Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Articles 1 - 25 of 25

Full-Text Articles in Medicine and Health Sciences

Disparities In Neighborhood Park Access Among Adults In Philadelphia, Russell K. Mcintire, Tiara Halstead, Devesh Dajee, Meghan Buckley, Kyle Mcgregor, Sharon Larson Nov 2022

Disparities In Neighborhood Park Access Among Adults In Philadelphia, Russell K. Mcintire, Tiara Halstead, Devesh Dajee, Meghan Buckley, Kyle Mcgregor, Sharon Larson

College of Population Health Faculty Papers

Researchers have clearly identified the importance of green space to promote mental and physical health among humans. In urban areas, public parks are essential for providing access to green space for many residents. This study identified the relationships between demographics, neighborhood social capital, violent crime, and residential distance to the closest park (park proximity) with self-reported access to neighborhood parks, among a population-representative sample of adults in Philadelphia. Women, older age groups, minorities, and those with lower education levels had lower self-reported access to neighborhood parks. Those reporting high neighborhood social capital had higher self-reported access to neighborhood parks. Park …


Assessing The Influence Of Food Insecurity And Retail Environments As A Proxy For Structural Racism On The Covid-19 Pandemic In An Urban Setting, Rachael D. Dombrowski, Alex B. Hill, Bree Bode, Kathrybn A. G Knoff, Hadis Dastgerdizad, Noel Kulik, James Mallare, Kibibi Blount-Dorn, Winona Bynum May 2022

Assessing The Influence Of Food Insecurity And Retail Environments As A Proxy For Structural Racism On The Covid-19 Pandemic In An Urban Setting, Rachael D. Dombrowski, Alex B. Hill, Bree Bode, Kathrybn A. G Knoff, Hadis Dastgerdizad, Noel Kulik, James Mallare, Kibibi Blount-Dorn, Winona Bynum

Urban Studies and Planning Faculty Research Publications

A collaborative partnership launched the Great Grocer Project (GGP) in March 2021 in Detroit, Michigan where health inequities, including deaths due to COVID-19, have historically been politically determined and informed by socially entrenched norms. Institutional and structural racism has contributed to a lack of diversity in store ownership among Detroit grocers and limited access to high-quality, affordable healthy foods as well as disparate food insecurity among Detroit residents. The GGP seeks to promote Detroit’s healthy grocers to improve community health and economic vitality through research, programs, and policies that have the potential to advance health equity. A cross-sectional design was …


Rethinking Walkability And Developing A Conceptual Definition Of Active Living Environments To Guide Research And Practice, Melissa Tobin, Samantha Hajna, Kassia Orychock, Nancy Ross, Megan Devries, Paul J. Villeneuve, Lawrence D. Frank, Gavin R. Mccormack, Rania Wasfi, Madeleine Steinmetz-Wood, Jason Gilliland, Gillian L. Booth, Meghan Winters, Yan Kestens, Kevin Manaugh, Daniel Rainham, Lise Gauvin, Michael J. Widener, Nazeem Muhajarine, Hui Luan, Daniel Fuller Mar 2022

Rethinking Walkability And Developing A Conceptual Definition Of Active Living Environments To Guide Research And Practice, Melissa Tobin, Samantha Hajna, Kassia Orychock, Nancy Ross, Megan Devries, Paul J. Villeneuve, Lawrence D. Frank, Gavin R. Mccormack, Rania Wasfi, Madeleine Steinmetz-Wood, Jason Gilliland, Gillian L. Booth, Meghan Winters, Yan Kestens, Kevin Manaugh, Daniel Rainham, Lise Gauvin, Michael J. Widener, Nazeem Muhajarine, Hui Luan, Daniel Fuller

Geography & Environment Publications

Background

Walkability is a popular term used to describe aspects of the built and social environment that have important population-level impacts on physical activity, energy balance, and health. Although the term is widely used by researchers, practitioners, and the general public, and multiple operational definitions and walkability measurement tools exist, there are is no agreed-upon conceptual definition of walkability.

Method

To address this gap, researchers from Memorial University of Newfoundland hosted “The Future of Walkability Measures Workshop” in association with researchers from the Canadian Urban Environmental Health Research Consortium (CANUE) in November 2017. During the workshop, trainees, researchers, and practitioners …


Partners At Play: Engaging Parks And Recreation Departments In Extension’S Health Promotion Work, Annie Hardison-Moody, Lindsey Haynes-Maslow, Jason Bocarro, Jill Kuhlberg, Michael Schulman, Sarah Bowen, Alyssa Anderson, Lauren Morris, Yvonne Murphy Nov 2020

Partners At Play: Engaging Parks And Recreation Departments In Extension’S Health Promotion Work, Annie Hardison-Moody, Lindsey Haynes-Maslow, Jason Bocarro, Jill Kuhlberg, Michael Schulman, Sarah Bowen, Alyssa Anderson, Lauren Morris, Yvonne Murphy

Journal of Human Sciences and Extension

As Extension assumes a more prominent role in health promotion efforts at the national and local levels, it is increasingly important to build strong, sustainable partnerships with organizations that address health and health disparities across the socio-ecological model. Given the role that the built environment plays in fostering and impeding health and physical activity, we argue that state and local Extension staff should build and maintain strong partnerships with organizations that carry out this work at the national, state, and local levels, such as Parks and Recreation departments. This article presents a case study of how Extension staff in one …


Sustainable Building, Spring/Summer 2009, Issue 20 Sep 2019

Sustainable Building, Spring/Summer 2009, Issue 20

Sustain Magazine

No abstract provided.


Our Energy Future, Fall/Winter 2007, Issue 15 Sep 2019

Our Energy Future, Fall/Winter 2007, Issue 15

Sustain Magazine

No abstract provided.


Renewable Energy, Fall/Winter 2011, Issue 23 Sep 2019

Renewable Energy, Fall/Winter 2011, Issue 23

Sustain Magazine

No abstract provided.


Active Transportation, Spring/Summer 2012, Issue 26 Sep 2019

Active Transportation, Spring/Summer 2012, Issue 26

Sustain Magazine

No abstract provided.


Sustainable Behavior, Spring/Summer 2013, Issue 28 Sep 2019

Sustainable Behavior, Spring/Summer 2013, Issue 28

Sustain Magazine

No abstract provided.


Campus Sustainability, Spring/Summer 2014, Issue 30 Sep 2019

Campus Sustainability, Spring/Summer 2014, Issue 30

Sustain Magazine

No abstract provided.


Carbon Neutral, Spring/Summer 2018, Issue 38 Sep 2019

Carbon Neutral, Spring/Summer 2018, Issue 38

Sustain Magazine

No abstract provided.


Rationale, Design, And Baseline Characteristics Of Walkit Arizona: A Factorial Randomized Trial Testing Adaptive Goals And Financial Reinforcement To Increase Walking Across Higher And Lower Walkable Neighborhoods, Marc A. Adams, Jane Hurley, Christine Phillips, Michael Todd, Siddhartha Angadi, Vincent Berardi, Melbourne F. Hovell, Steven Hooker May 2019

Rationale, Design, And Baseline Characteristics Of Walkit Arizona: A Factorial Randomized Trial Testing Adaptive Goals And Financial Reinforcement To Increase Walking Across Higher And Lower Walkable Neighborhoods, Marc A. Adams, Jane Hurley, Christine Phillips, Michael Todd, Siddhartha Angadi, Vincent Berardi, Melbourne F. Hovell, Steven Hooker

Psychology Faculty Articles and Research

Little change over the decades has been seen in adults meeting moderate-to-vigorous physical activity (MVPA) guidelines. Numerous individual-level interventions to increase MVPA have been designed, mostly static interventions without consideration for neighborhood context. Recent technologies make adaptive interventions for MVPA feasible. Unlike static interventions, adaptive intervention components (e.g., goal setting) adjust frequently to an individual's performance. Such technologies also allow for more precise delivery of “smaller, sooner incentives” that may result in greater MVPA than “larger, later incentives”. Combined, these factors could enhance MVPA adoption. Additionally, a central tenet of ecological models is that MVPA is sensitive to neighborhood environment …


The Shape Study : The Survey Of Health And The Perceived Environment Study., Colette Patrice Davis May 2019

The Shape Study : The Survey Of Health And The Perceived Environment Study., Colette Patrice Davis

Electronic Theses and Dissertations

Introduction: Few studies have considered how an individual’s perception of their built environment may be a risk factor for being overweight or obese. Adolescents may be particularly vulnerable in the context of “impoverished environments”, which they may perceive to be difficult, dangerous, resource deficient, and unaesthetic. This study aids in clarifying how the built environment influences the risk of obesity among adolescents residing in a neighborhood in Louisville, KY. Objective: The overall objective was to conduct a cross-sectional epidemiologic pilot study among adolescents aged 12-17 years residing in West Louisville, Kentucky to evaluate the association between perceptions of …


Prompts To Increase Physical Activity At Points-Of-Choice Between Stairs And Escalators: What About Escalator Climbers?, John Belletierre, Ben Nguyen, Sandy Liles, Vincent Berardi, Marc A. Adams, Paddy Dempsey, Yael Benporat, Jacqueline Kerr, Andrea Z. Lacroix, Melbourne Hovell Aug 2018

Prompts To Increase Physical Activity At Points-Of-Choice Between Stairs And Escalators: What About Escalator Climbers?, John Belletierre, Ben Nguyen, Sandy Liles, Vincent Berardi, Marc A. Adams, Paddy Dempsey, Yael Benporat, Jacqueline Kerr, Andrea Z. Lacroix, Melbourne Hovell

Psychology Faculty Articles and Research

Since 1980, many studies have evaluated whether stair-use prompts increased physical activity by quantifying changes in stair use. To more completely evaluate changes in physical activity, this study addressed the often-overlooked assessment of climbing up escalators by evaluating the degree to which stair-use sign prompts increased active ascent—defined as stair use or escalator climbing. Over 5 months, at an airport stairs/escalator point of choice, we video-recorded passersby (N = 13,544) who ascended either stairs or escalators, on 10 days with signs and 10 days without signs. Ascenders using the stairs, standing on the escalator, and climbing the escalator were …


Can We Walk? Environmental Supports For Active Travel In India, Deepti Adlakha May 2016

Can We Walk? Environmental Supports For Active Travel In India, Deepti Adlakha

Arts & Sciences Electronic Theses and Dissertations

Background: Rapid rates of increase of obesity, diabetes, and associated chronic and co-morbid non-communicable diseases (e.g., cardiovascular diseases and some cancers) are being documented in India, yet in-country evidence-based research of associated risk factors is lacking. Physical activity has been identified as a preventative factor to counter the risk from obesity-related non-communicable diseases. Built environment supports for physical activity represent promising strategies to curb the rise in non-communicable diseases. Mounting research evidence suggests that the built environment can facilitate or constrain physical activity. However, a majority of this research has been conducted in developed nations. Built environment correlates of physical …


Home And Workplace Built Environment Supports For Physical Activity, Deepti Adlakha, J. Aaron Hipp, Christine M. Marx, Yang Lin, Rachel Tabak, Elizabeth A. Dodson, Ross C. Brownson Nov 2014

Home And Workplace Built Environment Supports For Physical Activity, Deepti Adlakha, J. Aaron Hipp, Christine M. Marx, Yang Lin, Rachel Tabak, Elizabeth A. Dodson, Ross C. Brownson

Brown School Faculty Publications

Background: Physical inactivity has been associated with obesity and related chronic diseases. Understanding built environment (BE) influences on specific domains of physical activity (PA) around homes and workplaces is important for public health efforts and interventions to increase population PA. Purpose: To examine the association of home and workplace BE features with PA occurring across specific life domains (work, leisure, and travel). Methods: Between 2012 and 2013, telephone interviews were conducted with participants in four Missouri metropolitan areas. Questions included sociodemographic characteristics, home and workplace supports for PA, and dietary behaviors. Data analysis was conducted in 2013; logistic regression was …


Oceano Community Health Plan, Eugene Phillip Brennan Jun 2014

Oceano Community Health Plan, Eugene Phillip Brennan

Master's Theses

ABSTRACT

Oceano Community Health Plan

Phillip Brennan

Recent, mounting research shows that chronic disease, the leading causes of death and primary driver of health care costs, cannot be effectively addressed through education or preventative health alone. A physical environment that promotes health—through access to healthy food, opportunities for physical activity, quality housing, transportation options, and safe schools—is an integral part of making our communities healthier. This research and accompanying Healthy Community Plans will serve as a way for the County to begin looking in-depth at the ways the built environment (our streets, parks, and neighborhoods) contribute or detract from the …


Environmental Influences On Physical Activity Levels In Youth, Patricia Tucker, Jennifer Irwin, Jason Gilliland, Meizi He, Kristian Larsen, Paul Hess May 2013

Environmental Influences On Physical Activity Levels In Youth, Patricia Tucker, Jennifer Irwin, Jason Gilliland, Meizi He, Kristian Larsen, Paul Hess

Trish Tucker

This study assessed the amount of physical activity engaged in by youth aged 11–13, in relation to: (1) the presence of neighborhood recreational opportunities, objectively measured within a geographic information system; and (2) parents’ perceptions of recreation opportunities in their neighborhoods. Students in grade 7 and 8 (n=811) in 21 elementary schools throughout London, Ontario completed the adapted Previous Day Physical Activity Recall and a questionnaire assessing environmental influences in the home and school neighborhoods. Parents/guardians of participants also completed a questionnaire eliciting demographic information and perceptions of the neighborhood environment. On average, students engaged in 159.9 min/day of physical …


An Examination Of Walkability In The Las Vegas Metropolitan Area, Courtney Coughenour May 2013

An Examination Of Walkability In The Las Vegas Metropolitan Area, Courtney Coughenour

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: The benefits to regular physical activity are well established. Walkability is one element of the built environment that has been correlated with increased levels of physical activity. The auto-centric design of Las Vegas Metropolitan area (LVMA) is unique in ways that may influence walkability. The purpose of this study was to determine which urban design characteristics are associated with walking and physical activity in moderate income neighborhoods in LVMA. Methods: The standard walkability measure developed by Frank et al. (2010) was used to calculate the walkability index of seven neighborhoods. Residents of the two most walkable and two least …


Disparities In Park Availability, Features, And Characteristics By Social Determinants Of Health Within A U.S.-Mexico Border Urban Area, Amir Kamel Jan 2012

Disparities In Park Availability, Features, And Characteristics By Social Determinants Of Health Within A U.S.-Mexico Border Urban Area, Amir Kamel

Open Access Theses & Dissertations

Background: Parks have been shown to be a key feature in the built environment that promote physical activity and positively influence health. However, a number of studies have highlighted that park availability, park features (e.g., park facilities, amenities, and aesthetic features), and park characteristics (e.g., quality/safety concerns of the park and surrounding neighborhood) are not equally distributed across neighborhoods in the U.S, specifically areas of low socioeconomic status and diverse racial/ethnic composition. The overall aim of this study was to examine and describe park availability, park features, and park characteristics, and determine their association with two social determinants of health …


Vulnerability, Risk Perception, And Health Profile Of Marginalized People Exposed To Multiple Built-Environment Stressors In Worcester, Massachusetts: A Pilot Project, Timothy Downs, Laurie Ross, Robert Goble, Rajendra Subedi, Sara Greenberg, Octavia Taylor Apr 2011

Vulnerability, Risk Perception, And Health Profile Of Marginalized People Exposed To Multiple Built-Environment Stressors In Worcester, Massachusetts: A Pilot Project, Timothy Downs, Laurie Ross, Robert Goble, Rajendra Subedi, Sara Greenberg, Octavia Taylor

Sustainability and Social Justice

Millions of low-income people of diverse ethnicities inhabit stressful old urban industrial neighborhoods. Yet we know little about the health impacts of built-environment stressors and risk perceptions in such settings; we lack even basic health profiles. Difficult access is one reason (it took us 30 months to survey 80 households); the lack of multifaceted survey tools is another. We designed and implemented a pilot vulnerability assessment tool in Worcester, Massachusetts. We answer: (1) How can we assess vulnerability to multiple stressors? (2) What is the nature of complex vulnerability-including risk perceptions and health profiles? (3) How can findings be used …


Validation Of A Commercial Geographical Information Systems Database Of Walking And Bicycling Destinations, Heather A. Whitcomb, Ellen K. Cromley, Kosuke Tamura, Steven J. Melly, Sayali Kale, Francine Laden, Peter James, Robin Puett, Eran Ben-Joseph, Philip J. Troped Nov 2009

Validation Of A Commercial Geographical Information Systems Database Of Walking And Bicycling Destinations, Heather A. Whitcomb, Ellen K. Cromley, Kosuke Tamura, Steven J. Melly, Sayali Kale, Francine Laden, Peter James, Robin Puett, Eran Ben-Joseph, Philip J. Troped

GIS Day

Background: Recent interdisciplinary studies in public health, transportation, and urban planning have shown that stores and other destinations such as banks, post offices, and physical activity facilities within close proximity to residences are positively related to recreational and transportation physical activity. The built environment has been measured several different ways, including conducting field audits and by surveying individuals’ perceptions of their neighborhood. Increasingly researchers are also using geographic information systems (GIS) software and commercially available data sources to create objective measures of the built environment. The advantages of commercial data are that they are relatively easy to access and are …


Exploratory Study Of Environmental Effects On Physical Activity And Overweight In Older Women: Research Update, Heather A. Whitcomb, Kosuke Tamura, Lauren Milius, Francine Laden, Steve Melly, Peter James, Robin Puett, Ellen Cromley, Eran Ben-Joseph, Philip J. Troped Nov 2008

Exploratory Study Of Environmental Effects On Physical Activity And Overweight In Older Women: Research Update, Heather A. Whitcomb, Kosuke Tamura, Lauren Milius, Francine Laden, Steve Melly, Peter James, Robin Puett, Ellen Cromley, Eran Ben-Joseph, Philip J. Troped

GIS Day

Background: Physical inactivity and obesity are major public health issues. Recent studies have provided evidence that attributes of the built environment influence physical activity among adults and that factors such as greater urban sprawl are related to overweight and obesity. Few studies have developed objective individual-level measures of the built environment, a geographic scale that may be more relevant to certain types of physical activity, such as walking. In addition, further research is needed to assess the associations of both objective and perceived environmental factors with physical activity. In this 2-year exploratory study funded by the National Cancer Institute, we …


Built Environment And Physical Functioning In Hispanic Elders: The Role Of “Eyes On The Street”, Scott C. Brown, Craig A. Mason, Tatiana Perrino, Joanna L. Lombard, Frank Martinez, Elizabeth Plater-Zyberk, Arnold R. Spokane, José Szapocznik Jan 2008

Built Environment And Physical Functioning In Hispanic Elders: The Role Of “Eyes On The Street”, Scott C. Brown, Craig A. Mason, Tatiana Perrino, Joanna L. Lombard, Frank Martinez, Elizabeth Plater-Zyberk, Arnold R. Spokane, José Szapocznik

School of Architecture Articles and Papers

Background: Research on neighborhood effects increasingly includes the influences of the built environment on health and social well-being.

Objectives: In this population-based study in a low-socioeconomic-status (SES), Hispanic neighborhood, we examined whether architectural features of the built environment theorized to promote direct observations and interactions (e.g., porches, stoops) predicted Hispanic elders’ social support and psychological and physical functioning.

Methods: We coded built-environment features for all 3,857 lots in the 403-block area of an urban Miami, Florida, community. We then conducted three annual assessments of social support, psychological distress, and physical functioning in a population-based sample of 273 low-SES Hispanic elders …


Evaluating If The Built Environment Has A Substantial Effect On Obesity In Fayette County, Kentucky, Will Warren Jan 2007

Evaluating If The Built Environment Has A Substantial Effect On Obesity In Fayette County, Kentucky, Will Warren

MPA/MPP/MPFM Capstone Projects

Background:

Obesity is a major health issue in the United States and Fayette County. As Fayette County has become increasingly obese, it too has had an issue of sprawl within its urban service area and beyond. Relationships between obesity and aspects of the built environment are continuing to be studied.

Objective:

To evaluate the impact certain factors may have on the body mass index of Fayette County residents, in particular whether urban sprawl has an overriding impact on the weight of residents.

Methods:

The study area used was Fayette County, which was broken down into its fourteen zip code areas …