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Department: College of Built Environments

Small Increments in Diet Cost Can Improve Compliance with the Dietary Guidelines for Americans

Rose, Chelsea M.; Gupta, Shilpi; Buszkiewicz, James; Ko, Linda K.; Mou, Jin; Cook, Andrea; Moudon, Anne Vernez; Aggarwal, Anju; Drewnowski, Adam. (2020). Small Increments in Diet Cost Can Improve Compliance with the Dietary Guidelines for Americans. Social Science & Medicine, 266.

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Abstract

Adherence to the Dietary Guidelines for Americans (DGA) may involve higher diet costs. This study assessed the relation between two measures of food spending and diet quality among adult participants (N = 768) in the Seattle Obesity Study (SOS III). All participants completed socio-demographic and food expenditure surveys and the Fred Hutch food frequency questionnaire. Dietary intakes were joined with local supermarket prices to estimate individual-level diet costs. Healthy Eating Index (HEI-2015) scores measured compliance with DGA. Multiple linear regressions using Generalized Estimating Equations with robust standard errors showed that lower food spending was associated with younger age, Hispanic ethnicity, and lower socioeconomic status. Even though higher HEI-2015 scores were associated with higher diet costs per 2000 kcal, much individual variability was observed. A positive curvilinear relationship was observed in adjusted models. At lower cost diets, a $100/ month increase in cost (from $150 to $250) was associated with a 20.6% increase in HEI-2015. For higher levels of diet cost (from $350 to $450) there were diminishing returns (2.8% increase in HEI2015). These findings indicate that increases in food spending at the lower end of the range have the most potential to improve diet quality.

Keywords

Healthy Eating Index; Income Inequality; Quality; Obesity; Adults; Expenditure; Disparities; Strategy; Outcomes; Scores; Food Expenditures; Diet Costs; Food Shopping; Diet Quality; Hei-2015; Ses

Does the Built Environment Have Independent Obesogenic Power? Urban Form and Trajectories of Weight Gain

Buszkiewicz, James H.; Bobb, Jennifer F.; Hurvitz, Philip M.; Arterburn, David; Moudon, Anne Vernez; Cook, Andrea; Mooney, Stephen J.; Cruz, Maricela; Gupta, Shilpi; Lozano, Paula; Rosenberg, Dori E.; Theis, Mary Kay; Anau, Jane; Drewnowski, Adam. (2021). Does the Built Environment Have Independent Obesogenic Power? Urban Form and Trajectories of Weight Gain. International Journal Of Obesity, 45(9), 1914 – 1924.

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Abstract

Objective To determine whether selected features of the built environment can predict weight gain in a large longitudinal cohort of adults. Methods Weight trajectories over a 5-year period were obtained from electronic health records for 115,260 insured patients aged 18-64 years in the Kaiser Permanente Washington health care system. Home addresses were geocoded using ArcGIS. Built environment variables were population, residential unit, and road intersection densities captured using Euclidean-based SmartMaps at 800-m buffers. Counts of area supermarkets and fast food restaurants were obtained using network-based SmartMaps at 1600, and 5000-m buffers. Property values were a measure of socioeconomic status. Linear mixed effects models tested whether built environment variables at baseline were associated with long-term weight gain, adjusting for sex, age, race/ethnicity, Medicaid insurance, body weight, and residential property values. Results Built environment variables at baseline were associated with differences in baseline obesity prevalence and body mass index but had limited impact on weight trajectories. Mean weight gain for the full cohort was 0.06 kg at 1 year (95% CI: 0.03, 0.10); 0.64 kg at 3 years (95% CI: 0.59, 0.68), and 0.95 kg at 5 years (95% CI: 0.90, 1.00). In adjusted regression models, the top tertile of density metrics and frequency counts were associated with lower weight gain at 5-years follow-up compared to the bottom tertiles, though the mean differences in weight change for each follow-up year (1, 3, and 5) did not exceed 0.5 kg. Conclusions Built environment variables that were associated with higher obesity prevalence at baseline had limited independent obesogenic power with respect to weight gain over time. Residential unit density had the strongest negative association with weight gain. Future work on the influence of built environment variables on health should also examine social context, including residential segregation and residential mobility.

Keywords

Body-mass Index; Physical-activity; Food Environment; Structural Racism; Obesity; Neighborhoods; Associations; Health; Walkability; Exposure; Environment Models; Minority & Ethnic Groups; Urban Environments; Regression Analysis; Regression Models; Residential Density; Body Mass Index; Property Values; Body Weight Gain; Government Programs; Body Weight; Electronic Medical Records; Electronic Health Records; Fast Food; Buffers; Real Estate; Body Mass; Body Size; Socioeconomics; Health Care

Physical Activity Measurement in Children Who Use Mobility Assistive Devices: Accelerometry and Global Positioning System

Kerfeld, Cheryl I.; Hurvitz, Philip M.; Bjornson, Kristie F. (2021). Physical Activity Measurement in Children Who Use Mobility Assistive Devices: Accelerometry and Global Positioning System. Pediatric Physical Therapy, 33(2), 92 – 99.

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Abstract

Purpose: To explore the usefulness of combining accelerometry, global positioning systems, and geographic information systems, to describe the time spent in different locations and physical activity (PA) duration/count levels by location for 4 children with cerebral palsy (CP) who use assistive devices (AD). Methods: A descriptive multiple-case study. Results: Combining the 3 instruments was useful in describing and differentiating duration by location, and amount and location of PA across differing functional levels and AD. For example, the child classified with a Gross Motor Function Classification System (GMFCS) level II exhibited large amounts of PA in community settings. In contrast, the child classified with a GMFCS level V had small amounts of PA and spent most measured time at home. Conclusions: Combined accelerometry, global positioning system, and geographic information system have potential to capture time spent and amount/intensity of PA relative to locations within daily environments for children with CP who use AD.

Keywords

Cerebral-palsy; Objective Measures; Fitness; Youth; Disabilities; Adolescents; Exercise; Adults; Accelerometer; Cerebral Palsy; Environment; Global Positioning System; Mobility Assistive Devices; Physical Activity

What County-level Factors Influence Covid-19 Incidence in the United States? Findings from the First Wave of the Pandemic

Wang, Lan; Zhang, Surong; Yang, Zilin; Zhao, Ziyu; Moudon, Anne Vernez; Feng, Huasen; Liang, Junhao; Sun, Wenyao; Cao, Buyang. (2021). What County-level Factors Influence Covid-19 Incidence in the United States? Findings from the First Wave of the Pandemic. Cities, 118.

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Abstract

Effective control of the COVID-19 pandemic via appropriate management of the built environment is an urgent issue. This study develops a research framework to explore the relationship between COVID-19 incidence and influential factors related to protection of vulnerable populations, intervention in transmission pathways, and provision of healthcare resources. Relevant data for regression analysis and structural equation modeling is collected during the first wave of the pandemic in the United States, from counties with over 100 confirmed cases. In addition to confirming certain factors found in the existing literature, we uncover six new factors significantly associated with COVID-19 incidence. Furthermore, incidence during the lockdown is found to significantly affect incidence after the reopening, highlighting that timely quarantining and treating of patients is essential to avoid the snowballing transmission over time. These findings suggest ways to mitigate the negative effects of subsequent waves of the pandemic, such as special attention of infection prevention in neighborhoods with unsanitary and overcrowded housing, minimization of social activities organized by neighborhood associations, and contactless home delivery service of healthy food. Also worth noting is the need to provide support to people less capable of complying with the stay-at-home order because of their occupations or socio-economic disadvantage.

Keywords

Pandemics; Covid-19; Covid-19 Pandemic; Infection Prevention; Stay-at-home Orders; Structural Equation Modeling; United States; Communicable Disease Prevention; Influential Factors; Lockdown; Structural Equation Modeling (sem); Prevalence; Disease; Healthy Food; Social Activities; Counties; Neighborhoods; Housing; Built Environment; Prevention; Minimization; Socioeconomic Factors; Intervention; Health Care; Vulnerability; Occupations; Coronaviruses; Food Service; Disease Transmission; United States--us

How Do Single-Family Homeowners Value Residential and Commercial Density? It Depends

Acolin, Arthur; Colburn, Gregg; Walter, Rebecca J. (2022). How Do Single-Family Homeowners Value Residential and Commercial Density? It Depends. Land Use Policy, 113.

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Abstract

This paper develops estimates of the relationship between local density and single-family home values using 2017 transactions for five U.S. metropolitan regions: Chicago, Los Angeles, Minneapolis, Philadelphia, Seattle. Proposals to build new commercial and residential development projects that would increase local density commonly face opposition from local homeowners. Academic literature links the response from homeowners to concerns that higher density is associated with lower property values but there is limited empirical evidence establishing this relationship at the local level. We find a positive and significant relationship between density and house value in the core area of the five metropolitan regions we analyze. Within 7.5 miles of the center of these metropolitan regions, a 10% increase in surrounding built area density is associated with a 1.1–1.9% increase in house prices per square foot. For outlying areas, the estimates are smaller and even negative in several cases. We instrument density based on topographic and soil characteristics and find similar results. These findings point to the need for a more nuanced discussion of the relationship between local density and housing values.

Keywords

Population Density; Soil Density; Single Family Housing; Home Ownership; Housing Development; Housing Discrimination; Home Prices; Los Angeles (calif.); Density; Single-family House Value; Urban Form; Residential Development; Real Estate; Property Values; Residential Density; Development Programs; Housing; Estimates; Metropolitan Areas; Development Projects; Empirical Analysis; Families & Family Life; Soil Characteristics

Slumdogs vs. Millionaires: Balancing Urban Informality and Global Modernity in Mumbai, India

Chalana, Manish. (2010). Slumdogs vs. Millionaires: Balancing Urban Informality and Global Modernity in Mumbai, India. Journal Of Architectural Education, 63(2), 25 – 37.

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Abstract

Mumbai and other Indian cities are rapidly transforming to address the needs of global commerce and the expanding middle class. Mumbai's vernacular environments, home to most working-class residents, are consequently being redeveloped using supermodern global aesthetics. The urbanism emerging from the current wave of modernism is an unprecedented radical departure from existing patterns of place. Proponents claim the new developments serve low-income residents' interests, when actually they ignore fundamental socio-cultural and economic realities. This paper considers two case studies, Dharavi and Girangaon, highlighting a subset of Mumbai's vernacular environments to argue for their significance and to explore alternative redevelopment approaches.

Places for the Gods: Urban Planning as Orthopraxy and Heteropraxy in China

Abramson, Daniel Benjamin. (2011). Places for the Gods: Urban Planning as Orthopraxy and Heteropraxy in China. Environment & Planning D: Society & Space, 29(1), 67 – 88.

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Abstract

Among the many revivals of older urban practices in China since the death of Mao and the Reforms of Deng Xiaoping is the resurgence of unofficial folk-religious space. As a national phenomenon, it is an uneven process, but where it has become prevalent, it presents challenges both to official standard urban-planning practice, as well as to the public presentation of planning practice. This paper describes how nonstandard practices can emerge in the current context of rapid urbanization, which itself is a force for standardized urban spatial practices in terms of Chinese domestic cultural and political institutions as well as global capital flows. Both local and translocal actors, navigating among various conflicting standards of practice and discourse, can find room to resist hegemony, maintain identity, and innovate. The political and bureaucratic ritualization of planning practice, however, conceals this fact.

Keywords

Urban Planning -- Social Aspects; Urban Policy; Urbanization; Hegemony; Cultural Policy; Social Conditions In China; Social Aspects; China; Late Imperial China; Standardization; Property; Shanghai; Culture; Space; State

Protecting the Idyll but Not the Environment: Second Homes, Amenity Migration and Rural Exclusion in Washington State

Kondo, Michelle C.; Rivera, Rebeca; Rullman, Stan, Jr. (2012). Protecting the Idyll but Not the Environment: Second Homes, Amenity Migration and Rural Exclusion in Washington State. Landscape And Urban Planning, 106(2), 174 – 182.

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Abstract

Researchers are beginning to take notice of amenity migration processes and their impacts in exurban areas of the U.S. Our research explores second-home owners as contributors to processes of amenity migration. Using a mixed-method approach combining spatial data and interview analyses, we investigate both the structural and behavioral aspects of amenity migration in San Juan and Okanogan counties of Washington State. Results indicate that second-home owners' desire for privacy and escape is reflected in patterns of spatial isolation among second homes in the study area. These patterns have potentially significant ecological effects. Second-home owners also seek to protect their investments by supporting regulations which support their version of a rural idyll. Therefore, policy-makers should be wary of strategies to promote regulations which promote aesthetic rather than social and ecological function. (C) 2012 Elsevier B.V. All rights reserved.

Keywords

Land-use; Colorado Mountains; Political Ecology; Landscape Change; United-states; Gentrification; Residents; Attitudes; Growth; West; Amenity Migration; Second Homes; Mixed-method Research

Automated Task-Level Activity Analysis through Fusion of Real Time Location Sensors and Worker’s Thoracic Posture Data

Cheng, Tao; Teizer, Jochen; Migliaccio, Giovanni C.; Gatti, Umberto C. (2013). Automated Task-Level Activity Analysis through Fusion of Real Time Location Sensors and Worker’s Thoracic Posture Data. Automation In Construction, 29, 24 – 39.

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Abstract

Knowledge of workforce productivity and activity is crucial for determining whether a construction project can be accomplished on time and within budget. Significant work has been done on improving and assessing productivity and activity at task, project, or industry levels. Task level productivity and activity analysis are used extensively within the construction industry for various purposes, including cost estimating, claim evaluation, and day-to-day project management. The assessment is mostly performed through visual observations and after-the-fact analyses even though previous studies show automatic translation of operations data into productivity information and provide spatial information of resources for specific construction operations. An original approach is presented that automatically assesses labor activity. Using data fusion of spatio-temporal and workers' thoracic posture data, a framework was developed for identifying and understanding the worker's activity type over time. This information is used to perform automatic work sampling that is expected to facilitate real-time productivity assessment. Published by Elsevier B.V.

Keywords

Detectors; Construction Projects; Labor Supply; Real-time Control; Construction Costs; Project Management; Machine Translating; Activity And Task Analysis; Construction Worker; Data Fusion; Health; Location Tracking; Productivity; Safety; Sensors; Thoracic Posture Data; Workforce; Construction Industry; Costing; Labour Resources; Sensor Fusion; Real-time Productivity Assessment; Automatic Work Sampling; Worker Activity Type; Spatio-temporal Data; Labor Activity Assessment; Construction Operations; Spatial Information; Productivity Information; Day-to-day Project Management; Claim Evaluation; Cost Estimating; Task Level Productivity; Industry Levels; Project Levels; Construction Project; Workforce Activity; Workforce Productivity; Worker Thoracic Posture Data; Real Time Location Sensors Fusion; Automated Task-level Activity Analysis; Construction-industry Productivity

Landscapes of Industrial Excess: A Thick Sections Approach to Gas Works Park

Way, Thaisa. (2013). Landscapes of Industrial Excess: A Thick Sections Approach to Gas Works Park. Journal Of Landscape Architecture, 8(1), 28 – 39.

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Abstract

Gas Works Park in Seattle, WA, designed by Richard Haag Associates and recently listed on the National Register of Historic Landmarks, serves as one of the earliest post-industrial sites to be transformed into a public park through remediation and reclamation. The radical nature of the park lies in its adaptive reuse of waste landscapes, not merely ameliorating contaminated land but transforming it to serve the public. Although officials and residents called for the remains of the industrial plant to be removed, Haag convinced the public to retain elements of the industrial apparatus and, more importantly, to retain and treat the polluted soils. Previous scholarship focuses primarily on the architectural elements, leaving the landscape as mere setting. This article proposes a site narrative as read through the landform. It suggests an alternative reading that gives voice to the site's toxic history.

Keywords

Gas Works Park; Polluted Landscapes; Post-industrial Landscape; Richard Haag; Thick Sections