Evidence map›Paper›PMID 33460630›Full record

ArticlePreventive medicine2021

A call to action: Improving urban green spaces to reduce health inequalities exacerbated by COVID-19.

Rebecca S Geary, Benedict Wheeler, Rebecca Lovell, Ruth Jepson, Ruth Hunter, Sarah Rodgers

Open access · greenAbstract read
In one paragraph

Article in Preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
12.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 131 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Urban Greenspace, Climate Adaptation and Health Co-Benefits: Municipal Policy and Practice in London.International journal of environmental research and public health · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. What needs to happen to 'level up' public health?Contemporary social science · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Visiting Urban Green Space and Orientation to Nature Is Associated with Better Wellbeing during COVID-19.International journal of environmental research and public health · 2023
    Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Rebecca S GearyDepartment of Public Health, Policy and Systems, University of Liverpool, Liverpool, UK. Electronic address: r.geary@liverpool.ac.uk.
Benedict WheelerEuropean Centre for Environment and Human Health, University of Exeter Medical School, Truro, UK. Electronic address: b.w.wheeler@exeter.ac.uk.
Rebecca LovellEuropean Centre for Environment and Human Health, University of Exeter Medical School, Truro, UK. Electronic address: r.lovell@exeter.ac.uk.
Ruth JepsonSchool of Health in Social Science, University of Edinburgh, Edinburgh, UK. Electronic address: Ruth.jepson@ed.ac.uk.
Ruth HunterCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland, UK. Electronic address: Ruth.hunter@qub.ac.uk.
Sarah RodgersDepartment of Public Health, Policy and Systems, University of Liverpool, Liverpool, UK. Electronic address: Sarah.rodgers@liverpool.ac.uk.
University of Exeter · GBUniversity of Liverpool · GBQueen's University Belfast · GBUniversity of Edinburgh · GB

Funding

Medical Research Council G0802045Medical Research Council MR/T045043/1
6 · The paper itself

Abstract

Health is not equally distributed across society; there are avoidable, unfair, systematic differences in health between population groups. Some of these same groups (older people, BAME communities, those with some non-communicable diseases (NCDs)) may be particularly vulnerable to risk of exposure and severe COVID-19 outcomes due to co-morbidities, structural vulnerabilities, and public-facing or health and social care jobs among other factors. Additionally, some of the restrictions designed to reduce SARS-CoV-2 spread impact specifically on these same groups by limiting their activity and access to preventive or health promotion services. Greenspaces, accessed with social distancing, may mitigate some of the predicted negative health effects of COVID-19 restrictions. Maintaining or increasing publicly accessible urban greenspaces, particularly for marginalised groups, is reflected in the Sustainable Development Goals, and its importance amplified in the COVID-19 pandemic. Urban greenspaces should be considered a public health and social investment and a chance to rebalance our relationship with nature to protect against future pandemics. By investing in urban public greenspaces, additional benefits (job/food creation, biodiversity promotion, carbon sequestration) may coincide with health benefits. Realising these requires a shift in the balance of decision making to place weight on protecting, enhancing and providing more appropriate greenspaces designed with local communities. The current pandemic is a reminder that humanity placing too many pressures on nature has damaging consequences. COVID-19 economic recovery programs present an opportunity for sustainable transformation if they can be leveraged to simultaneously protect and restore nature and tackle climate change and health inequalities.

Indexed as

Health Status DisparitiesSocial EnvironmentAdultAgedAged, 80 and overCOVID-19FemaleHumansMaleMiddle AgedPandemicsParks, RecreationalRisk FactorsSARS-CoV-2COVID-19GreenspaceInequalitiesNature

Identifiers

PMID33460630
PMCPMC9755648
OpenAlexW3125594065

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.