TY - JOUR PY - 2007// TI - Promoting active community environments through land use and transportation planning JO - American journal of health promotion A1 - Aytur, Semra A. A1 - Rodriguez, Daniel A. A1 - Evenson, Kelly R. A1 - Catellier, D. J. A1 - Rosamond, Wayne D. SP - 397 EP - 407 VL - 21 IS - Suppl N2 - 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.
Language: en
LA - en SN - 0890-1171 UR - http://dx.doi.org/ ID - ref1 ER -