Green Space and Health Equity: A Systematic Review on the Potential of Green Space to Reduce Health Disparities
Open accessAbstract
Disadvantaged groups worldwide, such as low-income and racially/ethnically minoritized people, experience worse health outcomes than more privileged groups, including wealthier and white people. Such health disparities are a major public health issue in several countries around the world. In this systematic review, we examine whether green space shows stronger associations with physical health for disadvantaged groups than for privileged groups. We hypothesize that disadvantaged groups have stronger protective effects from green space because of their greater dependency on proximate green space, as they tend to lack access to other health-promoting resources. We use the preferred reporting items for systematic reviews and meta-analyses (PRISMA) method and search five databases (CINAHL, Cochrane, PubMed, Scopus, and Web of Science) to look for articles that examine whether socioeconomic status (SES) or race/ethnicity modify the green space-health associations. Based on this search, we identify 90 articles meeting our inclusion criteria. We find lower-SES people show more beneficial effects than affluent people, particularly when concerning public green spaces/parks rather than green land covers/greenness. Studies in Europe show stronger protective effects for lower-SES people versus higher-SES people than do studies in North America. We find no notable differences in the protective effects of green space between racial/ethnic groups. Collectively, these results suggest green space might be a tool to advance health equity and provide ways forward for urban planners, parks managers, and public health professionals to address health disparities.
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In Europe, public green spaces have better quality in lower-SES neighbourhoods compared with North America.
“in Europe, public green spaces, such as parks, have better quality in lower-SES neighbourhoods compared with, for example, those in North America.24”
From Cross-sectional associations of different types of nature exposure with psychotropic, antihypertensive and asthma medication (2023) · cites this paper as [24]
In §4.1 (page not provided), the review suggests that green space *might* be of higher quality in Europe’s low-SES neighbourhoods than in North America’s disadvantaged neighbourhoods. It notes fewer European studies finding park-quality inequities, but does not establish the quality comparison as fact, as the citing sentence does. (LLM, conf=0.86)
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- Authors
- Rigolon, A., Browning, M. H. E. M., McAnirlin, O., & Yoon, H. (.
- Affiliations
- University of Utah (US)
- Clemson University (US)
- Department of Recreation, Sport and Tourism, University of Illinois at Urbana-Champaign, Champaign, IL 61820, USA
- Corresponding author
- Rigolon, Alessandro
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2021-03-04
- Volume
- 18
- Issue
- 5
- Pages
- 2563
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7967323
- OpenAlex
- W3135216483
- Cited by
- 557
- References
- 11
- Citations by year
- 2026: 113 · 2025: 133 · 2024: 125 · 2023: 79 · 2022: 92 · 2021: 15
- FWCI
- 7.39
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Urban Green Space and Health
- Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- green spaces, health equity, health disparities, socioeconomic status, race and ethnicity, public parks, urban green space, physical health, environmental justice, urban planning
- MeSH terms
- Parks, Recreational, Health Equity, Europe, Humans, North America, Socioeconomic Factors
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