Browsing by Author "Hoch, Shawn C."

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    Comparing Spatial Measures of the Built Environment for Health Research
    (2008-03-07T13:35:29Z) Hoch, Shawn C.; Wilson, Jeffrey S. (Jeffrey Scott), 1967-; Liu, Gilbert; Wiehe, Sarah
    Research on the association between health and the built environment often delineates environmental exposure using different spatial forms and distances surrounding points of interest, such as residences or schools. Examples from the literature include Euclidian and network buffers, administrative and census boundaries, and other arbitrary geographies, such as grid cells. There is a lack, however, of reports that describe the justifications or implications for using different methods. This research compares different forms and distances for measuring environmental variables surrounding residential locations in the context of adult walking behavior in Marion County, Indiana. Walkability index and vegetation greenness variables were evaluated within 400-meter, 1-kilometer, and 2-kilometer Euclidian and network buffers, census block groups and tracts, and 805- X 805-meter grid cells. Results of analyses using each of these methods to test walkability and greenness as correlates of self-reported walking behavior were compared. Significant differences were observed in measurements of environmental variables as a function of both size and form. There were also significant differences between spatial measure methods when measuring components of walkability and NDVI. Census geographies, widely used in the public health literature, yielded environmental variable measurements differently than did similarly-sized residence-based measure methods. In logistic regressions, the walkability index did not exhibit a significant relationship with self-reported walking behavior. NDVI exhibited a negative relationship with self-reported walking, although the relationship was reversed and significant when stratifying by residential density.
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    Using GPS-enabled cell phones to track the travel patterns of adolescents
    (2009-05) Wiehe, Sarah E.; Carroll, Aaron E.; Liu, Gilbert C.; Haberkorn, Kelly L.; Hoch, Shawn C.; Wilson, Jeffrey S.; Fortenberry, J. Dennis
    Background Few tools exist to directly measure the microsocial and physical environments of adolescents in circumstances where participatory observation is not practical or ethical. Yet measuring these environments is important as they are significantly associated with adolescent health-risk. For example, health-related behaviors such as cigarette smoking often occur in specific places where smoking may be relatively surreptitious. Results We assessed the feasibility of using GPS-enabled cell phones to track adolescent travel patterns and gather daily diary data. We enrolled 15 adolescent women from a clinic-based setting and asked them to carry the phones for 1 week. We found that these phones can accurately and reliably track participant locations, as well as record diary information on adolescent behaviors. Participants had variable paths extending beyond their immediate neighborhoods, and denied that GPS-tracking influenced their activity. Conclusion GPS-enabled cell phones offer a feasible and, in many ways, ideal modality of monitoring the location and travel patterns of adolescents. In addition, cell phones allow space- and time-specific interaction, probing, and intervention which significantly extends both research and health promotion beyond a clinical setting. Future studies can employ GPS-enabled cell phones to better understand adolescent environments, how they are associated with health-risk behaviors, and perhaps intervene to change health behavior.