Neighborhood Environment, Access to Places for Activity, and Leisure-Time Physical Activity in a Diverse North Carolina Population

Huston, Sara L.; Evenson, Kelly R.; Bors, Philip; Gizlice, Ziya

doi:10.4278/0890-1171-18.1.58

Cited by 235 publications

(149 citation statements)

References 20 publications

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“…43 Though of growing interest, prior research is inconsistent regarding the association between crime or perceptions of crime and the likelihood of engaging in physical activity. [44][45][46][47][48] The observed relationship between homicide and cancer stage is consistent with our supposition that crime surrounding mammography facilities is a deterrent to mammography utilization. We were unable to directly test this hypothesis, however, and other explanations are possible.…”

Section: Discussionsupporting

confidence: 89%

Characteristics of Mammography Facility Locations and Stage of Breast Cancer at Diagnosis in Chicago

et al. 2008

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In the United States, despite substantial investment in public health initiatives to promote early detection of breast cancer through screening mammography, the proportion of female breast cancers that have advanced beyond the localized stage by the time of diagnosis remains high. Our objective in this exploratory study was to investigate whether stage of breast cancer at diagnosis among Chicago residents is associated with characteristics of the neighborhoods in which proximate mammography facilities are located. Those characteristics may influence likelihood of utilizing the service routinely and partly explain differences in stage at diagnosis. We used a retrospective cohort design and combined 3 years of data from the Illinois State Cancer Registry (ISCR) with information on locations of mammography facilities, public transportation service, crime, and area demographic and economic characteristics. Using a Geographic Information System (GIS), we identified the five facilities located nearest to each case's residence. Estimates of the association between characteristics of mammography facility locations and breast cancer stage at diagnosis were obtained using the partial proportional odds regression model. We found that the number of homicides in areas in which the nearest mammography facilities were located was associated with increased odds of later stage diagnosis. This effect was independent of age, race, and residential area education and income. We found no effect on stage of distance, public transportation service, or measures of neighborhood social similarity. The "spatial dynamics" of health may involve geographies beyond the immediate neighborhood. The results of our study suggest that areas in which the nearest mammography facilities are located may be one such geography. We hope that this study will spark research interest in the impact of health service locations on utilization.

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Section: Discussionsupporting

confidence: 89%

Characteristics of Mammography Facility Locations and Stage of Breast Cancer at Diagnosis in Chicago

et al. 2008

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“…2,6,9,13,15,19 Clubs were the only specifi c recreational facilities associated to leisure physical activity in this study. In Ermelino Matarazzo district there were eight facilities in 2007, all public.…”

Section: Discussionmentioning

confidence: 99%

Percepção do ambiente e prática de atividade física em adultos residentes em região de baixo nível socioeconômico

Florindo

Salvador²,

Reis

et al. 2011

Rev. Saúde Pública

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OBJECTIVE:To analyze the association between practice of physical activity and the perception of the community environment among adults. METHODS:A cross-sectional study of 890 adults carried out in Ermelino Matarazzo district in São Paulo, Southeastern Brazil, 2007. The dependent variables were the practice of at least 150 minutes per week in leisure time physical activity and walking for commuting. Independent variables concerned the environment, and adjustment variables were sex, age, education and length of time living in the neighborhood. RESULTS:Variables associated with leisure time physical activity were: invitation from friends/neighbors, the presence of facilities less than ten minutes walking from the house and the absence of bars within ten minutes walking distance of the house. Public safety was associated with walking for commuting. CONCLUSIONS:To promote physical activity in areas of low socioeconomic status, it is fundamental to invest in public safety and facilities for physical activity, in addition to promoting social support networks.

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“…Although some authors have argued for the existence of a direct unmediated influence of environmental factors on PA, 4,19 the TPB postulates that the influence of environmental factors is mediated by PBC and intention. 4 Mediation by social cognitions may provide a plausible explanation for why some studies fail to find a strong association between environmental factors and physical activity, 20,21 but PA determinant studies that have included both environmental-level and individual-level variables 22,23 have failed to address social cognitions as mediating variables in the environment-PA relationship.…”

Section: Introductionmentioning

confidence: 99%

Modeling Individual and Physical Environmental Factors with Adolescent Physical Activity

Bruijn

Kremers

Lensvelt-Mulders

et al. 2006

American Journal of Preventive Medicine

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Neighborhood Environment, Access to Places for Activity, and Leisure-Time Physical Activity in a Diverse North Carolina Population

Cited by 235 publications

References 20 publications

Characteristics of Mammography Facility Locations and Stage of Breast Cancer at Diagnosis in Chicago

Characteristics of Mammography Facility Locations and Stage of Breast Cancer at Diagnosis in Chicago

Percepção do ambiente e prática de atividade física em adultos residentes em região de baixo nível socioeconômico

Modeling Individual and Physical Environmental Factors with Adolescent Physical Activity

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