Spatial indicators of inequity in urban health research: a scoping review

Abstract Accurately measuring spatial inequities in the built environment is essential for meaningful research on how environmental factors influence health. This study aimed to (1) systematically identify how spatial inequities are measured in urban health research and (2) assess the conceptual cla...

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Main Authors: Ana L. Favarão Leão, Raúl D. Gierbolini-Rivera, Milena Franco Silva, Courtney Shaw, Áine O’Connor, Deborah Salvo, Rodrigo Siqueira Reis
Format: Article
Language:English
Published: Springer 2025-01-01
Series:Discover Public Health
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Online Access:https://doi.org/10.1186/s12982-025-00421-z
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author Ana L. Favarão Leão
Raúl D. Gierbolini-Rivera
Milena Franco Silva
Courtney Shaw
Áine O’Connor
Deborah Salvo
Rodrigo Siqueira Reis
author_facet Ana L. Favarão Leão
Raúl D. Gierbolini-Rivera
Milena Franco Silva
Courtney Shaw
Áine O’Connor
Deborah Salvo
Rodrigo Siqueira Reis
author_sort Ana L. Favarão Leão
collection DOAJ
description Abstract Accurately measuring spatial inequities in the built environment is essential for meaningful research on how environmental factors influence health. This study aimed to (1) systematically identify how spatial inequities are measured in urban health research and (2) assess the conceptual clarity of studies on spatial inequities and inequalities. A scoping review of four electronic databases (PubMed, Web of Science, GreenFILE, and Global Health) was conducted. From 921 results, 44 full-text articles were reviewed. Studies most frequently measured access to green spaces (n = 20, 45.5%), food environment (n = 7, 15.9%), and walkability (n = 5, 11.4%). Most studies (n = 32, 73%) were conducted in high-income countries. The primary analytical approaches were descriptive (n = 11, 25%). Most studies (n = 43, 97.73%) contained misalignment between concepts they purposed to measure, and variables and analyses used. Concepts such as accessibility (n = 10, 22.72%), environmental justice (n = 5, 11.36%), and spatial equity (n = 3, 6.81%) were prevalent. This study’s results highlight the need for conceptual clarity on spatial inequity and inequality within urban health research. This research highlights the reliance on descriptive methodologies and advocates for robust statistical approaches. With conceptual clarity and improved measurements, researchers and practitioners can better develop strategies to advance urban health policies with the goal of reducing health inequities.
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spelling doaj-art-48ee86d09a164afa93d705d3f3198df92025-01-26T12:15:39ZengSpringerDiscover Public Health3005-07742025-01-0122111510.1186/s12982-025-00421-zSpatial indicators of inequity in urban health research: a scoping reviewAna L. Favarão Leão0Raúl D. Gierbolini-Rivera1Milena Franco Silva2Courtney Shaw3Áine O’Connor4Deborah Salvo5Rodrigo Siqueira Reis6Prevention Research Center; People Health & Place Unit, Brown School at Washington University in St. LouisPrevention Research Center; People Health & Place Unit, Brown School at Washington University in St. LouisPrevention Research Center; People Health & Place Unit, Brown School at Washington University in St. LouisPrevention Research Center; People Health & Place Unit, Brown School at Washington University in St. LouisUniversity of North Carolina at Chapel HillDepartment of Kinesiology and Health Education, The University of Texas at AustinPrevention Research Center; People Health & Place Unit, Brown School at Washington University in St. LouisAbstract Accurately measuring spatial inequities in the built environment is essential for meaningful research on how environmental factors influence health. This study aimed to (1) systematically identify how spatial inequities are measured in urban health research and (2) assess the conceptual clarity of studies on spatial inequities and inequalities. A scoping review of four electronic databases (PubMed, Web of Science, GreenFILE, and Global Health) was conducted. From 921 results, 44 full-text articles were reviewed. Studies most frequently measured access to green spaces (n = 20, 45.5%), food environment (n = 7, 15.9%), and walkability (n = 5, 11.4%). Most studies (n = 32, 73%) were conducted in high-income countries. The primary analytical approaches were descriptive (n = 11, 25%). Most studies (n = 43, 97.73%) contained misalignment between concepts they purposed to measure, and variables and analyses used. Concepts such as accessibility (n = 10, 22.72%), environmental justice (n = 5, 11.36%), and spatial equity (n = 3, 6.81%) were prevalent. This study’s results highlight the need for conceptual clarity on spatial inequity and inequality within urban health research. This research highlights the reliance on descriptive methodologies and advocates for robust statistical approaches. With conceptual clarity and improved measurements, researchers and practitioners can better develop strategies to advance urban health policies with the goal of reducing health inequities.https://doi.org/10.1186/s12982-025-00421-zBuilt environmentHealth equitySpatial analysisLiterature reviewSpatial inequitiesSpatial inequalities
spellingShingle Ana L. Favarão Leão
Raúl D. Gierbolini-Rivera
Milena Franco Silva
Courtney Shaw
Áine O’Connor
Deborah Salvo
Rodrigo Siqueira Reis
Spatial indicators of inequity in urban health research: a scoping review
Discover Public Health
Built environment
Health equity
Spatial analysis
Literature review
Spatial inequities
Spatial inequalities
title Spatial indicators of inequity in urban health research: a scoping review
title_full Spatial indicators of inequity in urban health research: a scoping review
title_fullStr Spatial indicators of inequity in urban health research: a scoping review
title_full_unstemmed Spatial indicators of inequity in urban health research: a scoping review
title_short Spatial indicators of inequity in urban health research: a scoping review
title_sort spatial indicators of inequity in urban health research a scoping review
topic Built environment
Health equity
Spatial analysis
Literature review
Spatial inequities
Spatial inequalities
url https://doi.org/10.1186/s12982-025-00421-z
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