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Development of a Nationally Representative Built Environment Measure of Access to Exercise Opportunities

Access to exercise opportunities across the United States is fairly evenly distributed regionally by county. Pockets of better-performing counties across the United States, such as in northeastern states and southern California, are evident. Counties range from 0% to 100% of the population having access to exercise opportunities. National quartile cut point values are 34.5%, 53.3%, and 70.1%.

Figure 1. County-level distribution of access to exercise opportunities.

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Region Percentage (Standard Deviation) of Counties Percentage (Standard Deviation) of States
Midwest 54.4 (21.4) 73.1 (7.6)
Northeast 72.3 (18.6) 86.4 (8.3)
Southeast 46.4 (25.0) 60.7 (9.6)
Southwest 44.0 (23.3) 63.6 (11.8)
West 58.4 (26.1) 76.6 (11.8)


Figure 2.
Regional variation of access to exercise opportunities. The average of states was calculated by using the mean values of state estimates for access to exercise opportunities for each region. The average of counties was calculated by using the mean values of county estimates for access to exercise opportunities for each region. The only significant difference was between counties in the Northeast and the Southeast (P < .05).

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Page last reviewed: March 13, 2015