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Purpose: Studies on how the interaction of psychological and environmental characteristics influences walking are limited, and the results are inconsistent. Our aim is to examine how the attitude toward walking and neighborhood environments interacts to influence walking. Design: Cross-sectional phone and mail survey. Setting: Participants randomly sampled from 6 study sites including Los Angeles, Chicago, Baltimore, Minneapolis, Manhattan, and Bronx Counties in New York City, and Forsyth and Davidson Counties in North Carolina. Participants: The final sample consisted of 2621 persons from 2011 to 2012. Measures: Total minutes of walking for travel or leisure, attitude toward walking, and perceptions of the neighborhood environments were self-reported. Street Smart (SS) Walk Score (a measure of walkability derived from a variety of geographic data) was obtained for each residential location. Analysis: Linear regression models adjusting for age, gender, race/ethnicity, education, and income. Results: Attitude toward walking was positively associated with walking for both purposes. Walking for travel was significantly associated with SS Walk Score, whereas walking for leisure was not. The SS Walk Score and selected perceived environment characteristics were associated with walking in people with a very positive attitude toward walking but were not associated with walking in people with a less positive attitude. Conclusion: Attitudes toward walking and neighborhood environments interact to affect walking behavior.

This text will orient public health scholars and practitioners, as well as professionals from related fields such as the social sciences and design professions, to the tools and skills needed for effective urban health research, including foundational concepts, data sources, strategies for generating evidence, and engagement and dissemination strategies to inform action for urban health. The work brings together what the researchers are learning through ongoing research experience and their efforts to inform action.

THE GROUNDBREAKING, FORMATIVE WORK IN SPATIAL EPIDEMIOLOGY -- NOW UPDATED FOR A NEW GENERATION OF RESEARCH AND PRACTICE IN PUBLIC HEALTHIn 2003, Neighborhoods and Health codified the idea that a neighborhood's social and physical makeup can influence the health of people who live in it.More than a decade later, with the relationship between place and health firmly entrenched at the center of how we understand public health (and as its own scientific discipline, spatial epidemiology), this second edition of the landmark text offers another giant leap forward for the field

Population health rankings are a common strategy to spur evidence-informed health policy making, but little is known about their uses or impacts. The study aims were to (1) understand how and why the County Health Rankings (CH-Rankings) are used in local policy contexts, (2) identify factors that influence CH-Rankings utilization, and (3) explore potentially negative impacts of the CH-Rankings. Forty-four interviews were conducted with health organization officials and public policy makers in 15 purposively selected counties. The CH-Rankings were used instrumentally to inform internal planning decisions, conceptually to educate the public and policy makers about determinants of population health, and politically to advance organizational agendas. Factors related to organizational capacity, county political ideology, and county rank influenced if, how, and why the CH-Rankings were used. The CH-Rankings sometimes had the negative impacts of promoting potentially ineffective interventions in politically conservative counties and prompting negative media coverage in some counties with poor rank.

The primary determinants of disease are mainly economic and social, and therefore its remedies must also be economic and social. Medicine and politics cannot and should not be kept apart. Rose1 To achieve [a reduction in overweight and obesity] is perhaps the major public health and societal challenge of the century. Potential strategies include [….] redesign of built environments to promote physical activity, changes in food systems, restrictions on aggressive promotion of unhealthy drinks and foods to children and economic strategies such as taxation. Willet2