@article{ref1,
title="Cross-sectional associations of neighborhood perception, physical activity, and sedentary time in community-dwelling, socioeconomically diverse adults",
journal="Frontiers in public health",
year="2019",
author="Claudel, Sophie E. and Shiroma, Eric J. and Harris, Tamara B. and Mode, Nicolle A. and Ahuja, Chaarushi and Zonderman, Alan B. and Evans, Michele K. and Powell-Wiley, Tiffany M.",
volume="7",
number="",
pages="e256-e256",
abstract="<b>Background:</b> Little is known about the role of perceived neighborhood environment as a determinant of physical activity (PA) and sedentary time (ST) in understanding obesity-related health behaviors. We focus on a biracial, socioeconomically diverse population using objectively measured ST, which is under-represented in the literature. <b>Methods:</b> We examined the association between self-reported neighborhood perception (Likert-scale questions), PA using the Baecke questionnaire, and both non-sedentary time and ST using accelerometry from wave 4 of the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study (<i>n</i> = 2,167). After applying exclusion criteria, the sample size was <i>n</i> = 1,359 for analyses of self-reported PA and <i>n</i> = 404 for analyses of accelerometry data. Factor analysis identified key neighborhood characteristics to develop a total neighborhood perception score (NPS). Higher NPS indicated less favorable neighborhood perception. Linear regression was used to determine the relationship between NPS, PA, non-sedentary time, and ST. <b>Results:</b> Complete data were available for <i>n</i> = 1,359 [age 56.6(9.0) years, 59.5% female, 62.2% African American] for whom we identified four neighborhood perception factors: (1) concern about crime, (2) physical environment, (3) location of violent crime, and (4) social environment. Worsening perception of the overall neighborhood [β = -0.13 (SE = 0.03); <i>p</i> = 0.001], the physical environment [-0.11 (0.05); <i>p</i> = 0.03], and the social environment [-0.46 (0.07); <i>p</i> < 0.0001] were associated with decreased PA. Worsening perception of the overall neighborhood [1.14 (0.49); <i>p</i> = 0.02] and neighborhood social environment [3.59 (1.18); <i>p</i> = 0.003] were associated with increased ST over the day. There were no interactions for race, sex, poverty status, or economic index. <b>Conclusion:</b> Poor overall neighborhood perception, perceived social environment, and perceived neighborhood physical environment are associated with PA and ST in a multi-racial, socioeconomically diverse cohort of urban adults. <b>Clinical Trial Registration:</b> The HANDLS study is registered at ClinicalTrials.gov as NCT01323322.<br><br>Copyright © 2019 Claudel, Shiroma, Harris, Mode, Ahuja, Zonderman, Evans and Powell-Wiley.<p /> <p>Language: en</p>",
language="en",
issn="2296-2565",
doi="10.3389/fpubh.2019.00256",
url="http://dx.doi.org/10.3389/fpubh.2019.00256"
}