@article{ref1,
title="What constitutes an obesogenic environment in rural communities?",
journal="American journal of health promotion",
year="2006",
author="Boehmer, Tegan K. and Lovegreen, Sarah L. and Haire-Joshu, Debra and Brownson, Ross C.",
volume="20",
number="6",
pages="411-421",
abstract="PURPOSE: To identify perceived indicators of the physical environment associated with obesity in rural communities. DESIGN: Cross-sectional telephone survey. SETTING: Thirteen communities in rural Missouri, Tennessee, and Arkansas, 2003. SUBJECTS: A total of 2510 adults completed the survey and 2210 respondents were included in the analysis (74% female, 93% white, and 27% obese). MEASURES: The 106-item survey measured perceptions of the neighborhood environment (recreational facilities, land use, transportation/safety, aesthetics, and food environment) and health-related behaviors. The primary outcome was obese (body mass index [BMI] > or = 30 kg/mn2) vs. normal weight (BMI = 18.5-24.9 kg/m2). ANALYSIS: Logistic regression was used to control for age, gender and education. RESULTS: Several indicators of the perceived neighborhood environment were associated with being obese (adjusted odds ratio [95% confidence interval]), including furthest distance to the nearest recreational facility (1.8 [1.3-2.4]), unpleasant community for physical activity (1.8 [1.3-2.6]), feeling unsafe from crime (2.1 [1.5-2.9]) or traffic (1.7 [1.2-2.3]), and few nonresidential destinations (1.4 [1.0-1.9]). Distance to recreational facilities and crime safety remained significant in the multivariate model, along with dietary-fat intake, sedentary behavior, and moderate/vigorous physical activity. CONCLUSION: This study adds to a growing evidence base of environmental correlates of obesity and makes a unique contribution regarding rural communities. If causality is established, environmental interventions that target obesogenic neighborhood features may reduce the prevalence of obesity on a population level.<p /><p>Language: en</p>",
language="en",
issn="0890-1171",
doi="",
url="http://dx.doi.org/"
}