Cited by 134Urban Transport and AccessibilityPhysical Activity and HealthUrban Green Space and Health

Residential self-selection bias in the estimation of built environment effects on physical activity between adolescence and young adulthood

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Boone-Heinonen, Janne, Guilkey, David K, Evenson, Kelly R, Gordon-Larsen, Penny·2010·International Journal of Behavioral Nutrition and Physical Activity

Abstract

Background: Built environment research is dominated by cross-sectional designs, which are particularly vulnerable to residential self-selection bias resulting from health-related attitudes, neighborhood preferences, or other unmeasured characteristics related to both neighborhood choice and health-related outcomes. Methods: We used cohort data from the National Longitudinal Study of Adolescent Health (United States; Wave I, 1994-95; Wave III, 2001-02; n = 12,701) and a time-varying geographic information system. Longitudinal relationships between moderate to vigorous physical activity (MVPA) bouts and built and socioeconomic environment measures (landcover diversity, pay and public physical activity facilities per 10,000 population, street connectivity, median household income, and crime rate) from adolescence to young adulthood were estimated using random effects models (biased by unmeasured confounders) and fixed effects models (within-person estimator, which adjusts for unmeasured confounders that are stable over time). Results: Random effects models yielded null associations except for negative crime-MVPA associations [coefficient (95% CI): -0.056 (-0.083, -0.029) in males, -0.061 (-0.090, -0.033) in females]. After controlling for measured and time invariant unmeasured characteristics using within-person estimators, MVPA was higher with greater physical activity pay facilities in males [coefficient (95% CI): 0.024 (0.006, 0.042)], and lower with higher crime rates in males [coefficient (95% CI): -0.107 (-0.140, -0.075)] and females [coefficient (95% CI): -0.046 (-0.083, -0.009)]. Other associations were null or in the counter-intuitive direction. Conclusions: Comparison of within-person estimates to estimates unadjusted for unmeasured characteristics suggest that residential self-selection can bias associations toward the null, as opposed to its typical characterization as a positive confounder. Differential environment-MVPA associations by residential relocation suggest that studies examining changes following residential relocation may be vulnerable to selection bias. The authors discuss complexities of adjusting for residential self-selection and residential relocation, particularly during the adolescent to young adult transition.

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  • Cross-sectional and longitudinal analyses from the National Longitudinal Study of Adolescent Health suggest some positive associations between green space coverage or availability of physical activity facilities and physical activity among US adolescents but with somewhat varying findings depending on environment measure, physical activity outcome, and sex.

    “Cross-sectional and longitudinal analyses from the National Longitudinal Study of Adolescent Health suggest some positive associations between green space coverage or availability of physical activity facilities and physical activity among US adolescents but with somewhat varying findings, depending on the environment measure, the physical activity outcome, and sex.345–348”
  • In the same large US cohort of adolescents, street connectivity was unrelated to moderate to vigorous physical activity in longitudinal analyses.

    “In the US cohort, street connectivity was positively related to moderate to vigorous physical activity in cross-sectional analyses, with variation by urbanicity and by sex,348 but was unrelated to moderate to vigorous physical activity in longitudinal analyses.”
  • In the US study, neighborhood crime safety rates were found to be inversely related to bouts of moderate to vigorous physical activity in both males and females.

    “In the US study, neighborhood crime safety (rates) were found to be inversely related to bouts of moderate to vigorous physical activity in both males and females.”

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  1. Cameron AC Trivedi PK Microeconomics: Methods and Applications 2005 New York: Cambridge University Press

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Authors
Boone-Heinonen, J., Guilkey, D. K., Evenson, K. R., & Gordon-Larsen, P.
Affiliations
University of North Carolina at Chapel Hill (US)
Venue
International Journal of Behavioral Nutrition and Physical Activity
Published
2010-10-04
Volume
7
Issue
1
Pages
70-70
ISSN
1479-5868 (ISSN-L)
OpenAlex
W2145499799
Cited by
134
References
58
Citations by year
2026: 9 · 2025: 6 · 2024: 9 · 2023: 7 · 2022: 8 · 2021: 13 · 2020: 14 · 2019: 9 · 2018: 9 · 2017: 9 · 2016: 8 · 2015: 7 · 2014: 10 · 2013: 7 · 2012: 6
FWCI
12.44
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • International Journal of Behavioral Nutrition and Physical Activity (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion, cc-by)
  • Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • UNC Libraries
Funders
  • Robert Wood Johnson Foundation (P01-HD31921)
  • National Institutes of Health (2r24hd050924-06)
  • Centers for Disease Control and Prevention (CDC SIP No. 5-00, P01-HD31921, R36EH000380)
  • Gillings School of Public Health
  • University of North Carolina at Chapel Hill (27516-2524, P01‐HD31921)
  • National Institute of Environmental Health Sciences (P30ES010126)
  • National Institute of Child Health and Human Development (P01-HD31921)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD039183, R24 HD-050924, P01- HD31921, R01HD057194, P01HD031921)
  • Carolina Population Center, University of North Carolina at Chapel Hill (P01HD31921)
Topics
  • Social Sciences › Transportation › Urban Transport and Accessibility
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Urban Green Space and Health
Keywords
built environment, physical activity, moderate-to-vigorous physical activity, adolescence, early adulthood, residential mobility, crime, physical activity facilities, street connectivity, land cover diversity, household income, unmeasured confounding

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