Examining Inequality in Park Quality for Promoting Health Across 35 Global Cities

Urban parks provide significant health benefits by offering spaces and facilities for various recreational and leisure activities. However, the capacity of specific park spaces and elements to foster health remains underexamined. Traditional studies have focused on parks' size, greenery, and accessibility, often overlooking their ability to facilitate specific health-promoting activities. To address this gap, we propose a taxonomy consisting of six categories of health-promoting activities in parks: physical, mind-body, nature appreciation, environmental, social, and cultural. We estimate the capacity of parks in 35 global cities to promote health by establishing a lexicon linking park spaces and elements with specific health-promoting activities from our taxonomy. Using this lexicon, we collected data on elements and spaces in all parks in 35 cities from OpenStreetMap. Our analysis covers 23,477 parks with a total of 827,038 elements and spaces. By first comparing similarly sized parks across cities, we found that North American parks offer more spaces for physical activities, while European parks focus more on nature appreciation. Second, by scoring parks based on both elements and spaces, we investigated the variability in their health-promoting potential. We found the most uniform provision across parks for physical activities and the highest disparities regarding social activities. Additionally, parks offering a variety of activities are usually located in city centers, while offerings diminish in parks towards the suburbs. Lastly, we identified significant inequalities in park standards across cities, regardless of their continental location: Tokyo and Paris offer the most uniform park standards, while Copenhagen and Rio de Janeiro exhibit the most pronounced disparities. Our study provides insights for making urban parks more equitable, engaging, and health-promoting.