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- W3200416964 abstract "Perceived Environments and Physical Activity Among American Indian Adults Living in Oklahoma: The THRIVE Study Alyson Haslam, PhD, Tori Taniguchi, MPH, Charlie Love, MPH, Tvli Jacob, PhD, Tamela K. Cannady, MHA, Joy Standridge, RD/LD, MPH, Mandy Grammar, BA, Jill Fox, MSPH, Jennifer Spiegel, MSHR, Tyler Crain, MS, and Valarie Blue Bird Jernigan, DrPH, MPH What Is the Purpose of this Study/Review? • To identify perceptions of the built environment and examine whether or not there is an association between environmental perceptions and reported physical activity (PA) in American Indian (AI) communities, with the larger overarching purpose of improving health in AI communities. What Is the Problem? • AIs have a disproportionate burden of obesity, diabetes, and cardiovascular disease than people of other races. • Many AI communities are located in areas with less exposure to factors that promote PA. • AI communities are sometimes faced with challenges such as high levels of poverty and limited resources allocated towards the establishment of recreational facilities and parks. What Are the Findings? • The majority of AI communities had indoor and outdoor exercise areas in their towns, but many people who reside there did not use them. • Higher town center summary scores (a measurement of the facilities in their town center) were associated with adequate PA (150 minutes of moderate activity per week). • Nice sidewalks, streetlights, and crosswalks were associated with getting adequate PA in AI communities. Who Should Care Most? • City planners and community council members who oversee funding and decision making for built environment. • Tribal leaders who are concerned about the health of their citizens and in reducing downstream healthcare costs. • Community members who are offer perspective on the values of their community. • Community-based participatory researchers who are designing interventions to improve PA among Native communities. • Public health and medical workers who are involved with planning and implementing community health programs. [End Page 267] Recommendations for Action • This study identifies specific built environment factors, such as enhanced sidewalk infrastructure and marked crosswalks, that affect peoples’ PA, which may be utilized by tribal and local organizations to more effectively prioritize community interventions to improve PA and potentially the health of the community. • The identification of low-cost (marked crosswalks) and higher cost (streetlights and nice sidewalks) infrastructure improvements. • Future multilevel ecologic interventions designed to increase PA should be designed with these factors in mind. [End Page 268] Alyson Haslam University of California San Francisco, San Francisco Tori Taniguchi Center for Health Sciences, Oklahoma State University Charlie Love Center for Health Sciences, Oklahoma State University Tvli Jacob Center for Health Sciences, Oklahoma State University Tamela K. Cannady Choctaw Nation of Oklahoma Health Services Authority Joy Standridge Chickasaw Nation Nutrition Services Department Mandy Grammar Choctaw Nation of Oklahoma Health Services Authority Jill Fox Chickasaw Nation Nutrition Services Department Jennifer Spiegel Chickasaw Nation Nutrition Services Department Tyler Crain Department of Analytics, Northwest Permanente. Valarie Blue Bird Jernigan Center for Health Sciences, Oklahoma State University Corresponding author: Dr Alyson Haslam, Department of Epidemiology and Biostatistics, UCSF Mission Bay Campus, Mission Hall: Global Health & Clinical Sciences Building, 550 16th St, 2nd Fl, San Francisco, CA 94158. Tel: 706.206.7653 (E-mail: alyson.haslam@ucsf.edu) Copyright © 2021 Johns Hopkins University Press" @default.
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- W3200416964 date "2021-01-01" @default.
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- W3200416964 title "Perceived Environments and Physical Activity Among American Indian Adults Living in Oklahoma: The THRIVE Study" @default.
- W3200416964 doi "https://doi.org/10.1353/cpr.2021.0029" @default.
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