# Green space exposure and active transportation during the COVID-19 pandemic: a global analysis using Apple mobility data

**Authors:** Ruoyu Wang, Selin Akaraci, Esteban Moro, Pedro C Hallal, Rodrigo Reis, Ruth Hunter

PMC · DOI: 10.1136/bmjgh-2024-017108 · BMJ Global Health · 2025-05-14

## TL;DR

This study explores how green spaces and their distribution relate to walking and public transit use during the pandemic across 299 global cities.

## Contribution

The study introduces a global analysis linking green space exposure and inequality to active transportation during the pandemic.

## Key findings

- Green space exposure was positively linked to increased walking during the pandemic.
- Green space inequality correlated with higher walking and public transit use.
- The impact of green space varied with city development and pandemic policies.

## Abstract

There is little evidence investigating the association between green space (exposure and inequality) and active transportation during the COVID-19 pandemic. This study focused on the spatial heterogeneity in trajectories of different transportation modes during the COVID-19 pandemic worldwide, as well as the association between green space exposure and inequality and active transportation during the COVID-19 pandemic from a global perspective.

This study was based on an ecological study design and used three different Apple Mobility indices (driving, walking and public transit) to evaluate the trajectories of different transportation modes during the COVID-19 pandemic in 299 cities across 46 countries. Green space exposure was calculated based on fine-resolution population and green space mappings. Green space inequality was calculated by incorporating the Gini index into the green space exposure (green space Gini index). The hot/cold spot analysis was used to explore spatial heterogeneity in trajectories of different transportation modes during the COVID-19 pandemic worldwide, while Gaussian spatial mixed models were used to model the association between green space exposure and inequality and active transportation.

The hot/cold spot analysis shows that there were spatial inequalities in the trajectories of different transportation modes worldwide during the COVID-19 pandemic. Results from Gaussian spatial mixed models showed that green space exposure was positively associated with the walking index (Coef.=46.82; SE=18.20), while green space inequality was positively associated with the walking index (Coef.=58.88; SE=26.87) and public transit index (Coef.=162.07; SE=80.16). Also, the effect of green space varied across city development levels, the stringency of policy and COVID-19 severity.

Our findings demonstrate the importance of sufficient city-scale green spaces to support active transportation, with important implications to help cities better prepare for future pandemics and support active transportation during non-pandemic times.

## Linked entities

- **Diseases:** COVID-19 (MONDO:0100096)

## Full-text entities

- **Diseases:** Cancer (MESH:D009369), COVID-19 (MESH:D000086382), mental illness (MESH:D001523)
- **Chemicals:** ESA (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12083287/full.md

## References

62 references — full list in the complete paper: https://tomesphere.com/paper/PMC12083287/full.md

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Source: https://tomesphere.com/paper/PMC12083287