SynthesisInternational journal of environmental research and public health2021
Green Space Quality and Health: A Systematic Review.
Synthesis in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 7 of them syntheses that pooled 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.
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.
Who cites it
95 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Association between green space exposure and elderly health: a systematic review and meta-analysis.BMC public health · 2026Pooled it
- A Systematic Review of the Impact of Changes to Urban Green Spaces on Health and Education Outcomes, and a Critique of Their Applicability to Inform Economic Evaluation.International journal of environmental research and public health · 2024Pooled it
- A systematic review of audit tools for evaluating the quality of green spaces in mental health research.Health & place · 2024Pooled it
- Greenspace exposure and associated health outcomes: a systematic review of reviews.F1000Research · 2024Pooled it
- Systematic Review: Neurodevelopmental Benefits of Active/Passive School Exposure to Green and/or Blue Spaces in Children and Adolescents.International journal of environmental research and public health · 2023Pooled it
- Urban Green Space and Subjective Well-Being of Older People: A Systematic Literature Review.International journal of environmental research and public health · 2022Pooled it
- Is altitude a determinant of the health benefits of nature exposure? A systematic review and meta-analysis.Frontiers in public health · 2022Pooled it
- Do Greener Urban Streets Provide Better Emotional Experiences? An Experimental Study on Chinese Tourists.International journal of environmental research and public health · 2022Trial
- Associations between natural area availability and morbidity: a cross-sectional study using health insurance billing data from Germany.BMJ open · 2026Article
- Poverty-modulated tree equity shapes health burdens across U.S. cities.Environmental science and ecotechnology · 2026Article
- Effects of Recent Air Pollution Exposure on Children's Neurocognitive Functions and the Possible Link with Endothelial Function.International journal of environmental research and public health · 2026Article
- "Walking While Black": Impacts of Inequities in Nature Access and Belongingness.Current environmental health reports · 2026Review
- Invited Perspective: How Do Green- and Bluespaces Reduce Heat-Related Health Risks? Gaining New Insights from Street-View Imagery, Deep Learning Models, and Smartphone Data.Environmental health perspectives · 2026Review
- Attributing climate-related health burdens in Southeast Asia: a scoping review.The Lancet regional health. Western Pacific · 2026Review
- Identifying co-occurring neighbourhood environmental patterns and their association with health behaviours in a Dutch urban population at high cardiometabolic risk.BMC public health · 2026Article
- Urban greenspace and dementia: Measures, mechanisms, and methodological guidance.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Review
- Differential Association Between Surrounding Greenness and Mortality in Individuals With Coronary Heart Disease.JACC. Advances · 2026Article
- Linking satellite-derived vegetation health parameters to arborist ground observations in urban environment.Scientific reports · 2026Article
- Knowledge, attitude and practice of healthy lifestyle among primary care registered population in Qatar: A cross sectional study.Journal of public health research · 2026Article
- Residential green space, air pollution, and related metabolites in association with depression among cancer survivors.Nature communications · 2026Article
35 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
(1) Background: As cities densify, researcher and policy focus is intensifying on which green space types and qualities are important for health. We conducted a systematic review to examine whether particular green space types and qualities have been shown to provide health benefits and if so, which specific types and qualities, and which health outcomes. (2) Methods: We searched five databases from inception up to June 30, 2021. We included all studies examining a wide range of green space characteristics on various health outcomes. (3) Results: 68 articles from 59 studies were found, with a high degree of heterogeneity in study designs, definitions of quality and outcomes. Most studies were cross-sectional, ecological or cohort studies. Environment types, vegetation types, and the size and connectivity of green spaces were associated with improved health outcomes, though with contingencies by age and gender. Health benefits were more consistently observed in areas with greater tree canopy, but not grassland. The main outcomes with evidence of health benefits included allergic respiratory conditions, cardiovascular conditions and psychological wellbeing. Both objectively and subjectively measured qualities demonstrated associations with health outcomes. (4) Conclusion: Experimental studies and longitudinal cohort studies will strengthen current evidence. Evidence was lacking for needs-specific or culturally-appropriate amenities and soundscape characteristics. Qualities that need more in-depth investigation include indices that account for forms, patterns, and networks of objectively and subjectively measured green space qualities.
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Registered trials
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.