Disadvantaged groups worldwide, such as low-income and racially/ethnically minoritized people, experience worse health outcomes than more privileged groups, including wealthier and white people. Such health disparities are a major public health issue in several countries around the world. In this systematic review, we examine whether green space shows stronger associations with physical health for disadvantaged groups than for privileged groups. We hypothesize that disadvantaged groups have stronger protective effects from green space because of their greater dependency on proximate green space, as they tend to lack access to other health-promoting resources. We use the preferred reporting items for systematic reviews and meta-analyses (PRISMA) method and search five databases (CINAHL, Cochrane, PubMed, Scopus, and Web of Science) to look for articles that examine whether socioeconomic status (SES) or race/ethnicity modify the green space-health associations. Based on this search, we identify 90 articles meeting our inclusion criteria. We find lower-SES people show more beneficial effects than affluent people, particularly when concerning public green spaces/parks rather than green land covers/greenness. Studies in Europe show stronger protective effects for lower-SES people versus higher-SES people than do studies in North America. We find no notable differences in the protective effects of green space between racial/ethnic groups. Collectively, these results suggest green space might be a tool to advance health equity and provide ways forward for urban planners, parks managers, and public health professionals to address health disparities.

This review examines disparities in access to urban green space (UGS) based on socioeconomic status (SES) and race-ethnicity in Global South cities. It was motivated by documented human health and ecosystem services benefits of UGS in Global South countries and UGS planning barriers in rapidly urbanizing cities. Additionally, another review of Global North UGS studies uncovered that high-SES and White people have access to a higher quantity of higher quality UGSs than low-SES and racial-ethnic minority people but that no clear differences exist regarding who lives closer to UGS. Thus, we conducted a systematic review to uncover (1) whether UGS inequities in Global North cities are evident in Global South cities and (2) whether inequities in the Global South vary between continents. Through the PRISMA approach and five inclusion criteria, we identified 46 peer-reviewed articles that measured SES or racial-ethnic disparities in access to UGS in Global South cities. We found inequities for UGS quantity (high-SES people are advantaged in 85% of cases) and UGS proximity (74% of cases). Inequities were less consistent for UGS quality (65% of cases). We also found that UGS inequities were consistent across African, Asian, and Latin American cities. These findings suggest that Global South cities experience similar inequities in UGS quantity and quality as Global North cities, but that the former also face inequities in UGS proximity.

Recent research shows that the establishment of new parks in historically disinvested neighbourhoods can result in housing price increases and the displacement of low-income people of colour. Some suggest that a ‘just green enough’ approach, in particular its call for the creation of small parks and nearby affordable housing, can reduce the chances of this phenomenon some call ‘green gentrification’. Yet, no study has tested these claims empirically across a sample of diverse cities. Focusing on 10 cities in the United States, we run multilevel logistic regressions to uncover whether the location (distance from downtown), size and function (active transportation) of new parks built in the 2000–2008 and 2008–2015 periods predict whether the census tracts around them gentrified. We find that park function and location are strong predictors of gentrification, whereas park size is not. In particular, new greenway parks with an active transportation component built in the 2008–2015 period triggered gentrification more than other park types, and new parks located closer to downtown tend to foster gentrification more than parks on a city’s outskirts. These findings call into question the ‘just green enough’ claim that small parks foster green gentrification less than larger parks do.

Background: Scholars and policymakers have criticized public education in developed countries for perpetuating health and income disparities. Several studies have examined the ties between green space and academic performance, hypothesizing that green space can foster performance, and, over time, help reduce such disparities. Although numerous reviews have analyzed the link between nature and child health, none have focused on academic achievement. Methods: We identified 13 peer-reviewed articles that examined associations between academic outcomes, types of green spaces, and distances in which green spaces were measured around schools. Results: Of the 122 findings reported in the 13 articles, 64% were non-significant, 8% were significant and negative, and 28% were significant and positive. Positive findings were limited to greenness, tree cover, and green land cover at distances up to 2000 m around schools. End-of-semester grades and college preparatory exams showed greater shares of positive associations than math or reading test scores. Most findings regarding writing test scores were non-significant, and moderation effects of socioeconomic status, gender, and urbanization showed mixed results. Conclusions: The extant literature on green space and academic performance is small, shows mixed results, and mostly includes articles using observational, school-level research designs. Regardless, there is sufficient evidence to warrant further research on this topic, including effect moderation and mechanistic pathways.