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Table of Contents
1 General Definition and Theoretical Background
2 Neighborhood Physical Activity Environments
3 Neighborhood Walkability
4 Standard Measures
5 Neighborhood Nutrition Environments
6 Divergent Opinions about the Utility of the Construct of Built Environment
7 Tobacco Control Environments
8 Alcohol Related Environments
9 Measurement Issues for Tobacco and Alcohol Environments


11 Appendix A
12 Appendix B
13 Published Examples

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Other Constructs



Dispositional Optimism




Illness Representations

  Implementation Intentions
  Intention, Expectation, and Willingness
  Normative Beliefs
  Optimistic Bias
  Perceived Benefits
  Perceived Control
  Perceived Severity
  Perceived Vulnerability
  Self-Reported Behavior
  Social Influence
  Social Support

Environments: Theory, Research and Measures of the Built Environment
Karen Glanz, and Michelle C. Kegler

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Alaniz, M.L. (1998). Alcohol availability and targeted advertising in racial/ethnic minority communities. Alcohol Health & Research World, 22, 286-289.

Bandura, A. (1986). Social Foundation of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice-Hall.

Barker, R. (1968). Ecological psychology. Stanford, CA: Stanford University Press.

Brownson, R., Chang, J., Eyler, A., Ainsworth, B., Kirtland, K., Saelens, B., Sallis, J. (2004). Measuring the environment for friendliness toward physical activity: A comparison of the reliability of 3 questionnaires. American Journal of Public Health, 94, 473-483.

Brownson, R., Haire-Joshu, D., Luke, D. (2006). Shaping the context of health: A review of environmental and policy approaches in the prevention of chronic diseases. Annual Review of Public Health, 27, 341-70.

Cassady, D., Housemann, R., Dagher, C. (2004). Measuring cues for healthy choices on restaurant menus: development and testing of a measurement instrument. American Journal of Health Promotion, 18, 444-9.

Cerin, E., Saelens, B., Sallis, J., Frank, L. (2006). Neighborhood environment walkability scale: validity and development of a short form. Medicine and Science in Sports and Exercise, 38(9), 1682-1691.

Cheadle, A., Psaty, B.M., Curry, S., Wagner, E., Diehr, P., et al. (1991). Community-level comparisons between the grocery store environment and individual dietary practices. Preventive Medicine, 20, 250-61.

Cohen, D.A., Ghosh-Dastidar, B., Scribner, R., et al. (2006). Alcohol outlets, gonorrhea, and the Los Angeles civil unrest: A longitudinal analysis. Social Science & Medicine, 12, 3062-71.

Community Preventive Services Task Force (Community Guide Task Force). (Approved 3/12/2007). Alcohol Outlet Density: Proposed Recommendation Statement.

Cubbin, C., LeClerre, F., Smith, F. (2000). Socioeconomic status and injury mortality: Individual and neighbourhood determinants. Journal of Epidemiology and Community Health, 54, 517-524.

Day, K., Boarnet, M., Alfonzo, M., Forsyth, A. (2006). The Irvine-Minnesota inventory to measure built environments: development. American Journal of Preventive Medicine,30(2), 144-52.

Delva, J., O'Malley, P.M., Johnston, L.D. (2007). Availability of healthy and less healthy food choices in American schools: A national study of grade, race/ethnic, and SES differences. American Journal of Preventive Medicine, 33, (4 Suppl), S226-239.

Diez-Roux, A. (2001). Investigating neighborhood and area effects on health. American Journal of Public Health, 91(11), 1783-1789.

Echeverria, S., Diez-Roux, A., Link, B. (2004). Reliability of self-reported neighborhood characteristics. Journal of Urban Health, 81, 682-701.

Edmonds, J., Baranowski, T., Baranowski, J., Cullen, K.W., Myres, D. (2001). Ecological and socioeconomic correlates of fruit, juice, and vegetable consumption among African-American boys. Preventive Medicine, 32, 476-481.

Farkas, A., Gilpin, E., Distefan, J., et al. (1999). The effects of household and workplace smoking restrictions on quitting behaviours. Tobacco Control, 8, 261-265.

French, S.A., Story, M., Fulkerson, J.A., Gerlach, A.F. (2003). Food environment in secondary schools: a la carte, vending machines, and food policies and practices. American Journal of Public Health, 93, 1161-7.

Gilpin, E., White, M., Farkas, A., et al. (1999). Home smoking restrictions: which smokers have them and how they are associated with smoking behavior. Nicotine & Tobacco Research, 1, 153-162.

Glanz, K., Sallis, J.F., Saelens, B.E., Frank, L.D. (2005). Healthy nutrition environments: concepts and measures. American Journal of Health Promotion, 19, 330-3.

Glanz, K., Sallis, J.F., Saelens, B.E., Frank, L.D. (2007). Nutrition Environment Measures Survey in stores (NEMS-S): Development and evaluation. American Journal of Preventive Medicine, 32, 282-9.

Gorman, D.M., Speer, P.W., Gruenewald, P.J., Labouvie, E.W. (2001). Spatial dynamics of alcohol availability, neighborhood structure, and violent crime. Journal of Studies on Alcohol, 62, 628-36.

Gorman, D.M., Zhu, L., Horel, S. (2005). Drug‚ hot-spots’, alcohol availability and violence. Drug and Alcohol Review, 24, 507-13.

Gruenewald, P.J., Johnson, F.W., Treno, A.J. (2002). Outlets, drinking and driving: A multilevel analysis of availability. Journal of Studies on Alcohol, 63, 460-8.

Hoehner, C., Ramirez, L., Elliot, M., Handy, S., Brownson, R. (2005). Perceived and objective environmental measures and physical activity among urban adults. American Journal of Preventive Medicine, 28(2S2), 105-116.

Horowitz, C.R., Colson, K.A., Hebert, P.L., Lancaster, K. (2004). Barriers to buying healthy foods for people with diabetes: Evidence of environmental disparities. American Journal of Public Health, 94, 1549-1554.

Hopkins, D., Briss, P., Ricard, C., et al. (2001). Reviews of evidence regarding interventions to reduce tobacco use and exposure to environmental tobacco smoke. American Journal of Preventive Medicine, 20(suppl 2), 16-66.

Humpel, N., Owen, N., Leslie, E. (2002). Environmental factors associated with adults’ participation in physical activity: A review. American Journal of Preventive Medicine, 22(3), 188-199.

Kegler, M., Malcoe, L. (2002). Smoking restrictions in the home and car among rural Native American and white families with young children. Preventive Medicine, 35, 334-343.

Leventhal, T., Brooks-Gunn, J. (2003). Moving to opportunity: An experimental study of neighborhood effects on mental health. American Journal of Public Health, 93(9), 1576-82.

Masse, L.C., Frosh, M.M., Chriqui, J.F., Yaroch, A.L., Agurs-Collins, T., et al. (2007). Development of a school nutrition-environment state policy classification system (SNESPCS). American Journal of Preventive Medicine, 33 (4 Suppl), S277-291.

McLeroy, K., Bibeau, D., Steckler, A., Glanz, K. (1988). An ecologic perspective on health promotion programs. Health Education Quarterly, 15(4), 351-77.

Okah, F., Choi, W., Okuyemi K., et al. (2002). Effect of children on home smoking restrictions by inner-city smokers. Pediatrics, 109(2), 244-249.

Owen, N., Humpel, N., Leslie, E., Bauman, A., Sallis, J. (2004). Understanding environmental influences on walking: Review and research agenda. American Journal of Preventive Medicine, 27(1), 67-76.

Pikora, T., Bull, F., Jamrozik, K., Knuiman, M., Giles-Corti, B., Donovan, R. (2002). Developing a reliable audit instrument to measure the physical environment for physical activity. American Journal of Preventive Medicine, 23(3), 187-94.

Pizacani, B., Martin, D., Stark, M., et al. (2004). A prospective study of household smoking bans and subsequent cessation related behavior: the role of stage of change. Tobacco Control, 13, 23-28.

Powell, L.M., Slater, S., Mirtcheva, D., Bao, Y., Chaloupka, FJ. (2007). Food store availability and neighborhood characteristics in the United States. Preventive Medicine, 44, 189-95.

Rauh, V., Andrews, H., Garfinkel, R. (2001). The contribution of maternal age to racial disparities in birthweight: A multilevel perspective. American Journal of Public Health, 91, 1815-1824.

Romley, J.A., Cohen, D., Ringel, J., Sturm, R. (2007). Alcohol and environmental justice: The density of liquor stores and bars in urban neighborhoods in the United States. Journal of Studies On Alcohol & Drugs, 68, 48-55.

Saelens, B.E., Glanz, K., Sallis, J.F., Frank, L.D. (2007). Nutrition Environment Measures Study in restaurants (NEMS-R): development and evaluation. American Journal of Preventive Medicine, 32, 273-81.

Saelens, B., Sallis, J., Black, J., Chen, D. (2003). Neighborhood-based differences in physical activity: An environment scale evaluation. American Journal of Public Health, 93(9), 1552-1448.

Sallis, J., Cervero, R., Ascher, W., Henderson, K., Kraft, M.K., Kerr, J. (2006). An ecologic approach to creating active living communities. Annual Review of Public Health, 27, 297-322.

Sallis, J.F., Glanz, K. (2006). The Role of Built Environments in Physical Activity, Eating, and Obesity in Childhood. The Future of Children, 16(1), 89-108.

Sallis, J.F., McKenzie, T.L., Conway, T.L., Elder, J.P., Prochaska, J.J., et al. (2003). Environmental interventions for eating and physical activity: A randomized controlled trial in middle schools. American Journal of Preventive Medicine, 24, 209-17.

Sallis, J.F., Owen, N. (2002). Ecological models of health behavior. In Glanz K, Rimer BK, Lewis FM, eds, Health Behavior and Health Education: Theory, Research, and Practice, 3rd ed. San Francisco: Jossey-Bass, 462-484.

Scott, M. (2005). A powerful theory and a paradox: Ecological psychologists after Barker. Environment and Behavior, 37(3), 295-329.

Stokols, D. (1992). Establishing and maintaining healthy environments. Toward a social ecology of health promotion. American Psychologist, 47, 6-22.

U.S. Department of Health and Human Services. (2006). The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.

U.S. Department of Health and Human Services. National Institute on Alcohol Abuse and Alcoholism. Journal: Alcohol Research & Health: Highlights From the Tenth Special Report to Congress, Health Risks and Benefits of Alcohol Consumption (Volume 24, Number 1, 2000 ed.) Washington, DC: U.S. Government Printing Office.

Wechsler, H., Brener, N.D., Kuester, S., Miller, C. (2001). Food service and foods and beverages available at school: results from the School Health Policies and Programs Study 2000. Journal of School Health, 71, 313-24.

Weitzman, E.R., Folkman, A., Folkman, M.P., Wechsler, H. (2003). The relationship of alcohol outlet density to heavy and frequent drinking and drinking-related problems among college students at eight universities. Health Place, 9, 1-6.

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Health Behavior Constructs: Theory, Measurement, & Research