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Physical Activity–Friendly Policies and Community Design Features in the US, 2014 and 2021

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Figure 1.

Prevalence of (A) Complete Streets Policy and (B) zoning code for block size, by population size of US municipalities. Population size is based on the 2007 and 2017 US Census of Government (15) files for respective survey administrations (large: ≥50,000 people; medium: 2,500 – 49,999 people; small: 1,000–2499 people). Source: Community-Based Survey of Supports for Healthy Eating and Active Living (CBS HEAL 2014 and 2021) (5).

Prevalence of (A) Complete Streets Policy and (B) zoning code for block size, by population size of US municipalities. Population size is based on the 2007 and 2017 US Census of Government (15) files for respective survey administrations (large: ≥50,000 people; medium: 2,500 – 49,999 people; small: 1,000–2499 people). Source: Community-Based Survey of Supports for Healthy Eating and Active Living (CBS HEAL 2014 and 2021) (5).
A 2014, % (95% CI) 2021, % (95% CI)
Small 16.0 (13.5 –18.9) 13.4 (10.9 – 16.3)
Medium 27.5 (25.0 – 30.1) 28.1 (25.4 – 30.9)
Large 49.6 (41.4 – 57.9) 67.4 (59.2 – 74.7)
B
Small 9.3 (7.3 – 11.6 11.2 (8.9 – 13.9)
Medium 16.4 (14.3 – 18.6) 22.7 (20.2 – 25.3)
Large 21.1 (15.1 – 28.6) 52.6 (44.4 – 60.8)

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Figure 2.

Prevalence of zoning code for mixed land use, by educational attainment of US municipalities, from the Community-Based Survey of Supports for Healthy Eating and Active Living (CBS HEAL) (5), 2014 and 2021. Educational attainment is based on the 2013 and 2020 American Community Survey (14) 5-year population estimates for respective survey administrations (some college or more, at least 50% of the population aged 25 years or older has at least some college as the highest level of formal education; high school diploma or less, at least 50% of the population aged 25 years or older has a high school diploma or less as the highest level of formal education).

Prevalence of zoning code for mixed land use, by educational attainment of US municipalities, from the Community-Based Survey of Supports for Healthy Eating and Active Living (CBS HEAL) (5), 2014 and 2021. Educational attainment is based on the 2013 and 2020 American Community Survey (14) 5-year population estimates for respective survey administrations (some college or more, at least 50% of the population aged 25 years or older has at least some college as the highest level of formal education; high school diploma or less, at least 50% of the population aged 25 years or older has a high school diploma or less as the highest level of formal education).
Demographic 2014, % (95% CI) 2021, % (95% CI)
Some college or more 74.1 (71.4 – 76.5) 76.7 (74.2 – 79.0)
High school diploma or less 62.7 (60.3 – 65.4) 56.6 (52.3 – 60.7)

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