Physical Activity-Friendly Policies and Community Design Features in the US, 2014 and 2021.

Publisher: U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Country of Publication: United States NLM ID: 101205018 Publication Model: Electronic Cited Medium: Internet ISSN: 1545-1151 (Electronic) Linking ISSN: 15451151 NLM ISO Abbreviation: Prev Chronic Dis Subsets: MEDLINE

Original Publication: [Atlanta, Ga.] : U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, [2004]-

Diet, Healthy* ; Exercise*; Humans ; Policy ; Surveys and Questionnaires

Introduction: The 2014 Community-Based Survey of Supports for Healthy Eating and Active Living documented the prevalence of US municipal policy and community design supports for physical activity. The survey was repeated in 2021. Our study examined change in the prevalence of supports from 2014 to 2021, overall and by municipality characteristic.
Methods: Municipalities were sampled independently each survey year. We calculated prevalence in 2014 and 2021 and the prevalence ratio (PR) for 15 supports covering zoning codes, park policies and budgets, design standards, Complete Streets policies, and shared use agreements. We used a Bonferroni-corrected Breslow-Day test to test for interaction by municipality characteristic.
Results: In 2014 (2,009 municipalities) compared with 2021 (1,882 municipalities), prevalence increased for several zoning codes: block sizes of walkable distances (PR = 1.46), minimum sidewalk width (PR = 1.19), pedestrian amenities along streets (PR = 1.15), continuous sidewalk coverage (PR = 1.14), and building orientation to pedestrian scale (PR = 1.08). Prevalence also increased for design standards requiring dedicated bicycle infrastructure for roadway expansion projects or street retrofits (PR = 1.19). Prevalence declined for shared use agreements (PR = 0.87). The prevalence gap widened between the most and least populous municipalities for Complete Streets policies (from a gap of 33.6 percentage points [PP] in 2014 to 54.0 PP in 2021) and for zoning codes requiring block sizes that were walkable distances (from 11.8 PP to 41.4 PP).
Conclusion: To continue progress, more communities could consider adopting physical activity-friendly policies and design features.

Prev Med. 2017 Feb;95 Suppl:S126-S133. (PMID: 27713102)
Am J Public Health. 2010 Apr;100(4):590-5. (PMID: 20167880)
Prev Med Rep. 2022 Sep 27;30:102003. (PMID: 36237840)
Am J Public Health. 2018 Apr;108(4):525-531. (PMID: 29470126)
Rural Remote Health. 2015 Oct-Dec;15(4):3267. (PMID: 26458564)
Prev Med. 2018 Jun;111:307-313. (PMID: 29157975)
Circulation. 2020 Sep 15;142(11):e167-e183. (PMID: 32787443)
Prev Chronic Dis. 2014 Feb 20;11:E25. (PMID: 24556251)
Environ Behav. 2016 Jan;48(1):111-130. (PMID: 27587898)
Prev Med. 2019 Jun;123:101-108. (PMID: 30878571)
Prev Med. 2017 Feb;95 Suppl:S53-S59. (PMID: 27658899)
Prev Chronic Dis. 2013;10:E19. (PMID: 23391295)
J Transp Health. 2017 Jun;5:142-150. (PMID: 37180376)
Am J Health Promot. 2019 Feb;33(2):191-198. (PMID: 29860864)
Prev Chronic Dis. 2022 Sep 01;19:E56. (PMID: 36048735)
Front Public Health. 2016 Apr 18;4:71. (PMID: 27148517)
J Phys Act Health. 2021 Jul 09;18(9):1088-1096. (PMID: 34243168)
Child Obes. 2012 Oct;8(5):440-8. (PMID: 23061499)

Date Created: 20230817 Date Completed: 20230821 Latest Revision: 20230921

20231215

PMC10457105

10.5888/pcd20.220397

37590901