Diverse school community engagement with the North Carolina active routes to school project: a diffusion study

摘要: Schools located in rural parts of the United States and North Carolina have benefited proportionally less from federal Safe Routes to School (SRTS) program than their more urban counterparts. We investigated whether how diverse elementary middle school communities throughout engaged a SRTS-inspired, multi-sectoral initiative called Active (ARTS) project over course 5 years (2013 through 2017). Analyses included study sample 2602 schools Carolina, 853 that participated ARTS five-year period 1749 had not. Statistical models controlling for county- school-level confounders predicted schools’ involvement walking bicycling-promotive events, programs, policies time. Schools’ engagement with Project programming increased significantly period, 33% eligible participating by end 2017. Participation was most common promotional events. Such event participation regularly recurring school- district-level establishment biking- walking-facilitative policies. Lower income were likely establish bike walk programs wealthier schools, whereas city participate yet equally as other programs. diffused despite many geographies lower socioeconomic status. Further, one-time events can portend biking supportive