Abstract
Research concerning how the built environment impacts behaviors linked to breast cancer has become of increased interest to public health researchers. Physical activity is a modifiable behavioral factor that can reduce breast cancer risk, cancer recurrence risk, and improve treatment effects by targeting biological mechanisms such as insulin resistance and inflammation. In order to improve population levels of PA, especially in vulnerable groups such as cancer survivors, it is essential to incorporate multiple levels of influence into interventions and analyses, including environmental contexts in which behaviors occur. In order to best measure and intervene on such behaviors, exposure and behavioral sciences have seen a rise in the use of more sensitive and accurate measurement methodologies, primarily using sensors like Global Positioning Systems (GPS) and accelerometers. When coupled with Geographic Information Science data, these three data sources result in dynamic exposure measures that can assess what environments individuals are exposed, where, for how long, and during what behaviors. In this chapter we present three examples of studies that have utilized GPS, accelerometry, and GIS data to better understand cancer risk, disparities, and related behaviors. The goal of the examples is to illustrate decision points that must be made when utilizing GPS data, demonstrate possible processing approaches, and highlight how GPS data can be used in conjunction with GIS and accelerometry to better understand behaviors within specific contexts.
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Jankowska, M.M., Yang, JA., Kerr, J. (2019). Physical Activity and Exposure in Breast Cancer Survivors Using GPS, GIS and Accelerometry. In: Berrigan, D., Berger, N. (eds) Geospatial Approaches to Energy Balance and Breast Cancer. Energy Balance and Cancer, vol 15. Springer, Cham. https://doi.org/10.1007/978-3-030-18408-7_4
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DOI: https://doi.org/10.1007/978-3-030-18408-7_4
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