This paper examines racial/ethnic disparities in obesity and physical activity. It then summarizes the current state of research on the built environment and health, which has been predominately suburban in focus. Next it explores the urban form – health relationship in the context of inner city environments. The paper then presents a paradox: research would predict that people of color and low income individuals would have lower obesity rates and higher physical activity rates because they live in neighborhoods that promote healthier life styles. But contrary to what theory would predict, these populations are less likely to be physically active and more likely to be obese. It explores the reasons for this paradox. It draws from and augments the framework of factors identified in studies of primarily suburban residential neighborhoods in order to pose a set of research questions concerning the nexus of built environment and public health in inner-city communities. We link conditions of the urban built environment to co-related social factors, including poverty, income inequality, racial segregation and economic isolation. These interlinked factors may necessitate research on more holistic and multi-sector public health policy responses and interventions in order to improve minority health impacted by the built environment of the inner city.

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