title: Access to environmental resources and physical activity levels of adults in Hawaii.
abstract: OBJECTIVE
  Examine associations between physical activity (PA) and spatial accessibility to environmental PA resources in Hawaii.
  
  
  METHODS
  Metabolic equivalents (METs) of mild, moderate, and strenuous PA were compared for accessibility with environmental PA resources within a population-based sample of Hawaiian adults (n = 381). Multiple linear regression estimated differences in PA levels for residing further from a PA resource or residing in an area with a greater number of resources.
  
  
  RESULTS
  No associations were found in the total sample. Analyses within subsamples stratified by ethnicity revealed that greater spatial accessibility to a PA resource was positively associated with strenuous PA among Caucasians (P = .04) but negatively associated with moderate PA among Native Hawaiians (P = .00).
  
  
  CONCLUSIONS
  The lack of association in the total sample may be a consequence of Hawaii's unique environment. Results of stratified sample analyses are unique, providing groundwork for future examinations within parallel environments and among similar ethnic groups.
authors.affiliation: Miami University, Oxford, OH, USA gellerks@muohio.edu.
authors.forename: Karly S
authors.initials: KS
authors.lastname: Geller
authors.affiliation: University of Hawaii, Honolulu, HI, USA.
authors.forename: Claudio R
authors.initials: CR
authors.lastname: Nigg
authors.affiliation: University of Hawaii Cancer Center, Honolulu, HI, USA.
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Ollberding
authors.affiliation: University of Illinois at Urbana-Champaign, Urbana, IL, USA.
authors.forename: Robert W
authors.initials: RW
authors.lastname: Motl
authors.affiliation: University of Otago, Dunedin, New Zealand.
authors.forename: Caroline
authors.initials: C
authors.lastname: Horwath
authors.affiliation: University of Georgia, Athens, GA, USA.
authors.forename: Rodney K
authors.initials: RK
authors.lastname: Dishman
mesh_terms: D000293:Adolescent; D000328:Adult; D004779:Environment Design; D005006:Ethnicity; D015444:Exercise; D005260:Female; D006254:Hawaii / Q000208:ethnology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D015999:Multivariate Analysis; D044468:Native Hawaiian or Pacific Islander; D005082:Physical Exertion / Q000502:physiology; D055815:Young Adult