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A Cross-Sectional Analysis of Physical Activity and Weight Misreporting in Diverse Populations: The Seattle Obesity Study III

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

Associations of Cannabis Retail Outlet Availability and Neighborhood Disadvantage with Cannabis Use and Related Risk Factors Among Young Adults in Washington State

Rhew, Isaac C.; Guttmannova, Katarina; Kilmer, Jason R.; Fleming, Charles B.; Hultgren, Brittney A.; Hurvitz, Philip M.; Dilley, Julia A.; Larimer, Mary E. (2022). Associations of Cannabis Retail Outlet Availability and Neighborhood Disadvantage with Cannabis Use and Related Risk Factors Among Young Adults in Washington State. Drug & Alcohol Dependence, 232.

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Abstract

Background: This study examined associations of local cannabis retail outlet availability and neighborhood disadvantage with cannabis use and related risk factors among young adults. Methods: Data were from annual cross-sectional surveys administered from 2015 to 2019 to individuals ages 18-25 residing in Washington State (N = 10,009). As outcomes, this study assessed self-reported cannabis use at different margins/frequencies (any past year, at least monthly, at least weekly, at least daily) and perceived ease of access to cannabis and acceptability of cannabis use in the community. Cannabis retail outlet availability was defined as the presence of at least one retail outlet within a 1-kilometer road network buffer of one's residence. Sensitivity analyses explored four other spatial metrics to define outlet availability (any outlet within 0.5-km, 2-km, and the census tract; and census tract density per 1000 residents). Census tract level disadvantage was a composite of five US census variables. Results: Adjusting for individual- and area-level covariates, living within 1-kilometer of at least one cannabis retail outlet was statistically significantly associated with any past year and at least monthly cannabis use as well as high perceived access to cannabis. Results using a 2-km buffer and census tract-level metrics for retail outlet availability showed similar findings. Neighborhood disadvantage was statistically significantly associated with at least weekly and at least daily cannabis use and with greater perceived acceptability of cannabis use. Conclusions: Results may have implications for regulatory and prevention strategies to reduce the population burden of cannabis use and related harms.

Keywords

Outlet Stores; Young Adults; Neighborhoods; Older People; Sensitivity Analysis; Washington (state); Cannabis; Cannabis Retail Outlets; Neighborhood Disadvantage; Alcohol-use; Marijuana Use; Density; Proximity; Health; Norms

Home Versus Nonhome Neighborhood: Quantifying Differences in Exposure to the Built Environment

Hurvitz, Philip M.; Moudon, Anne Vernez. (2012). Home Versus Nonhome Neighborhood: Quantifying Differences in Exposure to the Built Environment. American Journal Of Preventive Medicine, 42(4), 411 – 417.

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Abstract

Background: Built environment and health research have focused on characteristics of home neighborhoods, whereas overall environmental exposures occur over larger spatial ranges. Purpose: Differences in built environment characteristics were analyzed for home and nonhome locations using GPS data. Methods: GPS data collected in 2007-2008 were analyzed for 41 subjects in the Seattle area in 2010. Environmental characteristics for 3.8 million locations were measured using novel GIS data sets called SmartMaps, representing spatially continuous values of local built environment variables in the domains of neighborhood composition, utilitarian destinations, transportation infrastructure, and traffic conditions. Using bootstrap sampling, CIs were estimated for differences in built environment values for home (1666 m) GPS locations. Results: Home and nonhome built environment values were significantly different for more than 90% of variables across subjects (p < 0.001). Only 51% of subjects had higher counts of supermarkets near than away from home. Different measures of neighborhood parks yielded varying results. Conclusions: SmartMaps helped measure local built environment characteristics for a large set of GPS locations. Most subjects had significantly different home and nonhome built environment exposures. Considering the full range of individuals' environmental exposures may improve understanding of effects of the built environment on behavior and health outcomes. (Am J Prev Med 2012;42(4):411-417) (C) 2012 American Journal of Preventive Medicine

Keywords

Built Environment; Public Health Research; Individual Differences; Neighborhoods; Environmental Exposure; Health Of Homeless People; Global Positioning System; Data Analysis; Quantitative Research; Seattle (wash.); Washington (state); Geographic Information-systems; Global Positioning Systems; Physical-activity; Health Research; Urban Form; Land-use; Associations; Transportation; Availability; Walkability

Relation between Higher Physical Activity and Public Transit Use

Saelens, Brian E.; Moudon, Anne Vernez; Kang, Bumjoon; Hurvitz, Philip M.; Zhou, Chuan. (2014). Relation between Higher Physical Activity and Public Transit Use. American Journal Of Public Health, 104(5), 854 – 859.

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Abstract

Objectives. We isolated physical activity attributable to transit use to examine issues of substitution between types of physical activity and potential confounding of transit-related walking with other walking. Methods. Physical activity and transit use data were collected in 2008 to 2009 from 693 Travel Assessment and Community study participants from King County, Washington, equipped with an accelerometer, a portable Global Positioning System, and a 7-day travel log. Physical activity was classified into transit-and non-transit-related walking and nonwalking time. Analyses compared physical activity by type between transit users and nonusers, between less and more frequent transit users, and between transit and nontransit days for transit users. Results. Transit users had more daily overall physical activity and more total walking than did nontransit users but did not differ on either non-transit-related walking or nonwalking physical activity. Most frequent transit users had more walking time than least frequent transit users. Higher physical activity levels for transit users were observed only on transit days, with 14.6 minutes (12.4 minutes when adjusted for demographics) of daily physical activity directly linked with transit use. Conclusions. Because transit use was directly related to higher physical activity, future research should examine whether substantive increases in transit access and use lead to more physical activity and related health improvements.

Keywords

Transportation; Analysis Of Covariance; Analysis Of Variance; Chi-squared Test; Comparative Studies; Confidence Intervals; Geographic Information Systems; Research Funding; Statistics; Walking; Data Analysis; Accelerometry; Cross-sectional Method; Exercise Intensity; Physical Activity; Diary (literary Form); Descriptive Statistics; Washington (state); Work; Car; Impact

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

Neighborhood Food Environment, Dietary Fatty Acid Biomarkers, and Cardiac Arrest Risk

Mooney, Stephen J.; Lemaitre, Rozenn N.; Siscovick, David S.; Hurvitz, Philip; Goh, Charlene E.; Kaufman, Tanya K.; Zulaika, Garazi; Sheehan, Daniel M.; Sotoodehnia, Nona; Lovasi, Gina S. (2018). Neighborhood Food Environment, Dietary Fatty Acid Biomarkers, and Cardiac Arrest Risk. Health & Place, 53, 128 – 134.

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Abstract

We explored links between food environments, dietary intake biomarkers, and sudden cardiac arrest in a population-based longitudinal study using cases and controls accruing between 1990 and 2010 in King County, WA. Surprisingly, presence of more unhealthy food sources near home was associated with a lower 18:1 trans-fatty acid concentration ( - 0.05% per standard deviation higher count of unhealthy food sources, 95% Confidence Interval [CI]: 0.01, 0.09). However, presence of more unhealthy food sources was associated with higher odds of cardiac arrest (Odds Ratio [OR]: 2.29, 95% CI: 1.19, 4.41 per standard deviation in unhealthy food outlets). While unhealthy food outlets were associated with higher cardiac arrest risk, circulating 18:1 trans fats did not explain the association.

Keywords

Fatty Acids; Biological Tags; Cardiac Arrest; Food Contamination; Standard Deviations; Food Supply; Out-of-hospital Cardiac Arrest; Residence Characteristics; Sudden Cardiac Death; Trans Fatty Acids; New-york-city; Acute Myocardial-infarction; Low Socioeconomic-status; United-states; Vascular Inflammation; Cardiovascular Health; Older-adults; Death; Epidemiology; Arrhythmias; Dietary Supplements; Biomarkers; Heart Attacks; Risk Factors; Diet; Heart; Healthy Food; Fats; Dietary Intake; Food Sources; Food; Confidence Intervals; Biological Markers; Myocardial Infarction; Population Studies; Food Intake; Correlation Analysis; Neighborhoods

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

Geographic Ecological Momentary Assessment Methods to Examine Spatio-temporal Exposures Associated with Marijuana Use Among Young Adults: A Pilot Study

Rhew, Isaac C.; Hurvitz, Philip M.; Lyles-riebli, Rose; Lee, Christine M. (2022). Geographic Ecological Momentary Assessment Methods to Examine Spatio-temporal Exposures Associated with Marijuana Use Among Young Adults: A Pilot Study. Spatial And Spatio-temporal Epidemiology, 41.

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Abstract

Background: This study demonstrates the use of geographic ecological momentary assessment (GEMA) methods among young adult marijuana users. Method: Participants were 14 current marijuana users ages 21-27 living in Greater Seattle, Washington. They completed brief surveys four times per day for 14 consecutive days, including measures of marijuana use and desire to use. They also carried a GPS data logger that tracked their spatial movements over time. Results: Participants completed 80.1% of possible EMA surveys. Using the GPS data, we calculated daily number of exposures to (i.e., within 100-m of) marijuana retail outlets (mean = 3.9 times per day; SD = 4.4) and time spent per day in high poverty census tracts (mean = 7.3 h per day in high poverty census tracts; SD = 5.1). Conclusions: GEMA may be a promising approach for studying the role spatio-temporal factors play in marijuana use and related factors.

Keywords

Geographic Ecological Momentary Assessment; Spatio-temporal Factors; Marijuana; Young Adults; Geographic Information System; Poverty; Substance Use; Alcohol; Tracking

How to Identify Food Deserts: Measuring Physical and Economic Access to Supermarkets in King County, Washington

Jiao, Junfeng; Moudon, Anne V.; Ulmer, Jared; Hurvitz, Philip M.; Drewnowski, Adam. (2012). How to Identify Food Deserts: Measuring Physical and Economic Access to Supermarkets in King County, Washington. American Journal Of Public Health, 102(10), E32 – E39.

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Abstract

Objectives. We explored new ways to identify food deserts. Methods. We estimated physical and economic access to supermarkets for 5 low-income groups in Seattle-King County, Washington. We used geographic information system data to measure physical access: service areas around each supermarket were delineated by ability to walk, bicycle, ride transit, or drive within 10 minutes. We assessed economic access by stratifying supermarkets into low, medium, and high cost. Combining income and access criteria generated multiple ways to estimate food deserts. Results. The 5 low-income group definitions yielded total vulnerable populations ranging from 4% to 33% of the county's population. Almost all of the vulnerable populations lived within a 10-minute drive or bus ride of a low-or medium-cost supermarket. Yet at most 34% of the vulnerable populations could walk to any supermarket, and as few as 3% could walk to a low-cost supermarket. Conclusions. The criteria used to define low-income status and access to supermarkets greatly affect estimates of populations living in food deserts. Measures of access to food must include travel duration and mode and supermarket food costs.

Keywords

Neighborhood Characteristics; Store Availability; Accessibility; Consumption; Disparities; Environment; Location; Fruit; Pay

Using the Built Environment to Oversample Walk, Transit, and Bicycle Travel

Stewart, Orion Theodore; Moudon, Anne Vernez. (2014). Using the Built Environment to Oversample Walk, Transit, and Bicycle Travel. Transportation Research: Part D, 32, 15 – 23.

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Abstract

Characteristics of the built environment (BE) have been associated with walk, transit, and bicycle travel. These BE characteristics can be used by transportation researchers to oversample households from areas where walk, transit, or bicycle travel is more likely, resulting in more observations of these uncommon travel behaviors. Little guidance, however, is available on the effectiveness of such built environment oversampling strategies. This article presents measures that can be used to assess the effectiveness of BE oversampling strategies and inform future efforts to oversample households with uncommon travel behaviors. The measures are sensitivity and specificity, positive likelihood ratio (LR+), and positive predictive value (PPV). To illustrate these measures, they were calculated for 10 BE-defined oversampling strata applied post-hoc to a Seattle area household travel survey. Strata with an average block size of <10 acres within a 1/4 mile of household residences held the single greatest potential for oversampling households that walk, use transit, and/or bicycle. (C) 2014 Elsevier Ltd. All rights reserved.

Keywords

Cycling; Transportation; Observation (scientific Method); Strategic Planning; Public Transit; Land Use; Bicycle; Household Travel Survey; Non-motorized Travel; Sampling; Screening Tests; Transit; Walk; Land-use; North-america; Renaissance; Policies; Choice; Trends