Citation

Jilcott Pitts SB, Edwards M, Moore JB, Shores KA, Dubose KD, McGranahan D. J. Phys. Act. Health 2013; 10(7): 1032-1038.

Affiliation

East Carolina University, Department of Public Health, Greenville, NC.

Copyright

(Copyright © 2013, Human Kinetics Publishers)

DOI

unavailable

PMID

23136370

Abstract

Background: Little is known about the associations between natural amenities, recreation facility density, and obesity, at a national level. Therefore, the purpose of this paper was to examine associations between county-level natural amenities, density of recreation facilities, and obesity prevalence among United States counties. Methods: Data were obtained from a compilation of sources within the United States Department of Agriculture Economic Research Service Food Environment Atlas. Independent variables of interest were the natural amenities scale and recreation facilities per capita. The dependent variable was county-level obesity prevalence. Potential covariates included a measure of county-level percent Black residents, percent Hispanic residents, median age, and median household income. All models were stratified by population loss, persistent poverty, and metro status. Multilevel linear regression models were used to examine the association between obesity and natural amenities and recreation facilities, with "state" as a random effects second level variable. Results: There were statistically significant negative associations between percent obesity and (1) natural amenities and (2) recreation facilities per capita. Conclusions: Future research should examine environmental and policy changes to increase recreation facilities and enhance accessible natural amenities to decrease obesity rates.

Language: en