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The Diabetes Educator

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Health Education & Behavior
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Neighborhood Environment and Adherence to a Walking Intervention in African American Women

Shannon N. Zenk, PhD, MPH, RN

University of Illinois at Chicago, szenk{at}uic.edu

JoEllen Wilbur, PhD, APN, FAAN

Rush University, Chicago, Illinois

Edward Wang, PhD

University of Illinois at Chicago

Judith McDevitt, PhD, APN

University of Illinois at Chicago

April Oh, PhD, MPH

University of Illinois at Chicago

Richard Block, PhD

Loyola University, Chicago, Illinois

Sue McNeil, PhD

University of Delaware, Newark

Nina Savar, MS

University of Illinois at Chicago

This secondary analysis examined relationships between the environment and adherence to a walking intervention among 252 urban and suburban, midlife African American women. Participants received an enhanced or minimal behavioral intervention. Walking adherence was measured as the percentage of prescribed walks completed. Objective measures of the women's neighborhoods included walkability (land use mix, street intersection density, housing unit density, public transit stop density), aesthetics (physical deterioration, industrial land use), availability of outdoor (recreational open space) and indoor (recreation centers, shopping malls) walking facilities/spaces, and safety (violent crime incidents). Ordinary least squares regression estimated relationships. The presence of one and especially both types of indoor walking facilities were associated with greater adherence. No associations were found between adherence and other environmental variables. The effect of the enhanced intervention on adherence did not differ by environmental characteristics. Aspects of the environment may influence African American women who want to be more active.

Key Words: African Americans • neighborhood • walking

This version was published on February 1, 2009

Health Education & Behavior, Vol. 36, No. 1, 167-181 (2009)
DOI: 10.1177/1090198108321249
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