Promoting active community environments through land use and transportation planning.

Academic Article

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.
  • Authors

  • Aytur, Semra
  • Rodriguez, Daniel A
  • Evenson, Kelly R
  • Catellier, Diane J
  • Rosamond, Wayne D
  • Status

    Publication Date

  • March 2007
  • Published In

    Keywords

  • Adult
  • Behavioral Risk Factor Surveillance System
  • City Planning
  • Community Health Planning
  • Cross-Sectional Studies
  • Environment Design
  • Exercise
  • Female
  • Health Promotion
  • Humans
  • Male
  • Motor Activity
  • North Carolina
  • Social Environment
  • Social Justice
  • Transportation
  • Digital Object Identifier (doi)

    Pubmed Id

  • 17465186
  • Start Page

  • 397
  • End Page

  • 407
  • Volume

  • 21
  • Issue

  • 4 Suppl