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
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
Stewart, Orion T.; Moudon, Anne Vernez; Saelens, Brian E.; Lee, Chanam; Kang, Bumjoon; Doescher, Mark P. (2016). Comparing Associations between the Built Environment and Walking in Rural Small Towns and a Large Metropolitan Area. Environment And Behavior, 48(1), 13 – 36.
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Abstract
The association between the built environment (BE) and walking has been studied extensively in urban areas, yet little is known whether the same associations hold for smaller, rural towns. This analysis examined objective measures of the BE around participants' residence and their utilitarian and recreational walking from two studies, one in the urban Seattle area (n = 464) and the other in nine small U.S. towns (n = 299). After adjusting for sociodemographics, small town residents walked less for utilitarian purposes but more for recreational purposes. These differences were largely explained by differential associations of the BE on walking in the two settings. In Seattle, the number of neighborhood restaurants was positively associated with utilitarian walking, but in small towns, the association was negative. In small towns, perception of slow traffic on nearby streets was positively associated with recreational walking, but not in Seattle. These observations suggest that urban-rural context matters when planning BE interventions to support walking.
Keywords
Physical-activity; Utilitarian Walking; Transportation; Obesity; Adults; Travel; Urban; Prevalence; Strategies; Physical Activity; Walkability; City Planning; Urban Design; Community Health; Gis (geographic Information System); Gps (global Positioning System); Accelerometer; Effect Modification
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
Muni, Kennedy; Kobusingye, Olive; Mock, Charles; Hughes, James P.; Hurvitz, Philip M.; Guthrie, Brandon. (2020). Motorcycle Taxi Programme Increases Safe Riding Behaviours Among Its Drivers In Kampala, Uganda. Injury Prevention, 26(1), 5 – 11.
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Abstract
Background SafeBoda is a motorcycle taxi company that provides road safety training and helmets to its drivers in Kampala, Uganda. We sought to determine whether SafeBoda drivers are more likely to engage in safe riding behaviours than regular drivers (motorcycle taxi drivers not part of SafeBoda). Methods We measured riding behaviours in SafeBoda and regular drivers through: (1) computer-assisted personal interview (CAPI), where 400 drivers were asked about their riding behaviours (eg, helmet and mobile phone use) and (2) roadside observation, where riding behaviours were observed in 3000 boda-boda drivers and their passengers along major roads in Kampala. Results Across the two cross-sectional studies, a higher proportion of SafeBoda drivers than regular drivers engaged in safe riding behaviours. For instance, helmet use among SafeBoda compared with regular drivers was 21% points higher (95% CI 0.15 to 0.27; p<0.001) based on the CAPI and 45% points higher (95% CI 0.43 to 0.47; p<0.001) based on roadside observation. Furthermore, compared with regular drivers, SafeBoda drivers were more likely to report having a driver's license (66.3% vs 33.5 %; p<0.001) and a reflective jacket (99.5% vs 50.5 %; p<0.001) and were less likely to report driving towards oncoming traffic (4% vs 45.7 %; p<0.001) in the past 30 days. Conclusion The SafeBoda programme is associated with increased safe riding behaviours among motorcycle taxi drivers in Kampala. Therefore, the promotion and expansion of such programmes may lead to a reduction in morbidity and mortality due to road injuries.
Keywords
Multiple-imputation; Helmet Use; Knowledge; Injuries; Riders
Stewart, Orion; Moudon, Anne Vernez; Claybrooke, Charlotte. (2012). Common Ground: Eight Factors that Influence Walking and Biking to School. Transport Policy, 24, 240 – 248.
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Abstract
The primary goals of Safe Routes to School (SRTS) programs are to increase the number and safety of children walking, biking or using other forms of active travel to school (ATS). This study reviewed quantitative and qualitative research and identified eight common factors that influenced the choice of ATS: distance to school, parental fear of traffic and crime, family schedule constraints and values, neighborhood and family resources and culture, weather, and school characteristics. Suggestions were made as to how these barriers and facilitators of ATS could be integrated into the decision to fund local SRTS programs and to improve their effectiveness. Published by Elsevier Ltd.
Keywords
Commuting; Transportation Of School Children; Transportation Safety Measures; Qualitative Research; Cycling; Walking; Bike; Child; Pedestrian; Safe Routes To School; Safety; Walk; Active Transportation; Physical-activity; Urban Form; Elementary-schools; Safe Routes; Travel Mode; Children; Prevalence; Trip; Environment
Berrigan, David; Hipp, J. Aaron; Hurvitz, Philip M.; James, Peter; Jankowska, Marta M.; Kerr, Jacqueline; Laden, Francine; Leonard, Tammy; Mckinnon, Robin A.; Powell-wiley, Tiffany M.; Tarlov, Elizabeth; Zenk, Shannon N.; The Trec Spatial And Contextual Measures And Modeling Work Group. (2015). Geospatial and Contextual Approaches to Energy Balance and Health. Annals Of Gis, 21(2), 157 – 168.
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Abstract
In the past 15 years, a major research enterprise has emerged that is aimed at understanding associations between geographic and contextual features of the environment (especially the built environment) and elements of human energy balance, including diet, weight and physical activity. Here we highlight aspects of this research area with a particular focus on research and opportunities in the United States as an example. We address four main areas: (1) the importance of valid and comparable data concerning behaviour across geographies; (2) the ongoing need to identify and explore new environmental variables; (3) the challenge of identifying the causally relevant context; and (4) the pressing need for stronger study designs and analytical methods. Additionally, we discuss existing sources of geo-referenced health data which might be exploited by interdisciplinary research teams, personnel challenges and some aspects of funding for geospatial research by the US National Institutes of Health in the past decade, including funding for international collaboration and training opportunities. [ABSTRACT FROM AUTHOR]; Copyright of Annals of GIS is the property of Taylor & Francis Ltd 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
Bioenergetics; Geospatial Data; Contextual Analysis; Physical Activity; Obesity; Contextual; Energy Balance; Geospatial; Spatial
Tang, W.; Aggarwal, A.; Liu, Z.; Acheson, M.; Rehm, C. D.; Moudon, A. V.; Drewnowski, A. (2016). Validating Self-Reported Food Expenditures against Food Store and Eating-Out Receipts. European Journal Of Clinical Nutrition, 70(3), 352 – 357.
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Abstract
BACKGROUND/OBJECTIVES: To compare objective food store and eating-out receipts with self-reported household food expenditures. SUBJECTS/METHODS: The Seattle Obesity Study II was based on a representative sample of King County adults, Washington, USA. Self-reported household food expenditures were modeled on the Flexible Consumer Behavior Survey (FCBS) Module from 2007 to 2009 National Health and Nutrition Examination Survey (NHANES). Objective food expenditure data were collected using receipts. Self-reported food expenditures for 447 participants were compared with receipts using paired t-tests, Bland-Altman plots and.-statistics. Bias by sociodemographics was also examined. RESULTS: Self-reported expenditures closely matched with objective receipt data. Paired t-tests showed no significant differences between receipts and self-reported data on total food expenditures, expenditures at food stores or eating out. However, the highest-income strata showed weaker agreement. Bland-Altman plots confirmed no significant bias across both methods-mean difference: 6.4; agreement limits: -123.5 to 143.4 for total food expenditures, mean difference 5.7 for food stores and mean difference 1.7 for eating out. The kappa-statistics showed good agreement for each (kappa 0.51, 0.41 and 0.49 respectively. Households with higher education and income had significantly more number of receipts and higher food expenditures. CONCLUSIONS: Self-reported food expenditures using NHANES questions, both for food stores and eating out, serve as a decent proxy for objective household food expenditures from receipts. This method should be used with caution among high-income populations, or with high food expenditures. This is the first validation of the FCBS food expenditures question using food store and eating-out receipts.
Keywords
Household Food; Supermarket; Obesity; Energy; Purchases; Patterns; Women; Fat
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
Rhew, Isaac C.; Duckworth, Jennifer C.; Hurvitz, Philip M.; Lee, Christine M. (2020). Within- and Between-Person Associations of Neighborhood Poverty with Alcohol Use and Consequences: A Monthly Study of Young Adults. Drug & Alcohol Dependence, 212.
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Abstract
Background: Studies have shown associations between neighborhood disadvantage and alcohol misuse among adults. Less is known about the role of neighborhood context in young adults (YAs), who engage in more disordered forms of alcohol use compared to other age groups. Using data collected monthly, this study examined whether YAs reported more alcohol use and consequences when they were living in neighborhoods with greater concentration of poverty. Method: This study used data from 746 participants aged 18-23 years living in the Seattle, WA, region. Surveys were administered each month for 24 consecutive months. Measures included typical number of drinks per week and past month count of alcohol-related consequences. Residential addresses at each month were geocoded and linked to census-tract level percentage of households living at or below poverty threshold. Multilevel over-dispersed Poisson models were used to estimate associations between standardized monthly deviations in tract-level poverty from one's average and alcohol outcomes. Results: Across 14,247 monthly observations, the mean number of typical drinks per week was 4.8 (SD = 7.4) and the mean number of alcohol consequences was 2.1 (SD = 3.5). On months when they were living in neighborhoods with higher levels of poverty than their average, participants reported significantly higher levels of alcohol consequences (Count Ratio = 1.05; p = .045). Conclusion: YAs may engage in more problematic forms of drinking when they reside in neighborhoods with higher levels of disadvantage. During a time of frequent residential changes, YAs moving to more disadvantaged neighborhoods may benefit from additional supports.
Keywords
Alcohol Drinking; Young Adults; Neighborhoods; Age Groups; Poverty; Western Australia; Seattle (wash.); Alcohol; Neighborhood Context; Young Adulthood; Emergency-department Visits; Heavy Episodic Drinking; College-students; United-states; Substance Use; Use Disorders; Models; Health; Disorganization; Availability