ArticleInternational journal of environmental research and public health2020
Green Spaces, Land Cover, Street Trees and Hypertension in the Megacity of São Paulo.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Does the biodiversity of urban green spaces impact on human health? A systematic review of literature.BMC public health · 2026Pooled it
- Association of greenspaces exposure with cardiometabolic risk factors: a systematic review and meta-analysis.BMC cardiovascular disorders · 2024Pooled it
- Relationship between Green and Blue Spaces with Mental and Physical Health: A Systematic Review of Longitudinal Observational Studies.International journal of environmental research and public health · 2021Pooled it
- The impact of climate and vegetation on the riverside architecture of the Brazilian Amazon.Scientific reports · 2026Article
- Association of long-term exposure to ambient air pollution and residential greenness with hypertension among adults: a cross-sectional study in Northwestern of China.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Development of Visualization Tools for Sharing Climate Cooling Strategies with Impacted Urban Communities.Atmosphere · 2025Article
- Earth observation data uncover green spaces' role in mental health.Scientific reports · 2024Article
- Greenness and Hospitalization for Cardiorespiratory Diseases in Brazil.Environmental health perspectives · 2024Article
- Article
- Effects of land cover and air pollution on the risk of preterm births.Revista de saude publica · 2024Article
- Lower regional urbanicity and socioeconomic status attenuate associations of green spaces with hypertension and diabetes mellitus: a national representative cross-sectional study in China.Environmental health and preventive medicine · 2024Article
- Cross-sectional associations of different types of nature exposure with psychotropic, antihypertensive and asthma medication.Occupational and environmental medicine · 2023Article
- The effects of greenness exposure on hypertension incidence among Chinese oldest-old: a prospective cohort study.Environmental health : a global access science source · 2022Article
- Effects of carbon dioxide and green space on sleep quality of the elderly in rural areas of Anhui Province, China.Environmental science and pollution research international · 2022Article
- Assessing the impact of urban environment and green infrastructure on mental health: results from the São Paulo Megacity Mental Health Survey.Journal of exposure science & environmental epidemiology · 2022Article
- Article
- Heterogeneous Urban Exposures and Prevalent Hypertension in the Helsinki Capital Region, Finland.International journal of environmental research and public health · 2021Article
- Neighborhood Social and Built Environment and Disparities in the Risk of Hypertension: A Cross-Sectional Study.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Proximity to green spaces has been shown to be beneficial to several cardiovascular outcomes in urban spaces. Few studies, however, have analyzed the relationship between these outcomes and green space or land cover uses in low-medium income megacities, where the consequences of rapid and inordinate urbanization impose several health hazards. This study used a subgroup of the dataset from The Brazilian Longitudinal Study of Adult Health ELSA-BRASIL (n= 3418) to identify the correlation between the medical diagnosis of hypertension and green spaces in the megacity of São Paulo. Land cover classification was performed based on the random forest algorithm using geometrically corrected aerial photography (orthophoto). Three different indicators of exposure to green spaces were used: number of street trees, land cover and number of parks within 1 km. We used logistic regression models to obtain the association of the metrics exposure and health outcomes. The number of street trees in the regional governments (OR = 0.937 and number of parks within 1 km (OR = 0.876) were inversely associated with a diagnosis of hypertension. Sixty-three percent of the population had no parks within 1 km of their residence. Our data indicate the need to encourage large-scale street tree planting and increase the number of qualified parks in megacities.
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