Alleys are enigmatic, neglected features of the urban fabric. In this paper we explore the distribution, physical features, activity patterns, and resident perceptions of alleys in one major US city, Los Angeles, California. We do so through an integrated mixed-methods strategy involving participatory research with community-based organizations, spatial analysis, physical audits and behavioral observation of alleys, and focus groups. Results show that most alleys in Los Angeles are underutilized and walkable, quiet, and clean, although they can be, and are often perceived as, dirty and unsafe. Alley density is greatest in park-poor, low-income Latino and African-American neighborhoods. Alleys represent unrealized community assets that could be transformed by urban planners and managers into ‘green infrastructure’ to simultaneously offer multiple ecological, economic, and social benefits—including urban walkability and mobility, play space and green cover, biodiversity conservation, and urban runoff infiltration—and thereby to contribute to a more sustainable urbanism.

Objectives : To investigate associations of overweight status and perception with trajectories of psychological distress in adolescents. Methods : Longitudinal data for 6970 Chinese adolescents were included. The multivariate curve-of-factor latent growth curve models were adopted to examine trajectories of psychological distress symptoms and associations with overweight status and perception. Results : After controlling for actual overweight status, psychological distress symptoms were weakly but significantly associated with overweight perception ( = 0.08 for boys and = 0.10 for girls, P < 0.05) and misperception ( = 0.06 for boys and = 0.09 for girls, P < 0.05). Discussion : Our findings help understanding associations of overweight perception and psychological well being of adolescents.

In this study we focus on individual and environmental determinants of urban trail use in three diverse urban settings: Chicago, Dallas, and Los Angeles. Explanatory factors include individual psychosocial and health characteristics, distance between home and trail, and land-use and social characteristics of trailside neighborhoods. Model results suggest that intrinsic motivation, general health status, perceived trail safety, perceived miles between home and trail, and neighborhood connectivity were significantly related to probability of trail use and extent of trail use, while working-class status, commuting distance, and physical barriers to the trail were negatively related. Efforts to increase perceived trail safety, accessibility, and awareness about trails thus may result in a higher rate of trail use and more time spent on urban trails.

Overweight and obesity are serious threats to health and increase healthcare utilization and costs. The Obesity Prevention Tailored for Health (OPT) study was designed to test the effectiveness of a family-based intervention targeting diet and physical activity. We describe the results of efforts to recruit parents and children enrolled in a large managed-care organization into the OPT study. Parents with 10- to 12-year-old children were randomly selected from the membership of Kaiser Permanente Southern California, a large integrated health plan, and contacted between June 2010 and November 2011. We describe recruitment outcomes and compare characteristics of parents and children who did and did not participate. Information was collected from calls with parents and through the administrative and electronic medical records of the health plan. Of the 4,730 parents contacted, 16.1% expressed interest in participation (acceptors), 28.8% declined participation (refusers), 4.7% were ineligible, and, even after multiple attempts, we were unable to reach 50.4%. Slightly less than half of the acceptors (n = 361) were ultimately randomized to receive either the OPT program plus usual care or usual care alone (7.6% of all parents initially contacted). There were not any significant differences between acceptors who were or were not randomized. Overall, we found that acceptors were more likely to be female parents, have overweight/obese children, and higher utilization of outpatient visits by parents and children compared with refusers and those we were unable to reach. We found no differences in recruitment outcomes by body mass index or comorbidity score of the parents, level of physical activity of the parents and children, education of the parents, or household income. Recruiting parents and children into an obesity prevention program in a healthcare setting proved to be challenging and resource-intensive. Barriers and incentives for participation in obesity prevention programs need to be identified and addressed. Concern for the weight of their children may motivate parents to participate in family-based lifestyle interventions; however, the healthcare setting may be more relevant to weight-related treatment than to primary prevention. Trial Registration Number: ISRCTN06248443 , 30 January 2014.