Contextual Effects of Built and Social Environments of Urban Neighborhoods on Exercise: A Multilevel Study in Chicago

Abstract

Purpose.

Examine the contextual effects of neighborhood built and social environments on exercise.

Design.

Cross-sectional, multilevel study.

Setting.

City of Chicago.

Subjects.

A probability sample of Chicago adult residents (response rate = 55%).

Measures.

The exercise measures were based on two questions: “How often a week on average do you work out or exercise?” (N = 3530) and, “Did you exercise regularly in the last year?” (N = 907). Neighborhood social environment was measured by socioeconomic and social capital indicators. Neighborhood built environment was captured by pedestrian injury rate, residential density, distance to subway or parks, land use mix, and access to neighborhood amenities.

Analysis.

Random effects logit and multinomial models.

Results.

For weekly workout/exercise, individuals with access to restaurants and bars were more likely to report one to three times of weekly exercise (OR = 1.08; 95% CI: 0.99, 1.19) and four times or more weekly exercise (OR = 1.14; 95% CI: 1.03, 1.26) compared with those who reported no weekly exercise. For regular exercise in the past year, access to restaurants and bars (OR = 1.24; 95% CI: 1.05, 1.46) and neighborhood social environment (OR = 1.37; 95% CI: 1.11, 1.69) were significant. The social environment effects were stronger for women.

Conclusions.

Neighborhood social and built environments are both important for exercise independent of an individual's background.

Keywords

Neighborhood Physical Activity Built Environment Social Capital Prevention Research Manuscript format: research Research purpose: modeling/relationship testing Study design: nonexperimental Outcome measure: behavioral Setting: local community Health focus: physical activity Strategy: education,social environment,built environment Target population age: adults Target population circumstances: education/income level,geographic location,and race/ethnicity

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References

Center for Disease Control and Prevention. Perceptions of neighborhood characteristics and leisure-time physical inactivity: Austin/Travis County, Texas, 2004. MMWR. 2005;54:926–928.

Aytur

Rodriguez

Evenson

. Promoting active community environments through land use and transportation planning. Am J Health Promot. 2007;21:397–407.

Ewing

Cervero

. Travel and the built environment: A synthesis. Transp Res Rec. 2001;1780:87–114.

Giles-Corti

Donovan

. Relative influences of individual, social environmental, and physical environmental correlates of walking. Am J Public Health. 2003;93:1583–1589.

Lee

. Environment and active living: The roles of health risk, and economic factors. Am J Health Promot. 2007;21:293–304.

Rundle

Diez

Roux AV

Freeman

Miller

Neckerman

Weiss

. The urban built environment and obesity in New York City: A multilevel analysis. Am J Health Promot. 2007;21:326–334.

Tilt

Unfried

Roca

. Using objective and subjective measures of neighborhood greenness and accessible destinations for understanding walking trips and BMI in Seattle, Washington. Am J Health Promot. 2007;21:371–279.

Kawachi

Berkman

. Social cohesion, social capital, and health. In: Berkman

Kawachi

, eds. Social Epidemiology. New York, NY: Oxford University Press; 2000:174–190.

Robert

. Socioeconomic position and health: The independent contribution of community socioeconomic context. Annu Rev Sociol. 1999;25:489–516.

10.

Ross

. Neighborhood disadvantage and adult depression. J Health Soc Behav. 2000;41:177–187.

11.

Wen

Browning

Cagney

. Poverty, affluence and income inequality: Neighborhood economic structure and its implications for self-rated health. Soc Sci Med. 2003;57:843–860.

12.

Wen

Cagney

Christakis

. Effect of specific aspects of community social environment on the mortality of individuals diagnosed with serious illness. Soc Sci Med. 2005;61:1119–1134.

13.

Wen

Christakis

. Neighborhood effects on post-hospitalization mortality: A population-based cohort study of the elderly in Chicago. Health Serv Res. 2005;40:1108–1127.

14.

Wen

Hawkley

Cacioppo

. Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: An analysis of older adults in Cook County, Illinois. Soc Sci Med. 2006;63:2575–2590.

15.

Kawachi

Berkman

. Neighborhoods and Health. New York, NY: Oxford University Press; 2003.

16.

Poortinga

. Perceptions of the environment, physical activity, and obesity. Soc Sci Med. 2006;63:2835–2846.

17.

Ross

. Walking, exercising, and smoking: Does neighborhood matter? Soc Sci Med. 2000;51:265–274.

18.

Wen

Browning

Cagney

. A multilevel study of neighborhood environment and its relationship to physical activity in adulthood. Urban Studies. 2007;44:1–18.

19.

Wen

Kandula

Lauderdale

. Leisure-time walking in a multiethnic population: What difference does the neighborhood make? J Gen Intern Med. 2007;22:1674–1680.

20.

Yen

Kaplan

. Poverty area residence and changes in depression and perceived health status: Evidence from the Alameda County Study. Int J Epidemiol. 1999;28:90–94.

21.

Sampson

Raudenbush

Earls

. Neighborhoods and violent crime: A multilevel study of collective efficacy. Science. 1997;227:918–923.

22.

Metro Chicago Information Center, Technical explanation of CVI Methodology. Available at: http://info.mcfol.org/www/datainfo/cvi/tech_methodology.asp#;community. Accessed April 3, 2008.

23.

Raudenbush

Sampson

. ‘Ecometrics’: Toward a science of assessing ecological settings, with application to the systematic social observation of neighborhoods. Sociol Method. 1999;29:1–41.

24.

Harman

. Modern Factor Analysis. Chicago, Ill: University of Chicago Press; 1976.

25.

Centers for Disease Control and Prevention. Physical activity trends: United States, 1990–1998. MMWR. 2001;50:166–169.

26.

Duncan

Strycker

Chaumeton

. Neighborhood physical activity opportunity: A multilevel contextual model. Res Q Exerc Sport. 2002;73:457–463.

27.

Lee

Cubbin

. Neighborhood context and youth cardiovascular health behaviors. Am J Public Health. 2002;92:428–436.

28.

Yen

Kaplan

. Poverty area residence and changes in physical activity level: Evidence from the Alameda County study. Am J Public Health. 1998;88:1709–1712.

29.

de Vries

Bakker

van Mechelen

Hopman-Roch

. Determinants of activity-friendly neighborhoods for children: Results from the SPACE Study. Am J Health Promot. 2007;21:312–316.

30.

Grzywacz

Marks

. Social inequalities and exercise during adulthood: Toward an ecological perspective. J Health Soc Behav. 2001;42:202–220.

31.

Morenoff

Sampson

Raudenbush

. Neighborhood inequality, collective efficacy, and the spatial dynamics of urban violence. Criminology. 2001;39:517–560.

32.

US Census Bureau, Illinois census 2000. Available at: http://illinoisgis.ito.state.il.us/census2000/censusData/2000/ildata.asp. Accessed January 28, 2008.

33.

Bandura

. Social Foundations of Thought and Action. Englewood Cliffs, NJ: Prentice-Hall; 1997.

34.

Bronfenbrenner

. The Ecology of Human Development: Experiments by Nature and Design. Cambridge, Mass: Harvard University Press; 1979.

35.

Centers for Disease Control and Prevention, US Department of Health and Human Services. Physical Activity and Health: A Report of the Surgeon General. Atlanta, Ga: National Center for Chronic Disease Prevention and Health Promotion; 1996.

36.

Day

Cardinal

. Special issue editors' notes: A second generation of active living research. Am J Health Promot. 2007;21:iv–vii.