Community Design Impacts on Health Habits in Low-income Southern Nevadans

Objectives: The purposes of this exploratory study were to: (1) characterize selected community design features; and (2) determine the relationship between select features and physical activity (PA) levels and nutrition habits for a small sample of low-income southern Nevadans. Methods: Secondary analysis was conducted on data from selected participants of the Nevada Healthy Homes Partnership program; self-report data on PA and diet habits were compared to national guidelines. Community design features were identified via GIS within a one-mile radius of participants' homes. Descriptive statistics characterized these features and chi-square analyses were conducted to determine the relationship between select features and habits. Results: Data from 71 participants were analyzed; the majority failed to reach either PA or fruit and vegetable guidelines (81.7% and 93.0%, respectively). Many neighborhoods were absent of parks (71.8%), trailheads (36.6%), or pay-for-use PA facilities (47.9%). The mean number of grocery stores was 3.4 +/- 2.3 per neighborhood. Chi-square analyses were not statistically significant. Conclusions: Findings were insufficient to make meaningful conclusions, but support the need for health promotion to meet guidelines. More research is needed to assess the impact of health-promoting community design and healthy behaviors, particularly in vulnerable populations.