Scully, Jason Y.; Moudon, Anne Vernez; Hurvitz, Philip M.; Aggarwal, Anju; Drewnowski, Adam. (2019). A Time-Based Objective Measure of Exposure to the Food Environment. International Journal Of Environmental Research And Public Health, 16(7).
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Abstract
Exposure to food environments has mainly been limited to counting food outlets near participants' homes. This study considers food environment exposures in time and space using global positioning systems (GPS) records and fast food restaurants (FFRs) as the environment of interest. Data came from 412 participants (median participant age of 45) in the Seattle Obesity Study II who completed a survey, wore GPS receivers, and filled out travel logs for seven days. FFR locations were obtained from Public Health Seattle King County and geocoded. Exposure was conceptualized as contact between stressors (FFRs) and receptors (participants' mobility records from GPS data) using four proximities: 21 m, 100 m, 500 m, and 1/2 mile. Measures included count of proximal FFRs, time duration in proximity to 1 FFR, and time duration in proximity to FFRs weighted by FFR counts. Self-reported exposures (FFR visits) were excluded from these measures. Logistic regressions tested associations between one or more reported FFR visits and the three exposure measures at the four proximities. Time spent in proximity to an FFR was associated with significantly higher odds of FFR visits at all proximities. Weighted duration also showed positive associations with FFR visits at 21-m and 100-m proximities. FFR counts were not associated with FFR visits. Duration of exposure helps measure the relationship between the food environment, mobility patterns, and health behaviors. The stronger associations between exposure and outcome found at closer proximities (<100 m) need further research.
Keywords
Global Positioning Systems; Physical-activity; Health Research; Land-use; Neighborhood; Gps; Obesity; Tracking; Validity; Mobility; Fast Food; Spatio-temporal Exposure; Mobility Patterns; Selective Mobility Bias
Perry, Cynthia K.; Herting, Jerald R.; Berke, Ethan M.; Nguyen, Huong Q.; Moudon, Anne Vernez; Beresford, Shirley A. A.; Ockene, Judith K.; Manson, Joann E.; Lacroix, Andrea Z. (2013). Does Neighborhood Walkability Moderate the Effects of Intrapersonal Characteristics on Amount of Walking in Post-Menopausal Women? Health & Place, 21, 39 – 45.
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Abstract
This study identifies factors associated with walking among postmenopausal women and tests whether neighborhood walkability moderates the influence of intrapersonal factors on walking. We used data from the Women's Health Initiative Seattle Center and linear regression models to estimate associations and interactions. Being white and healthy, having a high school education or beyond and greater non-walking exercise were significantly associated with more walking. Neighborhood walkability was not independently associated with greater walking, nor did it moderate influence of intrapersonal factors on walking. Specifying types of walking (e.g., for transportation) can elucidate the relationships among intrapersonal factors, the built environment, and walking. (C) 2013 Elsevier Ltd. All rights reserved.
Keywords
Self-talk; Postmenopause; Walking; Women's Health; Built Environment; Social Interaction; Regression Analysis; Postmenopausal Women; Walkability; Physical-activity; Older-adults; United-states; Us Adults; Exercise; Obesity; Transportation; Association; Attributes
Jiao, J.; Moudon, A. V.; Kim, S. Y.; Hurvitz, P. M.; Drewnowski, A. (2015). Health Implications of Adults’ Eating at and Living Near Fast Food or Quick Service Restaurants. Nutrition & Diabetes, 5.
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Abstract
BACKGROUND: This paper examined whether the reported health impacts of frequent eating at a fast food or quick service restaurant on health were related to having such a restaurant near home. METHODS: Logistic regressions estimated associations between frequent fast food or quick service restaurant use and health status, being overweight or obese, having a cardiovascular disease or diabetes, as binary health outcomes. In all, 2001 participants in the 2008-2009 Seattle Obesity Study survey were included in the analyses. RESULTS: Results showed eating >= 2 times a week at a fast food or quick service restaurant was associated with perceived poor health status, overweight and obese. However, living close to such restaurants was not related to negative health outcomes. CONCLUSIONS: Frequent eating at a fast food or quick service restaurant was associated with perceived poor health status and higher body mass index, but living close to such facilities was not.
Keywords
Body-mass Index; Socioeconomic-status; Built Environment; Obesity; Association; Consumption; Weight; Proximity; Outlets; Establishments
Scully, Jason Y.; Moudon, Anne Vernez; Hurvitz, Philip M.; Aggarwal, Anju; Drewnowski, Adam. (2017). GPS or Travel Diary: Comparing Spatial and Temporal Characteristics of Visits to Fast Food Restaurants and Supermarkets. Plos One, 12(4).
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Abstract
To assess differences between GPS and self-reported measures of location, we examined visits to fast food restaurants and supermarkets using a spatiotemporal framework. Data came from 446 participants who responded to a survey, filled out travel diaries of places visited, and wore a GPS receiver for seven consecutive days. Provided by Public Health Seattle King County, addresses from food permit data were matched to King County tax assessor parcels in a GIS. A three-step process was used to verify travel-diary reported visits using GPS records: (1) GPS records were temporally matched if their timestamps were within the time window created by the arrival and departure times reported in the travel diary; (2) the temporally matched GPS records were then spatially matched if they were located in a food establishment parcel of the same type reported in the diary; (3) the travel diary visit was then GPS-sensed if the name of food establishment in the parcel matched the one reported in the travel diary. To account for errors in reporting arrival and departure times, GPS records were temporally matched to three time windows: the exact time, +/-10 minutes, and +/-30 minutes. One third of the participants reported 273 visits to fast food restaurants; 88% reported 1,102 visits to supermarkets. Of these, 77.3 percent of the fast food and 78.6 percent supermarket visits were GPS-sensed using the +/-10-minute time window. At this time window, the mean travel-diary reported fast food visit duration was 14.5 minutes (SD 20.2), 1.7 minutes longer than the GPS-sensed visit. For supermarkets, the reported visit duration was 23.7 minutes (SD 18.9), 3.4 minutes longer than the GPS-sensed visit. Travel diaries provide reasonably accurate information on the locations and brand names of fast food restaurants and supermarkets participants report visiting.
Keywords
Global Positioning System; Fast Food Restaurants; Self-evaluation; Public Health; Supermarkets; Geoinformatics; Comparative Studies; Biology And Life Sciences; Computer And Information Sciences; Diet; Earth Sciences; Eating; Engineering And Technology; Food; Food Consumption; Geographic Information Systems; Geography; Medicine And Health Sciences; Nutrition; Physiological Processes; Physiology; Public And Occupational Health; Research And Analysis Methods; Research Article; Research Design; Survey Research; Surveys; Transportation; Global Positioning Systems; Environment; Neighborhood; Exposure; Health; Consumption; Tracking; Adults; Associations; Dietary
Buszkiewicz, James; Rose, Chelsea; Gupta, Shilpi; Ko, Linda K.; Mou, Jin; Moudon, Anne, V; Hurvitz, Philip M.; Cook, Andrea; Aggarwal, Anju; Drewnowski, Adam. (2020). A Cross-Sectional Analysis of Physical Activity and Weight Misreporting in Diverse Populations: The Seattle Obesity Study III. Obesity Science & Practice, 6(6), 615 – 627.
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Abstract
Background: In-person assessments of physical activity (PA) and body weight can be burdensome for participants and cost prohibitive for researchers. This study examined self-reported PA and weight accuracy and identified patterns of misreporting in a diverse sample. Methods: King, Pierce and Yakima county residents, aged 21-59 years (n= 728), self-reported their moderate-to-vigorous PA (MVPA) and weight, in kilograms. Self-reports were compared with minutes of bout-level MVPA, from 3 days of accelerometer data, and measured weights. Regression models examined characteristics associated with underreporting and overreporting of MVPA and weight, the potential bias introduced using each measure and the relation between perceived and measured PA and weight. Results: MVPA underreporting was higher among males and college educated participants; however, there was no differential MVPA overreporting. Weight underreporting was higher among males, those age 40-49 years and persons with obesity. Weight overreporting was higher among Hispanic participants and those reporting stress, unhappiness and fair or poor health. The estimated PA-obesity relation was similar using measured and self-reported PA but not self-reported weight. Perceived PA and weight predicted measured values. Conclusion: Self-reported PA and weight may be useful should objective measurement be infeasible; however, though population-specific adjustment for differential reporting should be considered.
Keywords
Self-reported Weight; Sedentary Behavior; Validation; Accuracy; Height; Adults; Health Disparity; Obesity; Physical Activity; Self-reported Outcomes
Aggarwal, Anju; Cook, Andrea J.; Jiao, Junfeng; Seguin, Rebecca A.; Moudon, Anne Vernez; Hurvitz, Philip M.; Drewnowski, Adam. (2014). Access to Supermarkets and Fruit and Vegetable Consumption. American Journal Of Public Health, 104(5), 917 – 923.
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Abstract
Objectives. We examined whether supermarket choice, conceptualized as a proxy for underlying personal factors, would better predict access to supermarkets and fruit and vegetable consumption than mere physical proximity. Methods. The Seattle Obesity Study geocoded respondents' home addresses and locations of their primary supermarkets. Primary supermarkets were stratified into low, medium, and high cost according to the market basket cost of 100 foods. Data on fruit and vegetable consumption were obtained during telephone surveys. Linear regressions examined associations between physical proximity to primary supermarkets, supermarket choice, and fruit and vegetable consumption. Descriptive analyses examined whether supermarket choice outweighed physical proximity among lower-income and vulnerable groups. Results. Only one third of the respondents shopped at their nearest supermarket for their primary food supply. Those who shopped at low-cost supermarkets were more likely to travel beyond their nearest supermarket. Fruit and vegetable consumption was not associated with physical distance but, with supermarket choice, after adjusting for covariates. Conclusions. Mere physical distance may not be the most salient variable to reflect access to supermarkets, particularly among those who shop by car. Studies on food environments need to focus beyond neighborhood geographic boundaries to capture actual food shopping behaviors.
Keywords
Confidence Intervals; Correlation (statistics); Fruit; Geographic Information Systems; Ingestion; Multivariate Analysis; Population Geography; Questionnaires; Regression Analysis; Research Funding; Sales Personnel; Shopping; Travel; Vegetables; Predictive Validity; Cross-sectional Method; Statistical Models; Descriptive Statistics; Null Hypothesis; Washington (state); Local Food Environment; Diet Quality; Socioeconomic Position; Atherosclerosis Risk; Stores; Associations; Obesity; Adults; Availability; Communities
Kang, Bumjoon; Scully, Jason Y.; Stewart, Orion; Hurvitz, Philip M.; Moudon, Anne V. (2015). Split-Match-Aggregate (SMA) Algorithm: Integrating Sidewalk Data with Transportation Network Data in GIS. International Journal Of Geographical Information Science, 29(3), 440 – 453.
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Abstract
Sidewalk geodata are essential to understand walking behavior. However, such geodata are scarce, only available at the local jurisdiction and not at the regional level. If they exist, the data are stored in geometric representational formats without network characteristics such as sidewalk connectivity and completeness. This article presents the Split-Match-Aggregate (SMA) algorithm, which automatically conflates sidewalk information from secondary geometric sidewalk data to existing street network data. The algorithm uses three parameters to determine geometric relationships between sidewalk and street segments: the distance between streets and sidewalk segments; the angle between sidewalk and street segments; and the difference between the lengths of matched sidewalk and street segments. The SMA algorithm was applied in urban King County, WA, to 13 jurisdictions' secondary sidewalk geodata. Parameter values were determined based on agreement rates between results obtained from 72 pre-specified parameter combinations and those of a trained geographic information systems (GIS) analyst using a randomly selected 5% of the 79,928 street segments as a parameter-development sample. The algorithm performed best when the distances between sidewalk and street segments were 12m or less, their angles were 25 degrees or less, and the tolerance was set to 18m, showing an excellent agreement rate of 96.5%. The SMA algorithm was applied to classify sidewalks in the entire study area and it successfully updated sidewalk coverage information on the existing regional-level street network data. The algorithm can be applied for conflating attributes between associated, but geometrically misaligned line data sets in GIS.
Keywords
Geodatabases; Sidewalks; Algorithms; Pedestrians; Digital Mapping; Algorithm; Gis; Pedestrian Network Data; Polyline Conflation; Sidewalk; Built Environment; Physical-activity; Mode Choice; Urban Form; Land-use; Travel; Generation; Walking
Drewnowski, A.; Buszkiewicz, J.; Aggarwal, A.; Cook, A.; Moudon, A. V. (2018). A New Method to Visualize Obesity Prevalence in Seattle-King County at the Census Block Level. Obesity Science & Practice, 4(1), 14 – 19.
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Abstract
Objective The aim of this study is to map obesity prevalence in Seattle King County at the census block level. Methods Data for 1,632 adult men and women came from the Seattle Obesity Study I. Demographic, socioeconomic and anthropometric data were collected via telephone survey. Home addresses were geocoded, and tax parcel residential property values were obtained from the King County tax assessor. Multiple logistic regression tested associations between house prices and obesity rates. House prices aggregated to census blocks and split into deciles were used to generate obesity heat maps. Results Deciles of property values for Seattle Obesity Study participants corresponded to county-wide deciles. Low residential property values were associated with high obesity rates (odds ratio, OR: 0.36; 95% confidence interval, CI [0.25, 0.51] in tertile 3 vs. tertile 1), adjusting for age, gender, race, home ownership, education, and incomes. Heat maps of obesity by census block captured differences by geographic area. Conclusion Residential property values, an objective measure of individual and area socioeconomic status, are a useful tool for visualizing socioeconomic disparities in diet quality and health.
Keywords
Residential Property-values; Socioeconomic-status; Health; Environment; Adults; Census Block; Geographic Information Systems; Mapping Obesity; Ses Measures
Mooney, Stephen J.; Bobb, Jennifer F.; Hurvitz, Philip M.; Anau, Jane; Theis, Mary Kay; Drewnowski, Adam; Aggarwal, Anju; Gupta, Shilpi; Rosenberg, Dori E.; Cook, Andrea J.; Shi, Xiao; Lozano, Paula; Moudon, Anne Vernez; Arterburn, David. (2020). Impact of Built Environments on Body Weight (The Moving to Health Study): Protocol for a Retrospective Longitudinal Observational Study. Jmir Research Protocols, 9(5).
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Abstract
Background: Studies assessing the impact of built environments on body weight are often limited by modest power to detect residential effects that are small for individuals but may nonetheless comprise large attributable risks. Objective: We used data extracted from electronic health records to construct a large retrospective cohort of patients. This cohort will be used to explore both the impact of moving between environments and the long-term impact of changing neighborhood environments. Methods: We identified members with at least 12 months of Kaiser Permanente Washington (KPWA) membership and at least one weight measurement in their records during a period between January 2005 and April 2017 in which they lived in King County, Washington. Information on member demographics, address history, diagnoses, and clinical visits data (including weight) was extracted. This paper describes the characteristics of the adult (aged 18-89 years) cohort constructed from these data. Results: We identified 229,755 adults representing nearly 1.2 million person-years of follow-up. The mean age at baseline was 45 years, and 58.0% (133,326/229,755) were female. Nearly one-fourth of people (55,150/229,755) moved within King County at least once during the follow-up, representing 84,698 total moves. Members tended to move to new neighborhoods matching their origin neighborhoods on residential density and property values. Conclusions: Data were available in the KPWA database to construct a very large cohort based in King County, Washington. Future analyses will directly examine associations between neighborhood conditions and longitudinal changes in body weight and diabetes as well as other health conditions.
Keywords
Residential Location Choice; Physical-activity; Risk-factors; Food Desert; Neighborhood; Obesity; Association; Outcomes; Bmi; Accelerometer; Electronic Health Records; Built Environment; Washington; Geography; Longitudinal Studies
Berke, Ethan M.; Vernez-Moudon, Anne. (2014). Built Environment Change: A Framework to Support Health-Enhancing Behaviour through Environmental Policy and Health Research. Journal Of Epidemiology And Community Health, 68(6), 586 – 590.
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Abstract
As research examining the effect of the built environment on health accelerates, it is critical for health and planning researchers to conduct studies and make recommendations in the context of a robust theoretical framework. We propose a framework for built environment change (BEC) related to improving health. BEC consists of elements of the built environment, how people are exposed to and interact with them perceptually and functionally, and how this exposure may affect health-related behaviours. Integrated into this framework are the legal and regulatory mechanisms and instruments that are commonly used to effect change in the built environment. This framework would be applicable to medical research as well as to issues of policy and community planning.
Keywords
Geographic Information-systems; Physical-activity; Obesity; Place; Associations; Walkability; Risk; Care