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Department: Urban Design and Planning

Higher Residential and Employment Densities Are Associated with More Objectively Measured Walking in the Home Neighborhood

Huang, Ruizhu; Moudon, Anne, V; Zhou, Chuan; Saelens, Brian E. (2019). Higher Residential and Employment Densities Are Associated with More Objectively Measured Walking in the Home Neighborhood. Journal Of Transport & Health, 12, 142 – 151.

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Abstract

Introduction: Understanding where people walk and how the built environment influences walking is a priority in active living research. Most previous studies were limited by self-reported data on walking. In the present study, walking bouts were determined by integrating one week of accelerometry, GPS, and a travel log data among 675 adult participants in the baseline sample of the Travel Assessment and Community study at Seattle, Washington in the United State. Methods: Home neighborhood was defined as being within 0.5 mile of each participants' residence (a 10-min walk), with home neighborhood walking defined as walking bout lines with at least one GPS point within the home neighborhood. Home neighborhood walkability was constructed with seven built environment variables derived from spatially continuous objective values (SmartMaps). Collinearity among neighborhood environment variables was analyzed and variables that were strongly correlated with residential density were excluded in the regression analysis to avoid erroneous estimates. A Zero Inflated Negative Binomial (ZINB) served to estimate associations between home neighborhood environment characteristics and home neighborhood walking frequency. Results: The study found that more than half of participants' walking bouts occurred in their own home neighborhood. Higher residential density and job density were the two neighborhood walkability measures related to higher likelihood and more time walking in the home neighborhood, highest tertile residential density (22.4-62.6 unit/ha) (coefficient= 1.43; 95% CI 1.00-2.05) and highest tertile job density (12.4-272.3 jobs/acre) (coefficient= 1.62; 1.10-2.37). Conclusions: The large proportion of walking that takes place in the home neighborhood highlights the importance of continuing to examine the impact of the home neighborhood environment on walking. Potential interventions to increase walking behavior may benefit from increasing residential and employment density within residential areas.

Keywords

Body-mass Index; Built Environment; Physical-activity; Land Uses; Epidemiology; Selection; Location; Obesity; Travel Assessment And Community; Smartmaps; Neighborhood Environment; Physical Activity; Walking

Urban Systems Design: A Conceptual Framework for Planning Smart Communities

Tobey, Michael B.; Binder, Robert B.; Chang, Soowon; Yoshida, Takahiro; Yamagata, Yoshiki; Yang, Perry P. J. (2019). Urban Systems Design: A Conceptual Framework for Planning Smart Communities. Smart Cities, 2(4), 522 – 537.

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Abstract

Urban systems design arises from disparate current planning approaches (urban design, Planning Support Systems, and community engagement), compounded by the reemergence of rational planning methods from new technology (Internet of Things (IoT), metric based analysis, and big data). The proposed methods join social considerations (Human Well-Being), environmental needs (Sustainability), climate change and disaster mitigation (Resilience), and prosperity (Economics) as the four foundational pillars. Urban systems design integrates planning methodologies to systematically tackle urban challenges, using IoT and rational methods, while human beings form the core of all analysis and objectives. Our approach utilizes an iterative three-phase development loop to contextualize, evaluate, plan and design scenarios for the specific needs of communities. An equal emphasis is placed on feedback loops through analysis and design, to achieve the end goal of building smart communities.

Keywords

Urban Design; Planning Support System; Resilience; Sustainability; Economics; Human Factors; Big Data

Impact of a Sweetened Beverage Tax on Beverage Prices in Seattle, WA

Jones-Smith, Jessica C.; Walkinshaw, Lina Pinero; Oddo, Vanessa M.; Knox, Melissa; Neuhouser, Marian L.; Hurvitz, Philip M.; Saelens, Brian E.; Chan, Nadine. (2020). Impact of a Sweetened Beverage Tax on Beverage Prices in Seattle, WA. Economics & Human Biology, 39.

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Abstract

Seattle's Sweetened Beverage Tax is an excise tax of 1.75 cents per ounce on sugar-sweetened beverages and is one of the highest beverage taxes in the U.S. This study examined the impact of Seattle's tax on the prices of beverages. We conducted audits of 407 retail food stores and eating places (quick service restaurants and coffee shops) before and 6 months after the tax was implemented in Seattle and in a comparison area. Ordinary least squares difference-in-differences models with store fixed effects were used to estimate the effect of the tax on prices, stratified by beverage type and store type. In secondary analyses, we assessed the effect of the tax on the price of non-taxed beverages and foods. Results from the adjusted difference-in-differences models indicated the tax was associated with an average increase of 1.58 cents per ounce among Seattle retailers, representing 90 % of the price of the tax. By store type, price increases were highest in smaller grocery stores and drug stores. By beverage type, price increases were highest for energy beverages and soda and lowest for bottled coffee and juice drinks. Prices of some nontaxed beverages also increased while the prices of select healthy foods generally did not. The sweetened beverage tax in Seattle is higher than beverage taxes in most other cities, and nearly the full cost of the tax is being passed through to consumers for many beverage types and stores types. (c) 2020 Published by Elsevier B.V.

Keywords

Soda Taxes; Food Policy; Health Policy; Beverage Taxes; Obesity

Pushing Back on Displacement: Community-Based Redevelopment through Historically Black Churches

Born, Branden; Berney, Rachel; Baker, Olivia; Jones, Mark R.; King, Donald; Marcus, Dylan. (2021). Pushing Back on Displacement: Community-Based Redevelopment through Historically Black Churches. Societies, 11(1).

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Abstract

Gentrification and subsequent displacement are common problems in cities, and result in the removal of poor communities and communities of color from urban areas as they move to cheaper locations in the metropolitan region. Here we describe a community-based approach to redevelopment by historic Black churches that seeks to counter such displacement and cultural removal. We explain the history of a historically Black neighborhood in Seattle and the founding and rationale for a church-led project called the Nehemiah Initiative. Our perspective is that of participants in the work of the Nehemiah Initiative and as faculty and students from a local university partner supporting it. We conclude with policy strategies that can be used to support such redevelopment in Seattle, with understanding that some may be broadly applicable to other cities.

Keywords

Black Churches; Community Based; Displacement; Equitable Development; Faith Based; Gentrification; Housing Affordability; Redevelopment; University-community Partnership

Professional Judgement in Clinical Practice (Part 2): Knowledge into Practice

Mugerauer, Robert. (2021). Professional Judgement in Clinical Practice (Part 2): Knowledge into Practice. Journal Of Evaluation In Clinical Practice, 27(3), 603 – 611.

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Abstract

Rationale, Aims, and Objectives Though strong evidence-based medicine is assertive in its claims, an insufficient theoretical basis and patchwork of arguments provide a good case that rather than introducing a new paradigm, EBM is resisting a shift to actually revolutionary complexity theory and other emergent approaches. This refusal to pass beyond discredited positivism is manifest in strong EBM's unsuccessful attempts to continually modify its already inadequate previous modifications, as did the defenders of the Ptolemaic astronomical model who increased the number of circular epicycles until the entire epicycle-deferent system proved untenable. Methods Narrative Review. Results The analysis in Part 1 of this three part series showed epistemological confusion as strong EBM plays the discredited positivistic tradition out to the end, thus repeating in a medical sphere and vocabulary the major assumptions and inadequacies that have appeared in the trajectory of modern science. Paper 2 in this series examines application, attending to strong EBM's claim of direct transferability of EBM research findings to clinical settings and its assertion of epistemological normativity. EBM's contention that it provides the only valid approach to knowledge and action is questioned by analyzing the troubled story of proposed hierarchies of the quality of research findings (especially of RCTs, with other factors marginalized), which falsely identifies evaluating findings with operationally utilizing them in clinical recommendations and decision-making. Further, its claim of carrying over its normative guidelines to cover the ethical responsibilities of researchers and clinicians is questioned.

Keywords

Judgment (psychology); Professions; Evidence-based Medicine; Science; Medical Research; Application To Clinical Recommendations; Evidence‚Äêbased Medicine; Judgement; Quality Of Evidence; 2009 Cancer-control; Practice Guidelines; Health-care; G. H.; Grade; Quality; Recommendations; Ashcroft; Guyatt; Evidence‐ Based Medicine

Global Urban Environmental Change Drives Adaptation in White Clover

Santangelo, James S.; Ness, Rob W.; Cohan, Beata; Fitzpatrick, Connor R.; Innes, Simon G.; Koch, Sophie; Miles, Lindsay S.; Munim, Samreen; Peres-neto, Pedro R.; Prashad, Cindy; Tong, Alex T.; Aguirre, Windsor E.; Akinwole, Philips O.; Alberti, Marina; Alvarez, Jackie; Anderson, Jill T.; Anderson, Joseph J.; Ando, Yoshino; Andrew, Nigel R.; Angeoletto, Fabio; Anstett, Daniel N.; Anstett, Julia; Aoki-goncalves, Felipe; Arietta, A. Z. Andis; Arroyo, Mary T. K.; Austen, Emily J.; Baena-diaz, Fernanda; Barker, Cory A.; Baylis, Howard A.; Beliz, Julia M.; Benitez-mora, Alfonso; Bickford, David; Biedebach, Gabriela; Blackburn, Gwylim S.; Boehm, Mannfred M. A.; Bonser, Stephen P.; Bonte, Dries; Bragger, Jesse R.; Branquinho, Cristina; Brans, Kristien, I; Bresciano, Jorge C.; Brom, Peta D.; Bucharova, Anna; Burt, Briana; Cahill, James F.; Campbell, Katelyn D.; Carlen, Elizabeth J.; Carmona, Diego; Castellanos, Maria Clara; Centenaro, Giada; Chalen, Izan; Chaves, Jaime A.; Chavez-pesqueira, Mariana; Chen, Xiao-yong; Chilton, Angela M.; Chomiak, Kristina M.; Cisneros-heredia, Diego F.; Cisse, Ibrahim K.; Classen, Aimee T.; Comerford, Mattheau S.; Fradinger, Camila Cordoba; Corney, Hannah; Crawford, Andrew J.; Crawford, Kerri M.; Dahirel, Maxime; David, Santiago; De Haan, Robert; Deacon, Nicholas J.; Dean, Clare; Del-val, Ek; Deligiannis, Eleftherios K.; Denney, Derek; Dettlaff, Margarete A.; Dileo, Michelle F.; Ding, Yuan-yuan; Dominguez-lopez, Moises E.; Dominoni, Davide M.; Draud, Savannah L.; Dyson, Karen; Ellers, Jacintha; Espinosa, Carlos, I; Essi, Liliana; Falahati-anbaran, Mohsen; Falcao, Jessica C. F.; Fargo, Hayden T.; Fellowes, Mark D. E.; Fitzpatrick, Raina M.; Flaherty, Leah E.; Flood, Padraic J.; Flores, Maria F.; Fornoni, Juan; Foster, Amy G.; Frost, Christopher J.; Fuentes, Tracy L.; Fulkerson, Justin R.; Gagnon, Edeline; Garbsch, Frauke; Garroway, Colin J.; Gerstein, Aleeza C.; Giasson, Mischa M.; Girdler, E. Binney; Gkelis, Spyros; Godsoe, William; Golemiec, Anneke M.; Golemiec, Mireille; Gonzalez-lagos, Cesar; Gorton, Amanda J.; Gotanda, Kiyoko M.; Granath, Gustaf; Greiner, Stephan; Griffiths, Joanna S.; Grilo, Filipa; Gundel, Pedro E.; Hamilton, Benjamin; Hardin, Joyce M.; He, Tianhua; Heard, Stephen B.; Henriques, Andre F.; Hernandez-poveda, Melissa; Hetherington-rauth, Molly C.; Hill, Sarah J.; Hochuli, Dieter F.; Hodgins, Kathryn A.; Hood, Glen R.; Hopkins, Gareth R.; Hovanes, Katherine A.; Howard, Ava R.; Hubbard, Sierra C.; Ibarra-cerdena, Carlos N.; Iniguez-armijos, Carlos; Jara-arancio, Paola; Jarrett, Benjamin J. M.; Jeannot, Manon; Jimenez-lobato, Vania; Johnson, Mae; Johnson, Oscar; Johnson, Philip P.; Johnson, Reagan; Josephson, Matthew P.; Jung, Meen Chel; Just, Michael G.; Kahilainen, Aapo; Kailing, Otto S.; Karinho-betancourt, Eunice; Karousou, Regina; Kirn, Lauren A.; Kirschbaum, Anna; Laine, Anna-liisa; Lamontagne, Jalene M.; Lampei, Christian; Lara, Carlos; Larson, Erica L.; Lazaro-lobo, Adrian; Le, Jennifer H.; Leandro, Deleon S.; Lee, Christopher; Lei, Yunting; Leon, Carolina A.; Tamara, Manuel E. Lequerica; Levesque, Danica C.; Liao, Wan-jin; Ljubotina, Megan; Locke, Hannah; Lockett, Martin T.; Longo, Tiffany C.; Lundholm, Jeremy T.; Macgillavry, Thomas; Mackin, Christopher R.; Mahmoud, Alex R.; Manju, Isaac A.; Marien, Janine; Martinez, D. Nayeli; Martinez-bartolome, Marina; Meineke, Emily K.; Mendoza-arroyo, Wendy; Merritt, Thomas J. S.; Merritt, Lila Elizabeth L.; Migiani, Giuditta; Minor, Emily S.; Mitchell, Nora; Bazargani, Mitra Mohammadi; Moles, Angela T.; Monk, Julia D.; Moore, Christopher M.; Morales-morales, Paula A.; Moyers, Brook T.; Munoz-rojas, Miriam; Munshi-south, Jason; Murphy, Shannon M.; Murua, Maureen M.; Neila, Melisa; Nikolaidis, Ourania; Njunji, Iva; Nosko, Peter; Nunez-farfan, Juan; Ohgushi, Takayuki; Olsen, Kenneth M.; Opedal, Oystein H.; Ornelas, Cristina; Parachnowitsch, Amy L.; Paratore, Aaron S.; Parody-merino, Angela M.; Paule, Juraj; Paulo, Octavio S.; Pena, Joao Carlos; Pfeiffer, Vera W.; Pinho, Pedro; Piot, Anthony; Porth, Ilga M.; Poulos, Nicholas; Puentes, Adriana; Qu, Jiao; Quintero-vallejo, Estela; Raciti, Steve M.; Raeymaekers, Joost A. M.; Raveala, Krista M.; Rennison, Diana J.; Ribeiro, Milton C.; Richardson, Jonathan L.; Rivas-torres, Gonzalo; Rivera, Benjamin J.; Roddy, Adam B.; Rodriguez-munoz, Erika; Roman, Jose Raul; Rossi, Laura S.; Rowntree, Jennifer K.; Ryan, Travis J.; Salinas, Santiago; Sanders, Nathan J.; Santiago-rosario, Luis Y.; Savage, Amy M.; Scheepens, J. F.; Schilthuizen, Menno; Schneider, Adam C.; Scholier, Tiffany; Scott, Jared L.; Shaheed, Summer A.; Shefferson, Richard P.; Shepard, Caralee A.; Shykoff, Jacqui A.; Silveira, Georgianna; Smith, Alexis D.; Solis-gabriel, Lizet; Soro, Antonella; Spellman, Katie, V; Whitney, Kaitlin Stack; Starke-ottich, Indra; Stephan, Jorg G.; Stephens, Jessica D.; Szulc, Justyna; Szulkin, Marta; Tack, Ayco J. M.; Tamburrino, Italo; Tate, Tayler D.; Tergemina, Emmanuel; Theodorou, Panagiotis; Thompson, Ken A.; Threlfall, Caragh G.; Tinghitella, Robin M.; Toledo-chelala, Lilibeth; Tong, Xin; Uroy, Lea; Utsumi, Shunsuke; Vandegehuchte, Martijn L.; Vanwallendael, Acer; Vidal, Paula M.; Wadgymar, Susana M.; Wang, Ai-ying; Wang, Nian; Warbrick, Montana L.; Whitney, Kenneth D.; Wiesmeier, Miriam; Wiles, J. Tristian; Wu, Jianqiang; Xirocostas, Zoe A.; Yan, Zhaogui; Yao, Jiahe; Yoder, Jeremy B.; Yoshida, Owen; Zhang, Jingxiong; Zhao, Zhigang; Ziter, Carly D.; Zuellig, Matthew P.; Zufall, Rebecca A.; Zurita, Juan E.; Zytynska, Sharon E.; Johnson, Marc T. J. (2022). Global Urban Environmental Change Drives Adaptation in White Clover. Science, 375(6586), 1275+.

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Abstract

Urbanization transforms environments in ways that alter biological evolution. We examined whether urban environmental change drives parallel evolution by sampling 110,019 white clover plants from 6169 populations in 160 cities globally. Plants were assayed for a Mendelian antiherbivore defense that also affects tolerance to abiotic stressors. Urban-rural gradients were associated with the evolution of clines in defense in 47% of cities throughout the world. Variation in the strength of clines was explained by environmental changes in drought stress and vegetation cover that varied among cities. Sequencing 2074 genomes from 26 cities revealed that the evolution of urban-rural dines was best explained by adaptive evolution, but the degree of parallel adaptation varied among cities. Our results demonstrate that urbanization leads to adaptation at a global scale.

Keywords

Surface Temperature Retrieval; Cyanogenesis Clines; Hydrogen-cyanide; Gene Flow; F-st; Evolution; Polymorphism; Emissivity; Discovery; Framework; Drought; Urban Environments; Urbanization; Environmental Changes; Herbivory; Urban Development; Adaptation; Chemical Defense; Urban Areas; Data Collection; Trifolium Repens

Carbon Consequences of Land Cover Change and Expansion of Urban Lands: A Case Study in the Seattle Metropolitan Region

Hutyra, Lucy R.; Yoon, Byungman; Hepinstall-Cymerman, Jeffrey; Alberti, Marina. (2011). Carbon Consequences of Land Cover Change and Expansion of Urban Lands: A Case Study in the Seattle Metropolitan Region. Landscape And Urban Planning, 103(1), 83 – 93.

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Abstract

Understanding the role humans play in modifying ecosystems through changing land cover is central to addressing our current and emerging environmental challenges. In particular, the consequences of urban growth and land cover change on terrestrial carbon budgets is a growing issue for our rapidly urbanizing planet. Using the lowland Seattle Statistical Metropolitan Area (MSA) region as a case study, this paper explores the consequences of the past land cover changes on vegetative carbon stocks with a combination of direct field measurements and a time series of remote sensing data. Between 1986 and 2007, the amount of urban land cover within the lowland Seattle MSA more than doubled, from 1316 km(2) to 2798 km(2), respectively. Virtually all of the urban expansion was at the expense of forests with the forested area declining from 4472 km(2) in 1986 to 2878 km(2) in 2007. The annual mean rate of urban land cover expansion was 1 +/- 0.6% year(-1). We estimate that the impact of these regional land cover changes on aboveground carbon stocks was an average loss of 1.2 Mg C ha(-1) yr(-1) in vegetative carbon stocks. These carbon losses from urban expansion correspond to nearly 15% of the lowland regional fossil fuel emissions making it an important, albeit typically overlooked, term in regional carbon emissions budgets. As we plan for future urban growth and strive for more ecologically sustainable cities, it is critical that we understand the past patterns and consequences of urban development to inform future land development and conservation strategies. (C) 2011 Elsevier B.V. All rights reserved.

Keywords

Sprawl; Growth; Carbon Cycle; Emissions; Land Cover; Urbanization; Seattle; Vegetation; Carbon; Carbon Sinks; Case Studies; Cities; Ecosystems; Forests; Fossil Fuels; Humans; Land Use; Planning; Remote Sensing; Time Series Analysis

The Economic Value of Walkable Neighborhoods

Sohn, Dong Wook; Moudon, Anne Vernez; Lee, Jeasun. (2012). The Economic Value of Walkable Neighborhoods. Urban Design International, 17(2), 115 – 128.

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Abstract

This study investigated how the benefits of a walkable neighborhood were reflected in the American real estate market by examining the economic values of urban environmental factors supporting walking activities. Property values were used as a proxy measure for economic value and analyzed in relation to land use characteristics that have been known to correlate with walking at the neighborhood scale. Four aspects of the built environment supporting walking were included in the analyses: development density, land use mix, public open space and pedestrian infrastructure. Hedonic models were employed where the property value was regressed on the measures of the four sets of correlates of walking in a neighborhood. Models were estimated for four land use types - single-family residential, rental multi-family residential, commercial and office. The findings did not support previous arguments that increasing density weakens the quality of a neighborhood. To the contrary, the positive association of higher development density with the value of single-family residential properties detected in King County suggested that high development density might increase surrounding property values. The pedestrian infrastructure and land use mix significantly contributed to increases in rental multi-family residential property values. Higher development density with higher street and sidewalk coverage were also favored by retail service uses. In relation to land use mix, mixing retail service uses and rental multi-family residential uses helped make rental housings more attractive. URBAN DESIGN International (2012) 17, 115-128. doi:10.1057/udi.2012.1; published online 4 April 2012

Keywords

Land-use; Physical-activity; Travel Behavior; Smart Growth; Mode Choice; Urban Form; Walking; Gis; Transportation; Accessibility; Mixed Land Use; Neighborhood; Urban Design

Use of Health Impact Assessment for Transportation Planning Importance of Transportation Agency Involvement in the Process

Dannenberg, Andrew L.; Ricklin, Anna; Ross, Catherine L.; Schwartz, Michael; West, Julie; White, Steve; Wier, Megan L. (2014). Use of Health Impact Assessment for Transportation Planning Importance of Transportation Agency Involvement in the Process. Transportation Research Record, 2452, 71 – 80.

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Abstract

A health impact assessment (HIA) is a tool that can be used to inform transportation planners of the potential health consequences of their decisions. Although dozens of transportation-related HIAs have been completed in the United States, the characteristics of these HIAs and the interactions between public health professionals and transportation decision makers in these HIM have not been documented. A master list of completed HIAs was used to identify transportation-related HIAs. Seventy-three transportation-related HIAs conducted in 22 states between 2004 and 2013 were identified. The HIAs were conducted for projects such as road redevelopments, bridge replacements, and development of trails and public transit. Policies such as road pricing, transit service levels, speed limits, complete streets, and safe routes to schools were also assessed. Five HIAs in which substantial interactions between public health and transportation professionals took place during and after the HIA were examined in detail and included HIAs of the road pricing policy in San Francisco, California; a bridge replacement in Seattle, Washington; new transit lines in Baltimore, Maryland, and Portland, Oregon; and the BeltLine transit, trails, and parks project in Atlanta, Georgia. Recommendations from the HIAs led to changes in decisions in some cases and helped to raise awareness of health issues by transportation decision makers in all cases. HIAs are now used for many topics in transportation. The range of involvement of transportation decision makers in the conduct of HIAs varies. These case studies may serve as models for the conduct of future transportation-related HIAs, because the involvement of transportation agencies may increase the likelihood that an HIA will influence subsequent decisions.

Keywords

Policy; Inequalities; Benefits; Justice; Oregon

Worksite Neighborhood and Obesogenic Behaviors: Findings among Employees in the Promoting Activity and Changes in Eating (PACE) Trial

Barrington, Wendy E.; Beresford, Shirley A. A.; Koepsell, Thomas D.; Duncan, Glen E.; Moudon, Anne Vernez. (2015). Worksite Neighborhood and Obesogenic Behaviors: Findings among Employees in the Promoting Activity and Changes in Eating (PACE) Trial. American Journal Of Preventive Medicine, 48(1), 31 – 41.

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Abstract

Background: Understanding mechanisms linking neighborhood context to health behaviors may provide targets for increasing lifestyle intervention effectiveness. Although associations between home neighborhood and obesogenic behaviors have been studied, less is known about the role of worksite neighborhood. Purpose: To evaluate associations between worksite neighborhood context at baseline (2006) and change in obesogenic behaviors of adult employees at follow-up (2007-2009) in a worksite randomized trial to prevent weight gain. Methods: Worksite property values were used as an indicator of worksite neighborhood SES (NSES). Worksite neighborhood built environment attributes associated with walkability were evaluated as explanatory factors in relationships among worksite NSES, diet, and physical activity behaviors of employees. Behavioral data were collected at baseline (2005-2007) and follow-up (2007-2009). Multilevel linear and logistic models were constructed adjusting for covariates and accounting for clustering within worksites. Product-of-coefficients methods were used to assess mediation. Analyses were performed after study completion (2011-2012). Results: Higher worksite NSES was associated with more walking (OR = 1.16, 95% CI = 1.03, 1.30, p = 0.01). Higher density of residential units surrounding worksites was associated with more walking and eating five or more daily servings of fruits and vegetables, independent of worksite NSES. Residential density partially explained relationships among worksite NSES, fruit and vegetable consumption, and walking. Conclusions: Worksite neighborhood context may influence employees' obesogenic behaviors. Furthermore, residential density around worksites could be an indicator of access to dietary and physical activity-related infrastructure in urban areas. This may be important given the popularity of worksites as venues for obesity prevention efforts. Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.

Keywords

Health Behavior; Food Habits; Lifestyles & Health; Prevention Of Obesity; Employee Health Promotion; Follow-up Studies (medicine); Local Food Environment; Dietary Energy Density; Body-mass Index; Socioeconomic-status; Physical-activity; Built Environment; Longitudinal-associations; Walking Behavior; Restaurant Use; Weight-gain