Negative Associations between Quality of Urban Green Spaces and Health Expenditures in Downtown Shanghai

The health–beneficial value of urban green spaces (UGS) is increasingly accepted by scholars. However, compared to the large number of studies focused on UGS–health associations, whether UGS in high-density cities could reduce public health expenditures remains less investigated. In particular, few...

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Main Authors: Liqing Zhang, Yue Wu
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Land
Subjects:
Online Access:https://www.mdpi.com/2073-445X/11/8/1261
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author Liqing Zhang
Yue Wu
author_facet Liqing Zhang
Yue Wu
author_sort Liqing Zhang
collection DOAJ
description The health–beneficial value of urban green spaces (UGS) is increasingly accepted by scholars. However, compared to the large number of studies focused on UGS–health associations, whether UGS in high-density cities could reduce public health expenditures remains less investigated. In particular, few studies have examined the association of UGS quality with health expenditures. Therefore, we conducted a cross-sectional study in downtown Shanghai to examine such associations. A population-based household survey (<i>n</i> = 1000) was conducted to collect relevant information about different aspects of health expenditure and the characteristics of UGS. Specifically, a new method was proposed to measure UGS quality based on the supply–demand of 20 types of UGS activities. We also measured the perceived quality of different types of UGS and quantified the amount of UGS using GIS based on remote sensing data. Regression models were applied for statistical analysis. The results showed that both UGS quality based on user needs and perceived UGS quality have a significant negative association with total health expenditures. This study provides insights for UGS quality measurement, contributes to the understanding of the health-related economic benefits of UGS, and also highlights the importance of UGS optimization in high-density urban areas.
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spelling doaj.art-4cb69ad4170b4f548851d1d9101f5a1c2023-12-01T23:53:40ZengMDPI AGLand2073-445X2022-08-01118126110.3390/land11081261Negative Associations between Quality of Urban Green Spaces and Health Expenditures in Downtown ShanghaiLiqing Zhang0Yue Wu1Department of Landscape Architecture, School of Design, Shanghai Jiao Tong University, 800 Dongchuan Road, Shanghai 200240, ChinaDepartment of Landscape Architecture, School of Design, Shanghai Jiao Tong University, 800 Dongchuan Road, Shanghai 200240, ChinaThe health–beneficial value of urban green spaces (UGS) is increasingly accepted by scholars. However, compared to the large number of studies focused on UGS–health associations, whether UGS in high-density cities could reduce public health expenditures remains less investigated. In particular, few studies have examined the association of UGS quality with health expenditures. Therefore, we conducted a cross-sectional study in downtown Shanghai to examine such associations. A population-based household survey (<i>n</i> = 1000) was conducted to collect relevant information about different aspects of health expenditure and the characteristics of UGS. Specifically, a new method was proposed to measure UGS quality based on the supply–demand of 20 types of UGS activities. We also measured the perceived quality of different types of UGS and quantified the amount of UGS using GIS based on remote sensing data. Regression models were applied for statistical analysis. The results showed that both UGS quality based on user needs and perceived UGS quality have a significant negative association with total health expenditures. This study provides insights for UGS quality measurement, contributes to the understanding of the health-related economic benefits of UGS, and also highlights the importance of UGS optimization in high-density urban areas.https://www.mdpi.com/2073-445X/11/8/1261urban green spaces (UGS)health expenditurequality of UGSsupply–demand of UGS activitiesShanghai
spellingShingle Liqing Zhang
Yue Wu
Negative Associations between Quality of Urban Green Spaces and Health Expenditures in Downtown Shanghai
Land
urban green spaces (UGS)
health expenditure
quality of UGS
supply–demand of UGS activities
Shanghai
title Negative Associations between Quality of Urban Green Spaces and Health Expenditures in Downtown Shanghai
title_full Negative Associations between Quality of Urban Green Spaces and Health Expenditures in Downtown Shanghai
title_fullStr Negative Associations between Quality of Urban Green Spaces and Health Expenditures in Downtown Shanghai
title_full_unstemmed Negative Associations between Quality of Urban Green Spaces and Health Expenditures in Downtown Shanghai
title_short Negative Associations between Quality of Urban Green Spaces and Health Expenditures in Downtown Shanghai
title_sort negative associations between quality of urban green spaces and health expenditures in downtown shanghai
topic urban green spaces (UGS)
health expenditure
quality of UGS
supply–demand of UGS activities
Shanghai
url https://www.mdpi.com/2073-445X/11/8/1261
work_keys_str_mv AT liqingzhang negativeassociationsbetweenqualityofurbangreenspacesandhealthexpendituresindowntownshanghai
AT yuewu negativeassociationsbetweenqualityofurbangreenspacesandhealthexpendituresindowntownshanghai