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Screening for Park Access during a Primary Care Social Determinants Screen

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  • Nooshin Razani

    (UCSF Center for Nature and Health, UCSF Benioff Children’s Hospital Oakland, 5220 Claremont Ave, Oakland, CA 94608, USA
    Department of Pediatrics, University of California, 550 16th Street, Box 0110, San Francisco, CA 94143, USA)

  • Dayna Long

    (Department of Pediatrics, University of California, 550 16th Street, Box 0110, San Francisco, CA 94143, USA)

  • Danielle Hessler

    (Department of Epidemiology and Biostatistics, University of California, 550 16th Street, Second Floor, San Francisco, CA 94158, USA)

  • George W. Rutherford

    (Department of Pediatrics, University of California, 550 16th Street, Box 0110, San Francisco, CA 94143, USA
    Department of Epidemiology and Biostatistics, University of California, 550 16th Street, Second Floor, San Francisco, CA 94158, USA)

  • Laura M. Gottlieb

    (UCSF Center for Health and Community, 3333 California St., Suite 465, Campus Box 0844, San Francisco, CA 94143-0844, USA)

Abstract

While there is evidence that access to nature and parks benefits pediatric health, it is unclear how low-income families living in an urban center acknowledge or prioritize access to parks. Methods: We conducted a study about access to parks by pediatric patients in a health system serving low-income families. Adult caregivers of pediatric patients completed a survey to identify and prioritize unmet social and economic needs, including access to parks. Univariate and multivariate analyses were conducted to explore associations between lack of access to parks and sociodemographic variables. We also explored the extent to which access to parks competed with other needs. Results: The survey was completed by 890 caregivers; 151 (17%) identified “access to green spaces/parks/playgrounds” as an unmet need, compared to 397 (45%) who endorsed “running out of food before you had money or food stamps to buy more”. Being at or below the poverty line doubled the odds (Odds ratio 1.96, 95% CI 1.16–3.31) of lacking access to a park (reference group: above the poverty line), and lacking a high school degree nearly doubled the odds. Thirty-three of the 151 (22%) caregivers who identified access to parks as an unmet need prioritized it as one of three top unmet needs. Families who faced competing needs of housing, food, and employment insecurity were less likely to prioritize park access ( p < 0.001). Conclusion: Clinical interventions to increase park access would benefit from an understanding of the social and economic adversity faced by patients.

Suggested Citation

  • Nooshin Razani & Dayna Long & Danielle Hessler & George W. Rutherford & Laura M. Gottlieb, 2020. "Screening for Park Access during a Primary Care Social Determinants Screen," IJERPH, MDPI, vol. 17(8), pages 1-9, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2777-:d:346834
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    References listed on IDEAS

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    1. Viniece Jennings & April Karen Baptiste & Na’Taki Osborne Jelks & Renée Skeete, 2017. "Urban Green Space and the Pursuit of Health Equity in Parts of the United States," IJERPH, MDPI, vol. 14(11), pages 1-17, November.
    2. Nooshin Razani & Saam Morshed & Michael A Kohn & Nancy M Wells & Doug Thompson & Maoya Alqassari & Amaka Agodi & George W Rutherford, 2018. "Effect of park prescriptions with and without group visits to parks on stress reduction in low-income parents: SHINE randomized trial," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-17, February.
    3. Kheng Siang Ted Ng & Angelia Sia & Maxel K. W. Ng & Crystal T. Y. Tan & Hui Yu Chan & Chay Hoon Tan & Iris Rawtaer & Lei Feng & Rathi Mahendran & Anis Larbi & Ee Heok Kua & Roger C. M. Ho, 2018. "Effects of Horticultural Therapy on Asian Older Adults: A Randomized Controlled Trial," IJERPH, MDPI, vol. 15(8), pages 1-14, August.
    4. Kuo, F.E. & Faber Taylor, A., 2004. "A potential natural treatment for attention-deficit/hyperactivity disorder: Evidence from a national study," American Journal of Public Health, American Public Health Association, vol. 94(9), pages 1580-1586.
    5. Nooshin Razani & Nancy K. Hills & Doug Thompson & George W. Rutherford, 2020. "The Association of Knowledge, Attitudes and Access with Park Use before and after a Park-Prescription Intervention for Low-Income Families in the U.S," IJERPH, MDPI, vol. 17(3), pages 1-13, January.
    6. Lachowycz, Kate & Jones, Andy P., 2014. "Does walking explain associations between access to greenspace and lower mortality?," Social Science & Medicine, Elsevier, vol. 107(C), pages 9-17.
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