywords

Quantifying Spatiotemporal Patterns; Fast-food Restaurants; Instrumental Activities; Physical-activity; Chinese Cities; Land; Schools; Redevelopment; Expansion; Transformation; Built Environment; Planning; Neighborhood; Urban Form; Shanghai