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. Author manuscript; available in PMC: 2017 Aug 30.
Published in final edited form as: Am J Health Educ. 2016 Aug 30;47(5):266–278. doi: 10.1080/19325037.2016.1203839
Variable Name Description
Individual-level Variables
Gender Male vs. female
Race African American vs. white/other
Age Years
Weight Body weight was measured using a commercial-grade weight scale (lbs)
Height Height was measured using a wall-mounted stadiometer (inches)
BMI (kg/m2)
HbA1c A1c was assessed from a fingerstick capillary blood sample using a DCA
2000/Vantage portable bench-top analyzer.
Self-Efficacy for
Exercise
Self-Efficacy and Exercise Habits Survey;4 12-items scored from 1 (I
know I cannot) to 5 (I know I can); Subscales include: Making Time to
Exercise, scored as the mean of 8 individual items (range 1 to 5); and
Sticking to an Exercise Program, scored as the mean of 4 individual
items (range 1 to 5)a
Perceived Health
Status
One item indicator of perceived health status. “In general, would you say
your health is…excellent, very good, good, fair, poor.” Lower scores
indicate stronger health perceptions. b
Risk Perception
Survey for
Developing
Diabetes (RPS-
DD)
The RPS-DD (Developing Diabetes) is a 43-item survey appropriate for
people who are at risk for type 2 diabetes. RPS-DD assesses risk
perceptions for developing diabetes and/or its complications, as well as
environmental perceived risks. Subscales used: (1) Personal Control: (4
items) a higher score indicates greater perceived personal control over
developing diabetes; (2) Worry about Developing Diabetes: (2 items)
higher score indicates greater worry for developing diabetes; (3)
Optimistic Bias: (2 items), a higher score describes more perceived risk
for developing diabetes.c
Social Support
and Exercise
Abbreviated Social Support and Exercise Survey;6 13-items each scored
on a 1 (no support) to 5 (supported very often) Likert Scale; Family
Participation scored as the sum of 10 items (range for total score 10 to
50); Family Punishment & Rewards scored as sum of 3 items (range for
total score 3 to 15).d
Community-Level Variables
Food desert The online Food Desert Locator, developed by the U.S. Department of
Agriculture's (USDA) Economic Research Service (ERS) was used to
assess the availability of nutritious food in food deserts, or low-income
communities that lack ready access to healthy food. Census tracts in
USDA’s food desert spreadsheet were compared to census tracts of study
participants. Participants’ whose residential census tract matched a
census tract in the USDA food desert dataset were flagged as living in a
food desert. Data was downloaded in tabular form from the USDA Food
Desert Locator Website in October of 2011. The data was obtained by
using the “download the data” tool that leads to an Excel spreadsheet that
has a list of all census tracts in the nation that USDA considers to be a
food desert. The Healthy Food Financing Initiative Working Group
considers a food desert as a low-income census tract (poverty rate is at
least 20%) where a substantial number or share of residents has low
access to a supermarket or large grocery store. Low access to a healthy
food retail outlet is defined as more than 1 mile from a supermarket or
large grocery store in urban areas.e
Walk Score Walk Score’s mission is to promote walkable neighborhoods. It uses a
patent-pending system to measure the “walkability” of an address. The
Walk Score algorithm awards points based on the distance to resources
or amenities. The Walk Score website provides an interface that allows
users to enter an address or a set of geographic coordinates and returns a
walkability score between 0 and 100, with 100 representing the highest
level of walkability and zero representing a location that is completely
car-dependent. Walk Score measures resource proximity and density.
Resources include grocery stores, bars, movie theaters, libraries, schools,
and more. Scores do not distinguish “health-friendly” resources from
other types, and do not incorporate aspects like area crime or sidewalk
quality. Amenities within .25 miles receive maximum points and no
points are awarded for amenities further than one mile. Walk Score uses
a variety of data sources including Google, Education.com, Open Street
Map, and Localeze. Walking score data were obtained from
WalkScore.com’s interface tool during October 2011. We entered
geographic coordinates directly into the webpage that returned a
walkability score. WalkScore.com also has a batch tool available, but we
did not use this for data retrieval for this project.f
Crime Uniform Crime Report (UCR) data were compiled by the Indianapolis
Metropolitan Police Department (IMPD), Crime Analysis Section. These
data were submitted by IPD as Part 1 crime statistics to the Federal
Bureau of Investigations (FBI) for inclusion in the national Uniform
Crime Report to assess and report crime trends in the IMPD jurisdiction..
We downloaded Uniform Crime Report data by 2000 census tracts for
Marion County, IN from the SAVI Community Information System,
October 2011. The original source was the Indianapolis Metropolitan
Police Department (IMPD). Annual data for 2007 and for 2009 was
downloaded. The downloaded census tract-level data were matched to
the census tracts identified for each participant.g
Median
Household
Income and Use
of Public
Transportation
The American Community Survey (ACS) is a US Census Bureau
program designed to supplement the decennial census. The advantage of
ACS data is that it is released annually and is therefore more up-to-date
than decennia census data. Median family income data was downloaded
by 2000 census tracts for Marion County, October 2011. The original
source is the 2005–2009 American Community Survey 5-year averages
provided by the U.S. Census Bureau. The downloaded census tract data
was matched to the census tracts identified for each participant.h
Vegetation Index Normalized Differential Vegetation Index (NDVI) is a measure of the
amount and health of vegetation on the ground as measured by aerial or
satellite photography. The value of the index varies from a minimum of
negative one in spots where there is no vegetation to a maximum of
positive one in areas that have lush, dense vegetation. The measure is
sometimes referred to as “greenness.”The raw image was downloaded
from IndianaView, a website developed by 14 universities and
institutions in Indiana. The Polis Center received the NDVI image from
the IUPUI Dept. of Geography. Using ESRI ArcMap software, Polis
then calculated the mean NDVI within each of Marion County’s 212
census tracts. The calculation was made using the Zonal Statistics tool
within ArcMap’s Spatial Analyst extension, with the Statistics Type
option set to Mean. It should be noted that the NDVI only measures the
amount and health of the vegetation, not it’s aesthetic values. The raw
imagery was obtained by the Landsat 5 satellite on September 30th, 2010.
The IUPUI Dept. of Geography then performed the necessary processing
to create the NDVI image.I
a

Sallis JF, Pinski RB, Grossman RM, Patterson TL, Nader PR. The development of self-efficacy scales for health-related diet and exercise behaviors. Health Educ Res. 1988; 3: 283–292.

b

Clark DO. Physical activity and its correlates among urban primary care patients aged 55 years and over. J Gerontol Soc Sci. 1999; 54B:S41–S48.

c

Walker EA, Mertz CK, Kalten MR, Flynn J. Risk perception for developing diabetes: comparative risk judgments of physicians. Diabetes Care. 2003; 26(9): 2543–8. PMID:12941716

d

Sallis JF, Grossman RM, Pinski RB, Patterson TL, Nader PR. The development of scales to measure social support for diet and exercise behaviors. Prev Med. Nov 1987;16(6):825–836.

e

U.S. Department of Agriculture. Food Desert Locator, Economic Research Service. http://www.ers.usda.gov/data-products/food-access-research-atlas/documentation.aspx

f

Walk Score. Copyright 2012 Walk Score. https://www.walkscore.com/

g

Indianapolis Metropolitan Police Department. Crime Analysis Section, 50 N. Alabama Street, Room E303, Indianapolis, IN 46204, (317) 327–3525. www.indygov.org/eGov/City/DPS/IPD/home.htm

h

U.S. Census Bureau. American Community Survey: 5-year averages, 2005–2009. https://www.census.gov/programs-surveys/acs/

I

AmericaView. National Consortium for Remote Sensing Education, Research, and Applications. IndianaView. http://www.indianaview.org/pdf/IndianaView_FS_MultiSpec.pdf