Threefold Environmental Inequality: Canopy Cover, Deprivation, and Cancer-Risk Burdens Across Baltimore Neighborhoods

Urban tree canopy is increasingly recognized as a health-protective form of green infrastructure, yet its distribution remains uneven across socioeconomically stratified neighborhoods. This study quantifies fine-scale tree-canopy inequity across Census Block Groups (CBGs) in Baltimore and examines associations with socioeconomic deprivation and modeled pollution-related cancer risk. We integrated (i) 2023 US Forest Service canopy estimates aggregated to CBGs, (ii) Area Deprivation Index (ADI) national and state ranks, (iii) American Community Survey 5-year population counts, and (iv) EPA NATA/HAPs cancer-risk estimates aggregated to CBGs using population-weighted means. Associations were assessed using Spearman correlations and visualized with LOESS smoothers. Canopy was negatively associated with ADI national and state ranks (ρ = −0.509 and −0.503), explaining 29–31% of canopy variation. Population-weighted canopy declined from 47–51% in the least deprived decile to 13–15% in the most deprived (3.4–4.1× disparity). Beyond socioeconomic gradients, overall distributional inequity was quantified using a population-weighted Tree Canopy Inequality Index ( TCI ; weighted Gini), yielding TCI = 0.312, indicating substantial inequality. The population-weighted Atkinson index rose sharply under increasing inequality aversion (A 0.5 = 0.084; A 2 = 0.402), revealing extreme canopy deficits concentrated among the most disadvantaged neighborhoods. Canopy was also negatively associated with modeled cancer risk (ρ = −0.363). We constructed a Triple Burden Index integrating canopy deficit, deprivation, and cancer risk, identifying spatially clustered high-burden neighborhoods that collectively house over 86,000 residents. These findings demonstrate that canopy inequity in Baltimore is structurally concentrated and support equity-targeted greening and sustained maintenance strategies guided by distributional justice metrics.