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      Invited Perspective: Nature Is Unfairly Distributed in the United States—But That’s Only Part of the Global Green Equity Story

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      Environmental Health Perspectives
      Environmental Health Perspectives

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          Abstract

          As we experience increased impacts of climate change and urbanization, the many benefits to health and well-being provided by green and blue spaces are becoming more important, 1,2 and research has shown these health benefits to be particularly strong for lower-income populations. 3,4 Given these benefits, we have seen increased societal concern about the inequitable distribution of urban green and blue spaces. Researchers have responded with studies on this topic in multiple jurisdictions, analyzing whether low-income, less-educated, or racialized—that is, those who have been marginalized owing to the societal assignment of a specific racial identity—populations are less likely to have access to urban green 5–7 and blue 8 spaces. In general, we now know that populations with higher incomes and more education have better access to green and blue spaces, especially in cities, 5,7,9 whereas associations between greenness and racialization are variable. 10 Klompmaker et al. 11 contribute to this growing body of evidence with an analysis of the distributional equity of natural environments in all census tracts in the contiguous United States. The authors found that census tracts with higher socioeconomic status had greater access to nature, as measured by the Normalized Difference Vegetation Index (NDVI), NatureScore, park cover, and presence of blue space. U.S. Census tracts with larger percentages of White residents and smaller percentages of Hispanic residents had lower NDVI and NatureScore values, whereas some urban tracts showed weak positive associations between racialization and natural elements. As one of the most extensive analyses of distributional green and blue equity in the United States to date, this research confirms that patterns observed in previous studies extend across the country. Much of the research on this topic has been produced in the United States, which also has had a large influence on environmental justice theory in the past decades. 12,13 However, as distributional green equity analyses have emerged in other jurisdictions, the patterns seen in U.S. research are not as prevalent elsewhere. 14 These findings may indicate that environmental inequities are not as stark outside of the United States. Alternatively, they may highlight an important gap in environmental justice theory that also has been raised by global South scholars 15 ; namely, that theory derived from patterns of injustice observed in the United States may not be applicable outside of that country, and researchers attempting to apply U.S.-based theory to non-U.S. locations may not even be asking the right questions. For example, the census variables typically used as proxies for deprivation, such as income or categories of racialization, may not accurately reflect the social power dynamics and histories of urban development at play in diverse societies around the world. If researchers apply nonapplicable environmental justice theory to other areas, they may produce what is known as recognitional injustice rather than inform solutions. Recognition is defined in this context as respect for identities and cultural difference and the ways in which agents, ideas, and cultures are valued in discourse, practices, and policies. 16,17 High-quality and ethical research enacts recognitional justice by attending to the nuances of place and the context-specific dynamics of injustice. The theme of recognitional justice must also inform policy responses to findings of distributional inequity. As cities around the world attempt to rectify green inequity, for example, through tree planting or park establishment, environmental justice research has expanded to examine the phenomenon of green gentrification—the physical or psychological displacement of underresourced populations as a result of urban greening. 18 Although research on this topic is still emerging 19 and findings are variable across jurisdictions, 20 there is growing evidence that the installation of new green amenities under capitalist development paradigms—which prioritize profit and invite financial investment alongside urban greening—risks displacing those that the greening was intended to serve. 21 Recent research has found that green gentrification processes often include breakdowns in recognitional and procedural justice, applying a top-down “green is always good” approach to greening that does not consider the needs and desires of local communities or their potential vulnerability within a capitalist system. 22 As cities engage in greening efforts to improve resilience to climate change and address environmental inequities, there is an urgent need for place-based research in understudied jurisdictions to inform these efforts. This should include research that examines processes—such as green gentrification—that may frustrate efforts to improve existing inequities. A business-as-usual approach is unlikely to bring urban nature to those who need it most. If we want to create equitable cities and healthy communities, we need to think outside of the systems that created harm in the first place.

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          Most cited references22

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          Effect of exposure to natural environment on health inequalities: an observational population study.

          Studies have shown that exposure to the natural environment, or so-called green space, has an independent effect on health and health-related behaviours. We postulated that income-related inequality in health would be less pronounced in populations with greater exposure to green space, since access to such areas can modify pathways through which low socioeconomic position can lead to disease. We classified the population of England at younger than retirement age (n=40 813 236) into groups on the basis of income deprivation and exposure to green space. We obtained individual mortality records (n=366 348) to establish whether the association between income deprivation, all-cause mortality, and cause-specific mortality (circulatory disease, lung cancer, and intentional self-harm) in 2001-05, varied by exposure to green space measured in 2001, with control for potential confounding factors. We used stratified models to identify the nature of this variation. The association between income deprivation and mortality differed significantly across the groups of exposure to green space for mortality from all causes (p<0.0001) and circulatory disease (p=0.0212), but not from lung cancer or intentional self-harm. Health inequalities related to income deprivation in all-cause mortality and mortality from circulatory diseases were lower in populations living in the greenest areas. The incidence rate ratio (IRR) for all-cause mortality for the most income deprived quartile compared with the least deprived was 1.93 (95% CI 1.86-2.01) in the least green areas, whereas it was 1.43 (1.34-1.53) in the most green. For circulatory diseases, the IRR was 2.19 (2.04-2.34) in the least green areas and 1.54 (1.38-1.73) in the most green. There was no effect for causes of death unlikely to be affected by green space, such as lung cancer and intentional self-harm. Populations that are exposed to the greenest environments also have lowest levels of health inequality related to income deprivation. Physical environments that promote good health might be important to reduce socioeconomic health inequalities.
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            Urban natural environments as nature-based solutions for improved public health - A systematic review of reviews.

            Increasing urbanisation, changing disease scenarios, and current predictions of climate change impacts require innovative strategies for providing healthy and sustainable cities, now and in the future. The recently coined concept, Nature-based solutions (NBS), is one such strategy referring to actions that are inspired by, supported by, or copied from nature, designed to address a range of environmental challenges. The objective with this article is to evaluate the evidence on public health benefits of exposure to natural environments and explore how this knowledge could be framed within the NBS concept. We conducted a systematic review of reviews following established methodology, including keyword search in several databases, predefined inclusion criteria, and a data extraction in accordance with the PICOS structure. We reviewed literature on associations between public health and natural environments in relation to pathways - sociobehavioural/cultural ecosystem services (e.g. stress and physical activity) and regulating ecosystem services (e.g. heat reduction) - or defined health outcomes (e.g. cardiovascular mortality). The results show that there is strong evidence for improved affect as well as on heat reduction from urban natural environments. These conditions may mediate the effect seen on cardiovascular disease (CVD)-related mortality by exposure to natural environments. By also reviewing existing literature on NBS and health, we phrase the results within the NBS context, providing guidelines on how public health and well-being could be integrated into implementation of NBS for resilient and liveable urban landscapes and health in a changing climate.
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              A complex landscape of inequity in access to urban parks: A literature review

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                Author and article information

                Journal
                Environ Health Perspect
                Environ Health Perspect
                EHP
                Environmental Health Perspectives
                Environmental Health Perspectives
                0091-6765
                1552-9924
                25 January 2023
                January 2023
                : 131
                : 1
                : 011301
                Affiliations
                [ 1 ]Department of Forest Resources Management, Faculty of Forestry, University of British Columbia , Vancouver, British Columbia, Canada
                Author notes
                Address correspondence to Lorien Nesbitt, 2022–2424 Main Mall, Vancouver, British Columbia V6T 1Z4, Canada. Email: lorien.nesbitt@ 123456ubc.ca
                Author information
                https://orcid.org/0000-0002-4018-1825
                Article
                EHP12536
                10.1289/EHP12536
                9875855
                36696104
                6a965863-69c7-45f0-b695-7a50dff28be0

                EHP is an open-access journal published with support from the National Institute of Environmental Health Sciences, National Institutes of Health. All content is public domain unless otherwise noted.

                History
                : 05 December 2022
                : 21 December 2022
                : 22 December 2022
                Categories
                Invited Perspective

                Public health
                Public health

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