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Am J Health Promot. 2007 Mar-Apr;21(4 Suppl):397-407.

Promoting active community environments through land use and transportation planning.

Author information

1
Department of Epidemiology, School of Public Health, Bank of America Center, 137 East Franklin Street Suite 306, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USA. aytur@email.unc.edu

Abstract

PURPOSE:

To examine the role of land use and transportation plans as policy instruments for promoting active community environments.

DESIGN:

Cross-sectional analysis using multilevel models to examine whether active community environment scores were associated with leisure and transportation-related physical activity (PA) and whether associations varied by household income.

SETTING:

67 North Carolina counties

SUBJECTS:

Adults (n = 6694) from pooled 2000 and 2002 North Carolina Behavioral Risk Factor Surveillance System (BRFSS) surveys.

MEASURES:

Active community environment scores, derived from a 2003 survey of planning directors, representing the presence of nonmotorized transportation improvements, mixed land use classification, and comprehensiveness of implementation tools. Dependent variables were self-reported PA measures from the BRFSS. Sociodemographic variables were derived from the 2000 U.S. Census of Population.

RESULTS:

After adjustment for sociodemographic factors, more favorable active community environment scores were significantly associated with leisure PA (p = .001), transportation PA (p < .01), bicycling (p < .05), walking 150 minutes/week (p < .001), and meeting PA recommendations (p < .0001). In stratified analyses, lower-income individuals (<$25, 000) living in high scoring counties were three times more likely to participate in transportation PA compared with those living in low scoring counties (95% confidence interval, 1.4, 7.3).

CONCLUSIONS:

This study identifies previously unexamined policy and institutional correlates of PA related to land use and transportation planning. Plans may provide a means to incorporate community support for active living into public policy.

PMID:
17465186
DOI:
10.4278/0890-1171-21.4s.397
[Indexed for MEDLINE]

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