1 SUPPLEMENTARY INFORMATION 2 3 Title: Neighborhood built and social environment characteristics: a multilevel analysis of 4 associations with obesity among children and their parents 5 6 Summary: 7 Supplementary Table 1 describes inter-rater reliability for in-person neighborhood audits which 8 were conducted for a total of 4 330 street segments. When pairs of observers disagreed on their 9 assessment, three methods were used consecutively to select the consensus answer: in-person 10 reassessment, assessment using Google Street View, and random selection of consensus answer. 11 12 Supplementary Table 2 presents results from three separate principal components analysis, one 13 for each type of neighborhood data set used (i.e., census data, land use data, and observer data). 14 Rotated factor loadings and total variance in data explained by components obtained through 15 each principal component analysis are shown. Specifically, neighborhood poverty is defined by a 16 high proportion of residents with income below the low income cut-offs, single parent families, 17 unemployment, high mobility (more people who have lived ≤ 1 year at their current residence), 18 and a low proportion of residents who own their home. The low income cut-offs (LICOs) are 19 income thresholds below which a family will likely devote a larger share of its income on the 20 necessities of food, shelter and clothing than the average family. The approach is essentially to 21 estimate an income threshold at which families are expected to spend 20 percentage points more 22 than the average family on food, shelter and clothing.1 Neighborhood prestige is defined by a 23 high proportion of residents who are university educated and more expensive residences. 1 24 Neighborhood degree of urbanicity is defined by a high residential density, greater number of 25 parks and neighborhood area covered with parks, many street intersections and streets with 26 normal traffic at rush hour. Neighborhood traffic is defined by many streets (total length and 27 proportion) with high traffic at rush hour. Neighborhood physical disorder and deterioration is 28 defined by the presence of graffiti, litter, and deteriorated roadways and buildings. Lastly, 29 neighborhood pedestrian friendliness is defined by streets with lowered speed limits, the presence 30 of stop signs (all-direction at intersections and mid-street stop signs), zebra crossings, and 31 pedestrian crossing signs. 32 33 Reference: 34 1. Statistics Canada. Low income cut-offs; 2012 [cited 2013 Apr 12]. Available from: 35 http://www.statcan.gc.ca/pub/75f0002m/2012002/lico-sfr-eng.htm 36 2 37 38 39 40 41 42 43 44 45 46 47 48 49 50 Supplementary Table 1. Agreement between observers 1 and 2 (kappa coefficients) for selected items of the in-person neighborhood assessment tool and methodsa used to obtain consensus between observers 1 and 2 for a total of 4 330 street segments around the residences of 512 families from the QUALITY study in 2005-2008. Item Kappa Coefficient (95% Confidence interval) Frequency of Google Street View used to obtain consensus (%) 3.6 Frequency of random selection of consensus answer (%) 0.50 (0.45; 0.55)b Frequency of in-person reassessments used to obtain consensus (%) 2.8 Graffiti visible on street segment Presence of enough litter to fill up one average size grocery bag Condition of roadway on street segment Condition of buildings visible from street segment Presence of speed limit of ≤ 30 km/hour on street segment Presence of all-direction stop sign at intersection Presence of mid-street segment stop sign Presence of a zebra crossing at intersection Presence of a pedestrian crossing sign at intersection 0.33 (0.26; 0.40) 1.5 2.5 0 0.49 (0.47; 0.52) b 5.1 18.4 0.6 0.47 (0.44; 0.50) b 3.7 11.5 0.5 0.86 (0.83; 0.88) 0.6 2.6 0.07 0.88 (0.87; 0.89) 1.0 3.9 0.2 0.79 (0.67; 0.90) 0.09 0.3 0.02 0.83 (0.81; 0.86) 0.5 2.0 0.2 0.77 (0.73; 0.81) 0.6 2.0 0 0.05 a When independent pairs of observers disagreed on their assessment, items were re-assessed by a third independent observer on another occasion. If re-assessment was too unwieldy (e.g. neighborhood far away from the research center, or only a few discordant items for a specific neighborhood to justify revisiting it), consensus was obtained using Google Street View. If Google Street View was not available for the area, the consensus answer was selected randomly between the two discordant answers. b Weighted Kappa coefficient. 3 51 52 53 54 Supplementary Table 2. Rotated factor loadings and total variance in data explained by components obtained through three separate principal component analyses (for census, land use, and observer data) for the residences of 417 families from the QUALITY study in 2005-2008. Neighborhood variables Rotated factor loadings 2006 Component 1: Neighborhood poverty Census % residents with low income 0.84 data % single parent families 0.79 % unemployment 0.77 % home ownership -0.93 1 year mobility 0.65 Component 2: Neighborhood prestige % residents with university degree 0.94 Average residential value 0.95 Total variance explained by components 1 and 2 72.6% Land use data In-person neighborho od audit data Component 1: Neighborhood degree of urbanicity Neighborhood residential density Number of parks in neighborhood Neighborhood area that is covered with parks Number of 3 or more way intersections Meters of streets with normal traffic at rush hour Component 2: Neighborhood traffic Total street length with high traffic at rush hour % streets with high traffic at rush hour Total variance explained by components 1 and 2 Component 1: Neighborhood physical disorder and deterioration % of streets where graffiti is visible Presence of litter on at least one street Presence of at least one roadway that is in bad condition Presence of at least one street where over half of the buildings are in bad condition Component 2: Neighborhood pedestrian friendliness % of streets where speed limit is ≤ 30 km/hour % of streets with an all-direction stop sign at intersection Presence of at least one street with a mid-street segment stop sign Presence of at least one street with a zebra crossing % streets with a pedestrian crossing sign Total variance explained by components 1 and 2 0.73 0.66 0.74 0.72 0.69 0.96 0.96 65.0% 0.72 0.71 0.64 0.71 0.60 0.46 0.54 0.61 0.73 42.3% 55 4