American Journal of Public Health · 2007 · 318 citations · 22 references
Public HealthCommunity HealthPopulation Health SciencesPhysical ActivitySpatial DemographySpatial EpidemiologyPhysical Activity AssessmentPhysical Activity EpidemiologyPhysical FitnessRecreation GeographyBinomial RegressionOlder ResidentsPhysical Activity DeterminantsPhysical Activity Prevalence
OBJECTIVES: Using data from a large cohort of adults aged 45 to 84 years-old, we investigated whether availability of recreational resources is related to physical activity levels. METHODS: Data from a multiethnic sample of 2723 adult residents of New York City, NY; Baltimore, Md; and Forsyth County, NC, were linked to data on locations of recreational resources. We measured the availability (density) of resources within 0.5 (0.8 km), 1, 2, and 5 miles of each participant's residence and used binomial regression to investigate associations of density with physical activity. RESULTS: After adjustment for potential confounders, individuals in the tertile of participants residing in areas with the highest density of resources were more likely to report physical activity during a typical week than were individuals in the lowest tertile. Associations between availability of recreational resources and physical activity levels were not present for the smallest area assessed (0.5 miles) but were present for areas ranging from 1 to 5 miles. These associations were slightly stronger among minority and low-income residents. CONCLUSIONS: Availability of resources may be 1 of several environmental factors that influence individuals' physical activity behaviors.
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How Accessibility Shapes Land Use
Walter G Hansen · Journal of the American Institute of Planners · 1959 · 3.8K citations
Neighborhood of Residence and Incidence of Coronary Heart Disease
Ana V. Diez Roux, Sharon Stein Merkin, Donna K. Arnett et al. · New England Journal of Medicine · 2001 · 1.8K citations · Full text