Using built environmental observation tools: comparing two methods of creating a measure of the built environment.

PURPOSE

Identify an efficient method of creating a comprehensive and concise measure of the built environment integrating data from geographic information systems (GIS) and the Senior Walking Environmental Assessment Tool (SWEAT).

DESIGN

Cross-sectional study using a population sample.

SETTING

Eight MUNICIPALLY defined neighborhoods in Portland, Oregon.

SUBJECTS

Adult residents (N = 120) of audited segments (N = 363).

MEASURES

We described built environmental features using SWEAT audits and GIS data. We obtained information on walking behaviors and potential confounders through in-person interviews.

ANALYSIS

We created two sets of environmental measures, one based on the conceptual framework used to develop SWEAT and another using principal component analysis (PCA). Each measure's association with walking for transportation and exercise was then assessed and compared using logistic regression.

RESULTS

A priori measures (destinations, safety, aesthetics, and functionality) and PCA measures (accessibility, comfort/safety, maintenance, and pleasantness) were analogous in conceptual meaning and had similar associations with walking. Walking for transportation was associated with destination accessibility and functional elements, whereas walking for exercise was associated with maintenance of the walking area and protection from traffic. However, only PCA measures consistently reached statistical significance.

CONCLUSION

The measures created with PCA were more parsimonious than those created a priori. Performing PCA is an efficient method of combining and scoring SWEAT and GIS data.