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Various neighbourhood features such as safety, green spaces, aesthetics and maintenance of the build environment, etc. are correlates of health-related behaviours and outcomes. Assessment of neighbourhood quality by raters using audit tools is objective way to obtain reliable information about those features, and the Irvine-Minnesota Inventory (IMI) is one of the most widely used tools. Aim The aim of this study was to adapt IMI for Bulgarian settings by restructuring and modifying its dimensions, and to test the reliability of a desk-based (GIS) against a field audit version.  Material and methods IMI was adapted for Bulgarian settings (BVIMI). Then 180 street segments were selected from the city of Plovdiv based on their characteristics, and 25% were sampled to be audited. Three raters carried out the neighbourhood audits using a field version (in-person audits) and a GIS version of BVIMI. The inter- and intra-rater agreement, as well as the agreement between the GIS and field audits was tested with Krippendorff’s alpha and the Intraclass correlation coefficient. Results BVIMI has 86 items organized in six domains – “Safety”, “Traffic”, “Maintenance”, “Nature and Landscape”, “Attractiveness of the Build Environment” and “Types of Buildings and Land use”. It is temporally stable and has high inter- and intra-rater agreement, except for some items necessitating subjective judgments (i.e. about features and attitudes) or assessing unstable features (i.e. stray dogs). Conclusions BVIMI is a reliable GIS-based neighbourhood auditing tool adapted for Bulgarian urban settings. It might be routinely utilized by environmental hygienists, social epidemiologists and other public health experts to study the associations between various neighbourhood features and health behaviours/outcomes.

Adapting a gis version of the Irvine-Minnesota inventory (IMI) for Bulgarian settings