ArticlePreventive medicine2019
National-level environmental perceptions and walking among urban and rural residents: Informing surveillance of walkability.
Article in Preventive medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Built and natural environment correlates of physical activity of adults living in rural areas: a systematic review.The international journal of behavioral nutrition and physical activity · 2024Pooled it
- Qualitative Assessment of Facilitators of and Barriers to Physical Activity Policy, Systems, and Environment Change in Rural West Virginia.Journal of healthy eating and active living · 2026Article
- Article
- Physical activity among cancer survivors: do neighborhood walkability and metropolitan size play a role?Journal of cancer survivorship : research and practice · 2025Article
- Self-Reported Reasons Preventing US Adults From Walking to Places Within 10 Minutes of Home.Preventing chronic disease · 2025Article
- Is Walk Score a useful tool for measuring walkability in rural communities?The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Rural Physical Activity in the Mississippi Delta: the moderating influence of stray dogs.Journal of healthy eating and active living · 2025Article
- Objectively-measured Environmental Support for Physical Activity, Healthy Eating, and Breastfeeding in the Rural United States: A Scoping Review to Inform Opportunities for Public Health Surveillance.Journal of healthy eating and active living · 2025Article
- Experiences of Rural-Dwelling Children Wearing Physical Activity Trackers: An Exploratory Study.Children (Basel, Switzerland) · 2024Article
- Physical Activity According to Diabetes and Metropolitan Status, U.S., 2020 and 2022.American journal of preventive medicine · 2024Article
- An exploratory study of mothers engaging in physical activity in rural communities.Women & health · 2024Article
- Changes in Perceptions of the Near-Home Walking Environment Among US Adults-2015 and 2020 National Health Interview Survey.Journal of physical activity & health · 2024Article
- Improving Access to the Transportation Alternatives Program for Rural Communities.Journal of healthy eating and active living · 2024Article
- Factors Preventing Walking to Near-Home Destinations by Transportation Walking Status, U.S. Adults, 2022.Journal of healthy eating and active living · 2024Article
- Rural libraries implementing walking groups or walking groups plus civic engagement for walkability in rural communities: a comparative effectiveness trial study protocol.BMC public health · 2023Article
- The role of the perceived environment for recreational walking among adults in socioeconomically disadvantaged situations: A study using walk-along interviews.SSM - population health · 2023Article
- Physical Activity-Friendly Policies and Community Design Features in the US, 2014 and 2021.Preventing chronic disease · 2023Article
- Contextualizing physical activity in rural adults: Do relationships between income inequality, neighborhood environments, and physical activity exist?Health services research · 2023Article
- Factors Associated with Physical Activity Increases and Decreases Among a Sample of Appalachian Residents During the COVID-19 Pandemic: A Cross-Sectional Study.Journal of Appalachian health · 2023Article
- Traffic as a barrier to walking safely in the United States: Perceived reasons and potential mitigation strategies.Preventive medicine reports · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Built environments that provide activity-friendly routes (e.g., sidewalks) to everyday destinations (e.g., shops) can increase physical activity. Surveillance of supports and destinations is important, and identifying which are associated with walking could prioritize surveillance questions. Our purpose was to identify the significant associations between supports and destinations with walking among a nationally-representative sample of urban- and rural-dwelling adults. Participants in the 2015 National Health Interview Survey, Cancer Control Supplement (n = 29,925) reported the near-home presence of walkable supports (roads, sidewalks, paths, or trails; sidewalks on most streets), destinations (shops; transit; movies, libraries, or churches; relaxing places), and past-week walking for leisure or transportation. We used stepwise logistic regression to quantify associations between supports and destinations and walking, including by urban/rural residence. We calculated the prevalence of walking across counts of reported elements by urban/rural residence. Among all participants, roads, sidewalks, paths, or trails and relaxing destinations were associated with leisure walking. Among urban residents, sidewalks on most streets and all four destination types were associated with transportation walking; among rural residents, roads, sidewalks, paths, or trails; movies, libraries, or churches; and relaxing destinations were associated with transportation walking. Walking was more common when more environmental elements were reported. To improve efficiency, communities may match surveillance priorities to behavioral priorities (i.e., leisure versus transportation walking) and environmental context (i.e., urban/rural areas). Surveillance of environments supporting leisure walking might focus on recreation-oriented spaces. Surveillance of environments supporting transportation walking might differ for urban and rural areas, and assessing destinations may be particularly important.
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Registered trials
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