Green place rather than green space as a health determinant: A 20-year scoping review.

Numerous scientific studies, applying different approaches, have provided evidence of the links between the environment and people's health. Green spaces have been the subject of research aimed at exploring their benefits as components of the urban environment. We investigated possible causal relationships between green spaces and health, with the aim of addressing the following question. Does the mere material presence of green spaces contribute to the health of people who live in its vicinity, or are the health-promoting qualities of green spaces attributed to the ability of people to actually see, access, and enjoy them? The latter view highlights the relational dimension of places, and it entails personal relationships with places which are imbued with psychological meaning and significance for those who visit and experience them. We reviewed relevant literature, comprising a total of 189 papers on this topic that have been published over the first two decades of this century. Our findings showed that the material aspects of green spaces, such as their abundance and proximity to residences, received much more attention in studies than their quality and characteristics. However, relational rather than material measures of green spaces demonstrated statistically greater positive impacts of green spaces on health. These findings indicate that both sensory stimuli and activities and feelings attached to green spaces are essential for better health outcomes. Incorporating a relational perspective of green place-thinking into the existing literature on green spaces and health could contribute to optimizing the positive effects of green spaces and thus to the creation of healthy and livable cities.