Evidence map›Paper›PMID 35995844›Full record

ArticleJournal of exposure science & environmental epidemiology2023

Investigation on urban greenspace in relation to sociodemographic factors and health inequity based on different greenspace metrics in 3 US urban communities.

Seulkee Heo, Michelle L Bell

Open access · hybridFull text read
In one paragraph

Article in Journal of exposure science & environmental epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Socioeconomic inequalities in exposure to neighbourhood environments for physical activity: a systematic review.The international journal of behavioral nutrition and physical activity · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
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  6. Article
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  8. Impact of Different Greenspace Metrics on Cardiovascular Disease Incidence in Urban Settings: A Comparative Analysis.Journal of urban health : bulletin of the New York Academy of Medicine · 2025
    Article
  9. Individual and Neighborhood Level Predictors of Children's Exposure to Residential Greenspace.Journal of urban health : bulletin of the New York Academy of Medicine · 2024
    Article
  10. Article
  11. Article
  12. Associations of Race and Ethnicity with Hepatocellular Carcinoma, Decompensation, and Mortality in US Veterans with Cirrhosis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    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

2 authors at 1 institution in 1 country.

Seulkee HeoSchool of the Environment, Yale University, New Haven, CT, USA. seulkee.heo@yale.edu.ORCID 0000-0002-0786-5002
Michelle L BellSchool of the Environment, Yale University, New Haven, CT, USA.
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Environmental Health Disparities in an Older PopulationR01MD012769 · NIMHD · YALE UNIVERSITY · PI BELL, MICHELLE L · 2017 to 2021
$3.9M
NCATS NIH HHS UL1 TR001863NIMHD NIH HHS R01 MD012769
6 · The paper itself

Abstract

backgroundStudy results are inconclusive regarding how access to greenspace differs by sociodemographic status potentially due to lack of consideration of varying dimensions of greenspace.

objectiveWe investigated how provision of greenspace by sociodemographic status varies by greenspace metrics reflecting coverage and accessibility of greenspace.

methodsWe used vegetation levels measured by Enhanced Vegetation Index (EVI), percent of greenspace, percent tree cover, percent tree cover along walkable roads, and percent of people living ≤500 m of a park entrance (park accessibility). We considered data for 2008-2013 in Census block groups in 3 US regions: New Haven, Connecticut; Baltimore, Maryland; and Durham, North Carolina. We examined geographical distribution of greenspace metrics and their associations with indicators of income, education, linguistic isolation, race/ethnicity, and age. We used logistic regression to examine associations between these greenspace metrics and age-standardized mortality controlling for sociodemographic indicators.

resultsWhich region had the highest greenspace depended on the greenspace metric used. An interquartile range (33.6%) increase in low-income persons was associated with a 6.2% (95% CI: 3.1, 9.3) increase in park accessibility, whereas it was associated with 0.03 (95% CI: -0.035, -0.025) to 7.3% (95% CI: -8.7, -5.9) decreases in other greenspace metrics. A 15.5% increase in the lower-education population was associated with a 2.1% increase (95% CI: -0.3%, 4.6%) in park accessibility but decreases with other greenspace metrics (0.02 to 5.0%). These results were consistent across the 3 study areas. The odds of mortality rate more than the 75th percentile rate were inversely associated with all greenspace metrics except for annual average EVI (OR 1.27, 95% CI: 0.43, 3.79) and park accessibility (OR 1.40, 95% CI: 0.52, 3.75). SIGNIFICANCE: Environmental justice concerns regarding greenspace differ by the form of natural resources, and pathways of health benefits can differ by form of greenspace and socioeconomic status within communities. IMPACT STATEMENT: Comparisons of exposure to greenspace between different greenspace metrics should be incorporated in decision-making within local contexts.

Indexed as

Parks, RecreationalSociodemographic FactorsBenchmarkingHealth InequitiesHumansTreesClimate changeEnvironmental justiceExposure modelingHealth studies.

Identifiers

PMID35995844
PMCPMC10005950
OpenAlexW4292651721

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read28
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.