Table 4. Adjusted odds ratios of neighborhood characteristics associated with minimum physical activity, among youth aged 10–17 years, by Rural–Urban Commuting Areas (RUCAs), 2007 National Survey of Children's Health (N = 45,386^a).

Neighborhood characteristics	RUCA designationb
	Urban core (n = 24,632) Adjusted odds ratio (95 % CI)	Other urban (n = 4,414) Adjusted odds ratio (95 % CI)	Large rural core (n = 4,016) Adjusted odds ratio (95 % CI)	Other large rural (n = 1,303) Adjusted odds ratio (95 % CI)	Small rural core (n = 2,401) Adjusted odds ratio (95 % CI)	Other small rural (n = 637) Adjusted odds ratio (95 % CI)	Isolated rural (n = 3,268) Adjusted odds ratio (95 % CI)
Presence of sidewalks in the neighborhood	1.00 (0.85, 1.17)	1.08 (0.79, 1.49)	0.96 (0.63, 1.46)	0.97 (0.59, 1.58)	1.18 (0.70, 1.99)	0.56 (0.27, 1.18)	1.12 (0.81, 1.54)
Presence of neighborhood parks	1.12 (0.93, 1.36)	1.19 (0.84, 1.67)	0.97 (0.61, 1.52)	1.28 (0.79, 2.07)	1.00 (0.57, 1.78)	3.49 (1.55, 7.84)	1.11 (0.78, 1.59)
Presence of neighborhood recreation centers	1.14 (0.99, 1.32)	1.23 (0.92, 1.65)	0.96 (0.65, 1.40)	0.82 (0.52, 1.30)	0.98 (0.67, 1.42)	0.78 (0.40, 1.51)	0.85 (0.61, 1.19)
Absence of detracting neighborhood elementsc	1.02 (0.87, 1.19)	1.04 (0.75, 1.45)	1.01 (0.73, 1.41)	0.69 (0.43, 1.12)	0.82 (0.55, 1.21)	1.04 (0.54, 2.01)	1.15 (0.83, 1.59)

Bold values indicate statistically significant

Models of minimum physical activity within each RUCA designation for the community type also controlled for the following characteristics and factors: child's age group, sex, race/ethnicity, special health care need, body mass index for age and sex, screen time, poverty level, parental education level, parental physical activity level

^aUnweighted

^bTable 1 describes the 7-level RUCA code aggregation

^cDetracting neighborhood elements included litter, garbage, poorly kept, rundown or dilapidated housing, broken windows, graffiti, or other signs of vandalism