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Toward a general model of built environment audits

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Abstract

In response to the US obesity epidemic, researchers in urban planning and public health have developed a number of built environment ‘audits’ to evaluate the presence of physical health determinants in neighborhoods and public spaces. These audits are most often framed in value-neutral and objective terms, overlooking the distributive justice dimension of built environment evaluations. I argue that audits always imply some underlying definition of distributive justice, and can be typologized according to three major theories, namely those of Mill, Rawls, and Sen. The study concludes with a practical model for framing the distributive dimension of audits.

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... Many of these studies also include the individual, social and environmental characteristics of the population which impact their use of the transport system. This is enabled through empirical data from various sources such as census (Boakye et al., 2022;Lewis, 2012), public transport ticket database (Bantis & Haworth, 2020), or travel surveys (Amorim & e Silva, 2024). ...
... While several tools exist that operationalize the CA within the context of health, there is a scarcity of capability measurement tools specifically addressing the context of PA promotion (Ferrer & Carrasco, 2010;Ferrer et al., 2014;Lewis, 2011Lewis, , 2012Till et al., 2021). ...
Thesis
Levels of physical inactivity are high around the globe and have remained stable over the last decade. Additionally, important social disparities in physical activity behaviors challenge the field of physical activity promotion (Guthold et al., 2018, 2020). Physical activity is a complex health behavior that is influenced by behavioral factors at the individual level (so-called downstream factors) as well as by factors from the social environment (so-called upstream factors) (Ball et al., 2015; Lorenc et al., 2013). However, not only in research but also in policy there currently is a focus on downstream factors (Bauman et al., 2012; Rutter et al., 2017). From a research perspective, this implies limited evidence on upstream factors applied to the context of physical activity (Alcántara et al., 2020; Jaeschke et al., 2017; O'Donoghue et al., 2018). From a policy perspective, this implies that governments tend to hold individuals responsible for their health behavior and thereby evade their responsibilities for creating physical-activity-enhancing conditions for all people (VicHealth, 2015). In light of these challenges, this doctoral thesis aims at contributing a new perspective to research in physical activity promotion. It adopts a human-rights-based approach and outlines how a potential human right to physical activity enhances accountability for physical activity at the state level. Moreover, this work examines the implications that the human-rights-based approach has on opportunities for physical activity, with a special interest in the promotion of equity in these opportunities. To achieve this goal, the principles of proportionate universalism (Marmot et al., 2010) and empowerment (Rappaport, 1987; WHO, 2018), as well as Sen’s capability approach (Sen, 2009), will guide this work. Manuscript A shows that a human right to physical activity can be deduced from the established human rights to health, education, and rest and leisure. It characterizes this human right by defining its attributes of availability, accessibility, acceptability, and quality in the context of physical activity. The principle of non-discrimination creates a focus on vulnerable and marginalized groups and strives for equity. Finally, the manuscript also describes concrete obligations, which can be deduced from this right at the state level, including a state’s obligation to respect, protect, and fulfill the right to physical activity for all people. From a perspective of physical activity promotion based on the principle of proportionate universalism (Marmot et al., 2010), a human-rights-based approach presents shortcomings with regard to achieving equity in opportunities for physical activity. One reason lies in the narrow focus on equality in dignity, legal standing and legal status and not on equality of social or economic position (Chapman, 2010). Moreover, the approach is deemed unsuitable to address relative inequalities (Chapman, 2010). This is of concern since knowledge of and action upon relative inequalities play an essential role in physical activity promotion to develop suitable interventions and programs (Howden-Chapman, 2010). To overcome these challenges, this work complements the human-rights-based perspective to physical activity with Sen’s capability approach (Sen, 2009). Considering the assessment of both capabilities and functionings as relevant to assess physical activity comprehensively, Manuscript B seeks to contribute evidence to a general understanding of the empirical nature of capabilities and functionings. Spanning a multidimensional evaluative space based on Anand and van Hees’s (2006) assessment tool for well-being, the results demonstrate that capabilities and functionings are similar but different concepts that can be empirically appraised as such by a representative sample of N= 58,615 young Swiss men. Moreover, capabilities and functionings are shown to be associated with each other and with economic, social, and cultural factors in the study population. In sum, this work concludes that the capability approach offers important benefits to address upstream factors (such as the social determinants of health) and relative inequalities, but challenges with regard to established power structures remain on the way to achieving equity. Therefore, Manuscript C acts upon the principle of empowerment (Rappaport, 1987; WHO, 2018) and assesses to what extent scientists of a transdisciplinary research consortium succeed in co-producing new knowledge for the enhancement of opportunities for physical activity. The co-production of knowledge is informed by the bottom-up participation of target groups in different settings over a project period of five years. Based on Hall et al.’s (2008) conceptual model for evaluation of collaborative initiatives, the project life is separated into the phases of collaborative readiness, collaborative capacity, and collaborative products to assess collaboration processes and outcomes within the consortium. It is assumed that the transdisciplinarily co-created knowledge might potentially enrich current research on physical activity through the provision of new insights into upstream factors relevant for enhancing equity in the opportunities to be active. The results of the manuscript underscore the time- and resource-consuming nature of transdisciplinary projects, as well as the need for adequate financial and long-term funding, for adequate personal resources, and for a central coordinating organ. Although issues of established power relations are not explicitly addressed in the study, the interpretation of results reveals structural barriers in the form of legislation hampering opportunities for knowledge co-creation in an academic setting. In conclusion, a human-rights-based approach to physical activity complemented by bottom-up strategies to enable participation and empowerment of target groups seems to be a promising strategy to address physical inactivity and related social disparities at the population level. The process of empowering target groups to take control over their physical activity behavior requires that individuals value the goal of being physically active and that they are involved in the process of bringing about this goal (López Barreda et al., 2019). Despite the scarce knowledge on determinants of physical activity, future research should focus on aligning the application of both physical-activity-related upstream and downstream factors to requirements for action in real-world settings. Transdisciplinary research might be a promising step towards achieving this goal. However, the co-creation of new knowledge to enhance people’s opportunities for physical activity in an effective way requires exploring suitable strategies to counterbalance established power structures operating in academic and transdisciplinary settings.
... These reviews included some capability instruments that have not been included in the current review. The review by Mitchell et al. (2017) included instruments developed for different purposes, such as the assessment of the built environment in the context of the capability approach (Lewis 2012b(Lewis , 2012a, the assessment of capabilities for a healthy diet and physical activity (Ferrer et al. 2014) and the assessment of capability to utilise healthcare (Nikiema, Haddad, and Potvin 2012). These instruments were not eligible for inclusion because they did not assess capabilities that are relevant for an individual's general wellbeing in the context of the evaluation of interventions. ...
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In health economics, proponents of the capability approach argue that the value of health improvements should be evaluated us broad domains which reflect the capabilities of an individual. Instruments have been developed to measure these domains. These instruments operationalise the measurement of capability in different ways. The objective of this study is to analyze specifically how instruments operationalise the capability approach. Using a comprehensive pearl growing search methodology, we identified ten instruments. The content of these instruments was analysed in three stages. First, the definition of capability that was used for the development of an instrument was identified. Then, an analysis was conducted on how this definition was operationalised in the instrument’s development. Lastly, the content of the instruments was compared with the concept “option freedom”, which provides a more comprehensive definition of capability, to study whether the instruments measure capability or other aspects that are relevant for wellbeing assessment. We conclude that, despite using a shared definition of capability, the instruments differ in their methods to measure capability. Some instruments might miss content that reflect the burdens that people experience while achieving their capabilities in certain contexts. This might be due to the unclear conceptualisation of capability by Sen.
... It helps to go beyond simple listings of the presence of general resources and abstract preferences of an average user. Interest in how various inhabitant groups actually make use of environmental resources in the pursuit of desired personal goals can be seen as an example of the Senean capability approach that Lewis (2011) presents as an eligible goal for health audits. We think that it can also be seen as a target for health promotion research more generally. ...
Chapter
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... This is where an audit of the environment would be useful; in principle, by objectively assessing the provision of goods in an area, such as the presence, quality and access of pavements and parks, more information about the context in which people live, work and recreate becomes known (cf. Lewis (2011) for the value-laden nature of built environment audits). A good scale at which to audit the built environment, therefore, would be the neighbourhood, which primarily includes an evaluation of public spaces that people may use within a certain radius of their house. ...
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... Ultimately, urban residents' physical activity levels depend on many factors from diverse research domains including public health, time use and leisure studies, studies of nutrition and diet, urban planning and transportation [33] that all need to be considered simultaneously. Built environment audits are useful in evaluating physical health determinants of neighbourhoods and public spaces [34]. Social and cultural norms affect whether people use physically active transport methods [35] but can be altered significantly through community leadership, community participation in policy making, and public campaigns targeting attitudes and opinions. ...
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John Rawls’s ‘political liberalism’ provides a firm moral basis for contemporary planning theory, offering both a procedure for arriving at the ethical principles which should govern a society, and the substantive principles of justice which he argues best embody the moral ideals of liberty and equality for constitutional liberal democracies. It offers an objective justification for public planning which does not require foundationalism, and fits a liberal democratic context. In 2001, Rawls’s Justice as Fairness: A Restatement summarized the revisions to (or clarifications of) his original theory over the previous 30 years. This article reviews aspects of his theory which are relevant to public planning, concluding that Rawls offers a normative rationale for planning, a basis for practical critique, a reason for hope, and a vision of reasonable, free and equal citizens cooperating to achieve justice as fairness.
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Background: Reliable and comprehensive measurement of physical activity settings is needed to examine environment-behavior relations. Methods: Surveyed park professionals (n = 34) and users (n = 29) identified park and playground elements (e.g., trail) and qualities (e.g., condition). Responses guided observational instrument development for environmental assessment of public recreation spaces (EAPRS). Item inter-rater reliability was evaluated following observations in 92 parks and playgrounds. Instrument revision and further reliability testing were conducted with observations in 21 parks and 20 playgrounds. Results: EAPRS evaluates trail/path, specific use (e.g., picnic), water-related, amenity (e.g., benches), and play elements, and their qualities. Most EAPRS items had good-excellent reliability, particularly presence/number items. Reliability improved from the original (n = 1088 items) to revised (n = 646 items) instrument for condition, coverage/shade, and openness/visibility items. Reliability was especially good for play features, but cleanliness items were generally unreliable. Conclusions: The EAPRS instrument provides comprehensive assessment of parks' and playgrounds' physical environment, with generally high reliability.
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As an enduring social project, planning needs to come to terms with the social realities of 21(st)-century cities. Most Western cities today are demographically multicultural, presenting the challenge of a new urban condition in which difference, otherness, and plurality prevail. This essay asks whether there is a planning imagination capable of ressponding, to the challenges of diversity. I suggest and provide examples of four key qualities of such an imagination: political, audacious, creative, and therapeutic. Embracing these qualities constitutes a cultural change in planners' modes of thinking and practice.
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It is argued that if planners are to recognize and support socially diverse neighbourhoods, it is important that they become better acquainted with both the form of diverse places, as well as the evaluation of that form. Thinking in these terms may also help planners adopt a particular language about diversity that is sensitive to the unique requirements of diverse places. A framework for evaluating the socially diverse neighbourhood from a design standpoint is suggested. Two sources are used: urban and community design that is specifically meant to create places that support social diversity; and ecological principles that are meant to improve the relationship between habitat and species diversity. This framework is applied to an evaluation of diverse areas in the city of Chicago and its surrounding suburbs. A multi-dimensional definition of diversity that includes income, race/ethnicity, age and family type is used. Forty-nine block groups satisfied the condition of being highly diverse in all four categories. It was found that these areas were mostly inner-ring, ‘blue-collar’ suburbs, often having the physical characteristics of strong edges, grids with commercial corridors and mixed housing types.
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Recurring issues in the social sciences concern the distribution of public facilities such as parks and equity of access to them. Geographers have observed that access has perceptual as well as physical dimensions and that perceptions of difference can affect use of public space. This study explores the nature of greenways as public space and a set of issues related to equity of access to greenway trails in Indianapolis, Indiana. The study uses proximity as a measure of access and simple GIS analyses of census and other data to assess equality of access. Evidence is provided that suggests that minorities and the poor have disproportionate access to trails. It is also shown that populations adjacent to the trails differ and that the populations along particular trails are segregated. Spatial differences in trail populations are associated with historic land use patterns and population movements within the city. The implications of the findings of difference for use of the greenways system are explored. Implications for management of the greenways system—including achievement of the goal of linking neighborhoods—are also discussed.
Article
The achievement of equity in the distribution of public resources is a goal of paramount importance to planners. Equitable distribution entails locating resources or facilities so chat as many different spatially defined social groups as possible benefit-i.e. have access. For planning purposes, what is of paramount importance is that planners and also their constituents understand what distributional principles underlie any geographic arrangement of public resources. This paper presents a prototype method with which planners can readily generate and evaluate various "equity maps" of resource distribution. The method exploits the visualization capabilities of GIS, which allow interactive exploration of the spatial relationships between public Facilities and socioeconomic characteristics.
Article
Beginning with Healey's definition of planning as ''managing our co-existence in shared space'', this article asks what it means to manage our co-existence in cities of difference. The focus on difference is justified by referring to an emerging literature that identifies the issues and challenges involved in planning for multiple publics. The article elaborates four different ways in which multicultural or polyethnic cities and regions are a challenge to planning systems, policies, practices, and education and identifies four possible ways of responding to these challenges. One of these responses, political dialogue, becomes the focus of the final section of the article, a case study of a recent conflict in inner Sydney between Aboriginal and non-Aboriginal residents over land use. Reflecting on the implications of this case study, a more 'therapeutic' approach to planning practice in certain contexts is recommended, and this is compared with existing models of communicative action.
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This study attempts to comprehensively and objectively measure subjective qualities of the urban street environment. Using ratings from an expert panel, it was possible to measure five urban design qualities in terms of physical characteristics of streets and their edges: imageability, enclosure, human scale, transparency and complexity. The operational definitions do not always comport with the qualitative definitions, and provide new insights into the nature of these urban design qualities. The immediate purpose of this study is to arm researchers with operational definitions they can use to measure the street environment and test for significant associations with walking behaviour. A validation study is currently underway in New York City. Depending on the outcome of this and other follow-up research, the ultimate purpose would be to inform urban design practice.
Article
The aim of decision analysis is normative. Consequently, at least in public spheres, one has to reflect on its normative foundation. Multi-criteria analysis (MCA) uses aggregated evaluations on several criteria to recommend a decision. The claim for the adequacy of the recommended solution is usually based on the assumption that the interests of the decision-maker(s) are adequately assessed by the MC model (see, for example, Munda G. 1996. Cost–benefit analysis in integrated environmental assessment: some methodological issues. Ecological Economics19: 157–168). I argue that as a prerequisite to a normative foundation, the criteria have to reflect not only the interests but possibly all values stemming from normative arguments of the decision-maker(s). These arguments might differ substantially from each other. This is especially true for environmental decisions. The integration of values will result in changes of the MCA understanding, criteria building, and aggregation method, and will not be possible without analytical capacities of the decision analyst in ethics. Copyright © 2001 John Wiley & Sons, Ltd.
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Evaluability assessment involves key policymakers, managers, and staff in developing program theory and clarifying intended uses of evaluation information, thus helping solve problems that inhibit useful program evaluation.
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Background: To determine how trail characteristics may influence use, reliable and valid audit tools are needed. Methods: The Path Environment Audit Tool (PEAT) was developed with design, amenity, and aesthetics/maintenance items. Two observers independently audited 185 trail segments at 6 Massachusetts facilities. GPS-derived items were used as a "gold standard." Kappa (k) statistics, observed agreement and intraclass correlation coefficients (ICCs) were calculated to assess inter-observer reliability and validity. Results: Fifteen of 16 primary amenity items had k-values ≥ 0.49 ("moderate") and all had observed agreement ≥ 81%. Seven binary design items had k-values ranging from 0.19 to 0.71 and three of 5 ordinal items had ICCs ≥ 0.52. Only two aesthetics/maintenance items (n = 7) had moderate ICCs. Observed agreement between PEAT and GPS items was ≥ 0.77; k-values were ≥ 0.57 for 7 out of 10 comparisons. Conclusions: PEAT has acceptable reliability for most of its primary items and appears ready for use by researchers and practitioners.
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This article explores the possible causal pathways through which neighborhoods might affect health and then reviews the existing evidence. Although methodological issues make the literature inconclusive, the authors offer a provisional hypothesis for how neighborhoods shape health outcomes. They hypothesize that neighborhoods may primarily influence health in two ways: first, through relatively short-term influences on behaviors, attitudes, and health-care utilization, thereby affecting health conditions that are most immediately responsive to such influences; and second, through a longer-term process of “weathering,” whereby the accumulated stress, lower environmental quality, and limited resources of poorer communities, experienced over many years, erodes the health of residents in ways that make them more vulnerable to mortality from any given disease. Finally, drawing on the more extensive research that has been done exploring the effects of neighborhoods on education and employment, the authors suggest several directions for future research.
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Although accessibility to jobs, services and amenities is an important component of the quality of life, it is rarely articulated in operational definitions of the concept. This note stresses the importance of physical accessibility to social well-being in cities, and outlines and reviews several measures which could be used to reflect territorial variations in accessibility to specific goods. One measure-a modified version of the gravity model-is elaborated in detail, and its utility as a social indicator is illustrated using the example of accessibility to primary medical care in Edinburgh, Scotland.
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The effect of the built environment on the quality of life of its residents is of growing interest. To investigate this properly, a method for measuring the physical condition of residential areas is required and this paper describes the development of such a tool. The Residential Environment Assessment Tool (REAT) is designed as a survey instrument, to be completed by an independent observer, to produce a contextual measure of a neighbourhood, reflecting both physical aspects and also the extent to which residents have established territoriality over the area. The tool is based on 28 items which are aggregated to give a total score, ranging between 0 and 68, and subdivided into 5 different domains to reflect different aspects of the environment. Inter-observer comparisons show that the tool is reliable, with kappa coefficients for most of the item scores exceeding 0.9. To investigate its validity the results were compared with responses to a detailed survey of individual residents and significant positive associations were found between most relevant items. The tool is being used for studies involving common mental disorders in the community and should be valuable for local authorities in targeting interventions to improve the physical condition of their area.
Article
El autor sostiene que la crisis económica que ocurrió en septiembre de 2008 causada, según expertos columnistas y economistas mundiales, por el derrumbe del crédito hipotecario y su sistema financiero. No tiene su origen en este problema ya que va más allá, afirma que desde los años setentas cuando el auge económico se comenzó a trasladar la manufactura y la producción de bienes a otros lugares por ofrecer mano de obra más barata, con ello los trabajadores dejaron de percibir mejores recursos y para poder consumir los productos, el sistema financiero impulsado por los gobiernos abrieron discriminadamente el crédito a consumidores cada ves más escasos por falta de ingresos.
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John Law argues that methods don't just describe social realities but are also involved in creating them. The implications of this argument are highly significant. If this is the case, methods are always political, and it raises the question of what kinds of social realities we want to create. Most current methods look for clarity and precision. It is usually said that only poor research produces messy findings, and the idea that things in the world might be fluid, elusive, or multiple is unthinkable. Law's startling argument is that this is wrong and it is time for a new approach. Many realities, he says, are vague and ephemeral. If methods want to know and help to shape the world, then they need to reinvent themselves and their politics to deal with mess. That is the challenge. Nothing less will do.
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Lichfield N. (1971) Cost-benefit analysis in planning: A critique of the Roskill Commission, Reg. Studies 5, 157--183. The work of the (Roskill) Commission on the Third London Airport, and also that of its Research Team, was an outstanding contribution to the practice of decision-making in urban and regional planning. Nevertheless, at certain critical stages in their process the Commission was at serious fault. This paper examines these methodological weaknesses, and in particular, the Commission's unsatisfactory use of cost-benefit analysis and its inadequate treatment of issues of regional planning. Had the Commission made better use of the cost-benefit analysis as a framework for arriving at its decision, it is possible that an alternative conclusion would have been reached, namely the one subsequently reached by the Government, Foulness.
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Geographical and political research on urban service delivery -- who benefits and why -- has proliferated during the past two decades. Overall, this literature is not characterized by a particular attention to the importance of method in drawing conclusions about spatial equity based on empirical studies. Specifically, there has been scant interest in the effect of geographic methodology on assessing the relationship between access and socioeconomic characteristics that are spatially defined. In this paper we take a spatial analytical perspective to evaluate the importance of methodology in assessing whether or not, or to what degree the distribution of urban public services is equitable. We approach this issue by means of an empirical case study of the spatial distribution of playgrounds in Tulsa, Oklahoma, relative to that of the targeted constituencies (children) and other socioeconomic indicators. In addition to the 'traditional' measure (count of facilities in an areal unit), we consider a potential measure (based on the gravity model), average travel distance, and distance to the nearest playground as indicators of accessibility. We find significant differences between the spatial patterns in these measures that are suggested by local indicators of spatial association and other techniques of exploratory spatial data analysis. The choice of access measure not only implies a particular treatment of spatial externalities but also affects conclusions about the existence of spatial mismatch and inequity.
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As the epidemic of overweight increases among youth, research needs to examine factors that may influence children's participation in weight-related health behaviors. This study examined overweight children's perceived barriers to and support for physical activity compared with nonoverweight children. Barriers to and support for physical activity were examined among 84 overweight children attending a summer fitness camp or a university-based weight loss clinic. Barriers and support levels were then compared with those of 80 nonoverweight children of a similar age range. Body-related barriers were the most predominant barrier type among overweight youth, especially among overweight girls. Overweight children, particularly girls, reported significantly higher body-related, resource, and social barriers to physical activity compared with nonoverweight children and lower levels of adult support for physical activity. Overweight children may be particularly vulnerable to body-related barriers to physical activity, and reducing such barriers may serve as physical activity intervention points most relevant for overweight youth. Future interventions may also benefit from enhancing support for physical activity from adults and peers.
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Enhancing community environments to support walking and bicycling serves as a promising approach to increase population levels of physical activity. However, few studies have simultaneously assessed perceptions and objectively measured environmental factors and their relative association with transportation or recreational physical activity. For this cross-sectional study, high- and low-income study areas were selected among census tracts in St. Louis MO ("low-walkable" city) and Savannah GA ("high-walkable" city). Between February and June 2002, a telephone survey of 1068 adults provided measures of the perceived environment and physical activity behavior. In this timeframe, objective measures were collected through environmental audits of all street segments (n =1158). These measures were summarized using 400-m buffers surrounding each respondent. Neighborhood characteristics included the land use environment, transportation environment, recreational facilities, aesthetics, and social environment. Associations were examined between neighborhood features and transportation- and recreation-based activity. After adjusting for age, gender, and education, transportation activity was negatively associated with objective measures of sidewalk levelness and perceived and objective neighborhood aesthetics. It was positively associated with perceived and objectively measured number of destinations and public transit, perceived access to bike lanes, and objective counts of active people in the neighborhood. Recreational activity was positively associated with perceived access to recreational facilities and objective measures of attractive features. These findings indicate that physical activities for transportation or recreational are associated with different perceived and objective environmental characteristics. Modifications to these features may change the physical activity behavior of residents exposed to them.