Changing social and built environments to promote physical activity: recommendations from low income, urban women.

BACKGROUND: Middle age and older (mean = 58.7 y), racial/ethnic minority women report low levels of physical activity. Recommendations to change the social and built environments to promote physical activity in this group are underdeveloped. Two research questions guided this study: What environmental changes are recommended by racial/ethnic minority women? What policies are related to the environmental changes? METHODS: The findings from nine Nominal Group Technique sessions with 45 subjects were analyzed. RESULTS: More police protection, cleaner streets, removal of drugs from streets, more street lights, walking groups, and free gyms were prioritized by subjects as the most important recommendations. The relevant policies included municipal, police department, sanitation department, public works, and transportation department. CONCLUSIONS: Racial/ethnic minority women living in low income, urban areas recommend improvements that affect overall quality of life. Meeting basic needs may be a prerequisite for use of physical activity resources.