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. Author manuscript; available in PMC: 2024 Apr 1.
Published in final edited form as: Am J Prev Med. 2023 Apr;64(4):468–476. doi: 10.1016/j.amepre.2022.10.008

Table 4.

Bivariate Associations and Multilevel Regression Model Results, Suburban/Small Town and Rural Areas

Variables Suburban/small town (n=10,680)
Rural (n=15,952)
Bivariatea
Multivariable
Bivariate
Multivariable
Rs p-Value β (95% CI) Rs p-Value β (95% CI)

Limited healthy food (z) 0.25 <0.01 0.05 (−0.01, 0.11) 0.11 <0.01 0.26 (0.22,0.31)
Liquor store/1,000 (z) −0.06 <0.01 0.00 (−0.05, 0.05) 0.04 <0.01 −0.04 (−0.08, 0.01)
Tobacco store/1,000 (z) −0.13 <0.01 −0.03 (−0.08, 0.01) −0.09 <0.01 −0.05 (−0.09, −0.01)
Convenience store/1,000 (z) −0.34 <0.01 −0.18 (−0.23, −0.12) −0.22 <0.01 −0.16 (−0.21, −0.12)
Gas station/1,000 (z) −0.02 0.02 −0.01 (−0.06, 0.03) 0.01 0.20 0.02 (−0.02, 0.06)
Fast-food/1,000 (z) −0.20 <0.01 −0.09 (−0.15, −0.04) −0.12 <0.01 −0.07 (−0.11, −0.02)
Bar/1,000 (z) −0.20 <0.01 −0.11 (−0.16, −0.05) 0.11 <0.01 −0.01 (−0.06, 0.03)
Intersection density (z) −0.27 <0.01 −0.15 (−0.21, −0.08) −0.14 <0.01 −0.20 (−0.25, −0.15)
Transit stop coverage (z) 0.04 <0.01 0.01 (−0.04, 0.05) 0.02 0.01 0.00 (−0.04, 0.04)
Count of Open parks (z) 0.22 <0.01 0.06 (0.01, 0.12) 0.07 <0.01 0.00 (−0.04, 0.05)
Percentage green space (z) 0.17 <0.01 0.00 (−0.07, 0.07) −0.03 <0.01 −0.17 (−0.25, −0.09)
CO (z) −0.01 0.20 −0.08 (−0.14, −0.01) 0.11 <0.01 −0.04 (−0.11, 0.03)
NO2 (z) −0.05 <0.01 0.02 (−0.06, 0.11) 0.01 0.43 0.06 (−0.03, 0.15)
O3 (z) −0.01 0.36 −0.16 (−0.27, −0.04) −0.10 <0.01 −0.02 (−0.12, 0.08)
PM10 (z) −0.20 <0.01 0.02 (−0.08, 0.13) −0.04 <0.01 0.04 (−0.07, 0.16)
PM2.5 (z) −0.34 <0.01 −0.03 (−0.16, 0.1) −0.34 <0.01 −0.35 (−0.48, −0.22)
SO2 (z) −0.23 <0.01 −0.23 (−0.32, −0.14) −0.17 <0.01 −0.16 (−0.24, −0.08)
Renter (z) −0.48 <0.01 −0.36 (−0.46, −0.27) −0.31 <0.01 −0.33 (−0.4, −0.26)
House before 1979 (z) −0.33 <0.01 −0.40 (−0.48, −0.32) 0.02 0.03 −0.11 (−0.18, −0.05)
Crowding (z) −0.18 <0.01 −0.03 (−0.1, 0.04) −0.09 <0.01 0.02 (−0.04, 0.08)
Excessive housing cost (z) −0.18 <0.01 −0.16 (−0.22, −0.09) −0.05 <0.01 −0.14 (−0.2, −0.09)
Null-model ICC 0.466 0.449
Conditional ICC 0.113 0.194
Marginal R2 0.522 0.297
Conditional R2 0.635 0.492

Note: Bold indicates statistical significance (p<0.05) in multivariable models.

Rs were calculated from Pearson correlation test. Four hierarchical geographic boundaries, county, state, census division, and region were included as random effects. Multivariable models adjusted for median household income; population density; proportions of non-Hispanic Black, Hispanic, and residents with a 4-year college degree or higher; as well as age groups, unemployment rate, the proportion of foreign-born residents, and the proportions of households with children and without vehicles.

CO, carbon monoxide; ICC, intraclass correlation coefficient; NO2, nitrogen dioxide; O3, ozone; PM10, particulate matter smaller than 10 μm; PM2.5, particulate matter smaller than 2.5 μm; SO2, sulfur dioxide.

a

Half mile buffer for high-density urban areas, and 1 mile for low-density urban areas.