Associations of perceived neighborhood physical and social environments with physical activity and television viewing in African-American men and women.

PURPOSE: Few studies have assessed how attributes of neighborhood environments contribute to sedentary, in addition to active, behaviors. This study investigated associations of perceived social and physical aspects of neighborhood environments with television (TV) viewing and physical activity (PA) in African-American adults.
DESIGN: Cross-sectional analysis of self-reported survey.
SETTING: Large mega-church in Houston, Texas.
SUBJECTS: A total of 1374 African-American men and women. MEASURES: Outcomes included log-transformed daily TV viewing and participation in medium/high levels of PA, measured by the short version of the International Physical Activity Questionnaire. Neighborhood perceptions were assessed with the Social Cohesion and Trust and the Neighborhood Problems scales. ANALYSIS: Multivariable models that controlled for clustering within neighborhoods.
RESULTS: Reporting more neighborhood problems was significantly associated with greater log-transformed TV viewing in women (β = .017, SE = .006, p = .003), and social cohesion was positively associated with PA in women (odds ratio = 1.06, 95% confidence interval = 1.02, 1.11, p = .006). Concerns about litter and walking after dark and a lack of places to shop were associated with increased TV viewing among women, and concerns about traffic and walking after dark were associated with reduced PA among men.
CONCLUSION: Physical and social neighborhood conditions were associated with TV viewing and PA, particularly in women. Neighborhood-based strategies to reduce sedentary behaviors and enhance PA should include attention to social as well as physical aspects of neighborhood environments.