June M. Tester

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OBJECTIVES There is a need for understanding how physical environmental changes impact physical activity (PA) levels within a population. We examined visitation and PA levels in two San Francisco parks in low-income neighborhoods that underwent field renovations, one of which was part of a parks initiative to improve family and youth involvement. METHODS(More)
OBJECTIVE Given that small food stores may be important retail food sources in low-income urban communities, our objective was to examine cross-city comparative data documenting healthy food availability within such facilities, particularly those located in low-income areas and nearby schools. DESIGN Food stores in Baltimore, Maryland; Minneapolis/St.(More)
OBJECTIVES We evaluated the protective effectiveness of speed humps in reducing child pedestrian injuries in residential neighborhoods. METHODS We conducted a matched case-control study over a 5-year period among children seen in a pediatric emergency department after being struck by an automobile. RESULTS A multivariate conditional logistic regression(More)
An estimated 32% of American children are overweight, and physical inactivity contributes to this high prevalence of overweight. This policy statement highlights how the built environment of a community affects children's opportunities for physical activity. Neighborhoods and communities can provide opportunities for recreational physical activity with(More)
OBJECTIVE The nutritional intake of schoolchildren is affected not only by what is consumed at school but also by what is available in food outlets near schools. The present study surveys the range of food outlets around schools and examines how the availability of healthy food in the food stores encountered varies by income status of the school and by(More)
INTRODUCTION Low levels of food security are associated with dyslipidemia and chronic disease in adults, particularly in women. There is a gap in knowledge about the relationship between food security among youth and dyslipidemia and chronic disease. We investigated the relationship between food security status and dyslipidemia among low-income adolescents.(More)
OBJECTIVE The present study assessed the impact of the 2009 food packages mandated by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) on perceived sales, product selection and stocking habits of small, WIC-authorized food stores. DESIGN A cross-sectional study involving in-depth interviews with store managers/owners. (More)
AIMS While it has been shown that there are gender differences in prediabetes and insulin resistance among adults, less is known about whether these differences exist in children. Obese children have elevated risk for developing metabolic dysfunction, and this analysis was conducted to compare obese boys and girls. METHODS Biomarkers of prediabetes (IFG(More)
This study explored the extent to which schoolchildren purchased precut and bagged fruits and vegetables from a mobile fruit vendor (frutero). During 14 days in fall 2008, a frutero sold fruits and vegetables at the entrance of an elementary school; 59% of the frutero's 233 consumers of 248 items were elementary-school students. With each successive day, an(More)
At the end of the 19th century, nearly every American had lost friends and loved ones to illness and early death. During the course of the 20th century, there was a 30-year improvement in the American life span. Although this may seem a medical miracle, most of those added years of life were due to environmental changeVbetter water, food, and housing; less(More)