title: Concordance and correlates of direct and indirect built environment measurement among minority women.
abstract: OBJECTIVE
  To measure the concordance of directly and indirectly measured neighborhood attributes and to determine the correlates of the concordance between directly and indirectly measured built environment attributes.
  
  
  METHODS
  Environmental cross-sectional design.
  
  
  METHODS
  Urban and suburban neighborhoods within Harris County, Houston, and Travis County, Austin, Texas.
  
  
  METHODS
  Community-dwelling African-American and Hispanic or Latina women.
  
  
  METHODS
  Physical activity resource accessibility, path maintenance, and pedestrian and bicycle facilities were measured directly and indirectly. Directly or objectively measured neighborhood attributes were measured by the Physical Activity Resource Assessment and Pedestrian Environmental Data Scan instruments. Indirectly measured or self-reported neighborhood attributes were measured by the International Physical Activity Prevalence Study environmental survey module.
  
  
  METHODS
  Logistic regression was used to measure the concordance between directly and indirectly measured neighborhood attributes with ethnicity as a covariate. Residual values were calculated to determine the strength and direction of concordance.
  
  
  RESULTS
  Participants' (N  =  409) average body mass index (BMI) was classified as obese (MBMI  =  34.5 kg/m(2), SD  =  7.9), and the mean body fat percentage was 42.8% (SD  =  7.1). The correlates BMI, body fat percentage, physical activity, and ethnicity were not significantly associated with any built environment attribute or concordance value, and none of our models significantly predicted indirectly measured built environment attributes.
  
  
  CONCLUSIONS
  Being less familiar with certain built environment attributes may not be associated with weight status or physical activity levels among African-American and Hispanic or Latina women.
authors.affiliation: Department of Applied Physiology and Wellness, Southern Methodist University, Dallas, Texas 75275-0353, USA. kmcalexander@smu.edu
authors.forename: Kristen M
authors.initials: KM
authors.lastname: McAlexander
authors.forename: Scherezade K
authors.initials: SK
authors.lastname: Mama
authors.forename: Ashley V
authors.initials: AV
authors.lastname: Medina
authors.forename: Daniel P
authors.initials: DP
authors.lastname: O'Connor
authors.forename: Rebecca E
authors.initials: RE
authors.lastname: Lee
mesh_terms: D000273:Adipose Tissue; D001741:Black or African American; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D004777:Environment; D015444:Exercise; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D009765:Obesity / Q000208:ethnology; D012111:Residence Characteristics; D013383:Suburban Population; D013781:Texas; D014505:Urban Population