ArticleEnvironmental epidemiology (Philadelphia, Pa.)2025
Street-view greenspace distribution across racial/ethnic, neighborhood income, and individual education subgroups.
Article in Environmental epidemiology (Philadelphia, Pa.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The maldistribution of greenspaces across Black, Hispanic, and low-income communities can contribute to health disparities. It is unclear whether the interaction of race/ethnicity and socioeconomic status may explain the maldistribution of greenspace, or whether the maldistribution varies by type of greenspace. Methods: Applying deep learning algorithms to street-view images, we calculated percentages of specific types of residential greenspace (i.e., %Trees, %Grass) for each Multi-Ethnic Study of Atherosclerosis participant (N = 5,858; 2000-2002). We used multilevel analysis of individual heterogeneity and discriminatory accuracy to quantify inequities in greenspace type by intersecting stratum of race/ethnicity (Black, Chinese American, Hispanic, and White), education (high school, some college, and bachelor's degree), and neighborhood socioeconomic status (NSES; low, moderate, and high). Models adjusted for age, sex, individual income, and study site. Results: The mean %Trees was 19.0 (SD 8.8) and the mean %Grass was 5.1 (4.6). Distribution of %Trees varied across strata, for example, 13.1% (95% confidence interval [CI] = 9.1, 23.8) for Hispanic participants in the lowest education and NSES group versus 20.5% (14.0, 30.4) for Hispanic participants in the highest education and NSES group. Patterns were similar among corresponding strata of Black and Chinese American participants. However, the lowest %Trees among White participants was in the highest NSES and education stratum (20.6, 95% CI = 14.8, 31.5). About 16% of the variability of %Trees and 11% of the variability of %Grass was explained by intersecting stratum of race/ethnicity, education, and NSES. Conclusion: Maldistribution of greenspace types may be explained by combinations of race/ethnicity, education, and NSES subgroups, as opposed to each factor alone.
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