Emerging issues in improving food and physical activity environments: strategies for addressing land use, transportation, and safety in 3 California-wide initiatives.

Mounting research has suggested linkages between neighborhood safety, community design, and transportation patterns and eating and activity behaviors and health outcomes. On the basis of a review of evaluation findings from 3 multisite healthy eating and activity initiatives in California, we provide an overview of 3 community process strategies-engaging local advocates, linking safety to health, and collaborating with local government officials-that may be associated with the successful development and implementation of long-term community-improvement efforts and should be explored further.