Measuring Health Benefits of Green Space in Economic Terms

  • Ken Willis
  • Bob Crabtree


Health benefits attributable to green space include increased physical exercise resulting in reduced incidence of coronary heart disease, cerebrovascular illness (stroke), and colon cancer; psychological benefits from reduction in stress; and improved air quality resulting in a reduction in respiratory diseases. Reduction in mortality and morbidity due to improved physical exercise are quantified; and various economic methods to value preventable fatalities and diseases are outlined. The economic value of health benefits of a 1% reduction in the sedentary population is estimated; together with the health benefits of reduced air pollution due to trees. A major problem in the estimating economic benefits is linking green space to increased physical exercise of those in need of physical exercise to improve their health. Some policy conclusions are drawn on the location of green space to maximize health benefits.


Physical Activity Coronary Heart Disease Green Space Contingent Valuation Psychological Benefit 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Alberini A, Cropper M, Krupnick A, Simon NB (2004) Does the value of statistical life vary with age and health status? Evidence from the US and Canada. J Environ Econ Manage 48:769–792CrossRefGoogle Scholar
  2. Alberini A, Chiabai A (2007) Urban environmental health and sensitive populations: how much are Italians willing to pay to reduce their risks? Reg Sci Urban Econ 37:239–258CrossRefGoogle Scholar
  3. Asken (2007) Appraisal of options to improve access to the English Coast. Report to Defra, LondonGoogle Scholar
  4. Bateman IJ, Carson RT, Day B, Hanemann M, Hanley N, Hett T, Jones-Lee M, Loomes G, Mourato S, Ozdemiroglu E, Pearce DW, Sugden R, Swanson J (2002) Economic valuation with stated preference techniques: a manual. Edward Elgar, CheltenhamGoogle Scholar
  5. Beckett PK, Freer-Smith P, Taylor G (1998) Urban woodlands: their role in reducing the effects of particulate pollution. Environ Poll 99:347–360CrossRefGoogle Scholar
  6. Beckett PK, Freer-Smith P, Taylor G (2000a) Effective tree species for local air-quality management. J Arboricul 26(1):12–19Google Scholar
  7. Beckett PK, Freer-Smith P, Taylor G (2000b) The capture of particulate pollution by trees at five contrasting urban sites. Arboricultural J 24:209–230CrossRefGoogle Scholar
  8. Bender R, Jockel KH, Trautner C, Spraul M, Berger M (1999) Effect of age on excess mortality in obesity. J Am Med Assoc 281(16):1498–1504CrossRefGoogle Scholar
  9. Black DA, Kniesner TJ (2003) On the measurement of job risk in hedonic wages models. J Risk Uncertain 27(3):205–220CrossRefGoogle Scholar
  10. Bricker SK, Powell KE, Parashar U, Rowe AK, Troy KG, Seim KM, Eidson PL, Wilson PS, Pilgrim VC, Smith EM (2001) How active are Georgians? Georgian physical activity report. Georgia Department of Human Resources, Atlanta, GeorgiaGoogle Scholar
  11. British Heart Foundation (2004) Statistics Database.
  12. British Heart Foundation (2005) Economic costs web page.
  13. Broadmeadow MSJ, Freer-Smith PH (1996) Urban woodland and the benefits for local air quality. Department of Environment, HMSO, LondonGoogle Scholar
  14. Brown WJ, Mishra G, Lee C, Bauman A (2000) Leisure time physical activity in Australian women: relationship with well being and symptoms. Res Quart Exerc Sport 71(3):206–216CrossRefGoogle Scholar
  15. Bullock CH (2008) Valuing urban green space: hypothetical alternatives and the status quo. J Environ Plan Manage 51:15–35CrossRefGoogle Scholar
  16. Cameron TA, DeShazo JR, Johnson EH (2008) Willingness to pay for health risk reductions: differences by type of illness. Working Paper. Department of Economics, University of Oregon, EugeneGoogle Scholar
  17. Cavanagh J-AE, Clemons J (2006) Do urban forests enhance air quality? Austral J Environ Manage 13:120–130Google Scholar
  18. Chilton S, Covey J, Hopkins L, Jones-Lee M, Loomes G, Pidgeon N, Spencer A (2002) Public perceptions of risk and risk based values of safety. J Risk Uncertain 25(3):211–232CrossRefGoogle Scholar
  19. Chilton S, Jones-Lee M, Kiraly F, Metcalf H, Pang W (2006) Dread risks. J Risk Uncertain 33:165–182CrossRefGoogle Scholar
  20. Consulting CJC (2004) Economic analysis of the contribution of the forest estate managed by forestry commission Scotland. Forest Comm, EdinburghGoogle Scholar
  21. Consulting CJC (2005) Economic benefits of accessible green spaces for physical and mental health: scoping study. Forest Comm, EdinburghGoogle Scholar
  22. Cohen DA, Ashwood JS, Scott MM, Overton A, Evenson KR, Staten LK, Porter D, McKenzie TL, Catellier D (2006) Public parks and physical activity among adolescent girls. Pediatrics 118(5):e1381–e1389PubMedCrossRefGoogle Scholar
  23. Department of Health (2004a). Choosing Health: making healthy choices easier. Department of Health, LondonPubMedCrossRefGoogle Scholar
  24. Department of Health (2004b). At Least Five a Week: evidence on the impact of physical activity and its relationship with health. Department of Health, LondonPubMedCrossRefGoogle Scholar
  25. Department of Health (2005). Choosing Activity: a physical activity action plan. Department of Health, LondonPubMedCrossRefGoogle Scholar
  26. Department of Health (1999) Economic appraisal of the health effects of air pollution, Ad-Hoc group on the economic appraisal of the health effects of air pollution. The Stationery Office, LondonGoogle Scholar
  27. Department for Transport (2004) 2003 valuation of benefits of prevention of road accidents and casualties. Highways Economics Note No.1. DfT, LondonGoogle Scholar
  28. Dochinger LS (1980) Interception of air borne particles by tree plantings. J Environ Qual 9:265–268CrossRefGoogle Scholar
  29. Donovan RG, Stewart HE, Owen SM, MacKenzie AR, Hewitt CN (2005) Development and application of an urban tree air quality score for photochemical pollution episodes using the Birmingham, United Kingdom, area as a case study. Environ Sci Technol 39:6730–6738PubMedCrossRefGoogle Scholar
  30. Donovan GH, Butry DT (2009) The value of shade: estimating the effect of urban trees on summertime electricity use. Energ Build 41:662–668CrossRefGoogle Scholar
  31. Drummond MF, Sculpher MJ, Torrance GW, O’Brian BJ, Stoddard GL (2005) Methods for the economic evaluation of health care programs, 3rd edn. Oxford University Press, OxfordGoogle Scholar
  32. Ellaway A, MacIntyre S, Bonnefoy X (2005) Graffiti, greenery, and obesity in adults: secondary analysis of European cross sectional survey. BMJ 326:611–612CrossRefGoogle Scholar
  33. Entec UK (1999) Appraisal of options on access to the open countryside of England and Wales. Final report for the Department for Environment, Transport and the Regions. Defra, LondonGoogle Scholar
  34. Forestry Commission (2010) Woodlands in and around towns programme (WIAT).
  35. Freeman PK, Kunreuther H (1997) Managing environmental risk through insurance. Kluwer, DordrechtCrossRefGoogle Scholar
  36. Giles-Corti B, Broomhall MH, Knuiman M, Collins C, Douglas K, Ng K, Lange A, Donovan RJ (2005) Increasing walking: how important is distance to, attractiveness, and size of public open space. Am J Prev Med 28(2S2):169–176PubMedCrossRefGoogle Scholar
  37. Giles-Corti B, Donovan RJ (2002) The relative influence of individual, social and physical environment determinants of physical activity. Soc Sci Med 54(12):1793–1812PubMedCrossRefGoogle Scholar
  38. Government Strategy Unit (2002) Game plan: a strategy for delivering government’s sport and physical exercise objectives. Government Strategy Unit, London.
  39. Guite HF, Clark C, Ackrill G (2006) The impact of the physical and urban environment on mental well-being. Public Health 120:1117–1126PubMedCrossRefGoogle Scholar
  40. Haab TC, McConnell KE (2002) Valuing environmental and natural resources: the econometrics of non-market valuation. Edward Elgar, CheltenhamGoogle Scholar
  41. Hartig T, Evans GW, Jamner LD, Davis DS, Garling T (2003) Tracking restoration in natural and urban field settings. J of Environmental Psychology 23:109–123CrossRefGoogle Scholar
  42. Health and Safety Executive (2004) HMRI specific cost benefit analysis (CBA) checklist. HSE, LondonGoogle Scholar
  43. Health First Europe (2005) Medical technology leads to staggering reductions in care.
  44. Treasury HM (2009) The green book: appraisal and evaluation in central government. HM Treasury, London.
  45. Humpel N, Owen N, Leslie E (2002) Environmental factors associated with adults’ participation in physical activity: a review. Am J Prev Med 22(3):188–199PubMedCrossRefGoogle Scholar
  46. Joint Health Survey Unit (1999) Health Survey for England: cardiovascular disease 1998. The Stationery Office, LondonGoogle Scholar
  47. Jones-Lee MW, Hammerton M, Philips PR (1985) The value of safety: results of a national sample survey. Econ J 95:49–72CrossRefGoogle Scholar
  48. Kaplan R, Kaplan S (1989) The experience of nature: a psychological perspective. Cambridge University Press, CambridgeGoogle Scholar
  49. Krupnick A, Alberini A, Cropper M, Somon N, O’Brian B, Goeree R, Heintzelman M (2002) Age, health and the willingness to pay for mortality risk reductions: a contingent valuation survey of Ontario residents. J Risk Uncertain 24(2):161–186CrossRefGoogle Scholar
  50. Kuo FE, Sullivan WC (2001a) Environment and crime in the inner city: does vegetation reduce crime? Environ Behav 33(3):343–367Google Scholar
  51. Kuo FE, Sullivan WC (2001b) Aggression and violence in the inner city: effects of environment via mental fatigue. Environ Behav 33(4):543–571CrossRefGoogle Scholar
  52. Liu JLY, Maniadakis N, Gray A, Raynor M (2002) The economic burden of coronary heart disease in the UK. Heart 88:597–603PubMedCrossRefGoogle Scholar
  53. McCartney R, Warner J, Iliffe S, van Haselen R, Griffin M, Fisher P (2007) The Hawthorne effect: a randomised controlled trial. BMC Med Res Methodol 7:30. doi: 10.1186/1471-2288-7-30 CrossRefGoogle Scholar
  54. McDonald AG, Bealey WJ, Fowler D, Dragosits U, Skiba U, Simth RI, Donovan RG, Brett HE, Hewitt CN, Nemitz E (2007) Quantifying the effect of urban tree planning on concentrations and depositions of PM10 in two UK conurbations. Atmos Environ 41:8455–8467CrossRefGoogle Scholar
  55. McPherson EG, Simpson JR, Peper PJ, Xiao Q (1999) Tree guidelines for San Joaquin Valley communities. Centre for Urban Forest Research, USDA Forest Service, Pacific Southwest Research Station, Department for Environmental Horticulture, University of California, DavisGoogle Scholar
  56. Maas J, Verheij RA, Spreeuwenberg P, Groenewegen PP (2008) Physical activity as a possible mechanism behind the relationship between green space and health: a multilevel analysis. BMC Pub Health 8:206. doi: 10.1186/1471-2458-8-206 CrossRefGoogle Scholar
  57. Marin A, Psacharopoulos G (1982) The reward for risk in the labour market: evidence from the United Kingdom and a reconcilation with other studies. J Pol Econ 90(4):827–853CrossRefGoogle Scholar
  58. Milligan C, Bingley A (2007) Restorative places or scary places? The impact of woodland on the mental well-being of young adults. Health Place 13:799–811PubMedCrossRefGoogle Scholar
  59. Mitchell R, Popham F (2008) Effect of exposure to natural environment on health inequalities: an observational population study. The Lancet 372:1655–1660CrossRefGoogle Scholar
  60. Munro J, Brazier J, Davey R, Nicoll J (1997) Physical activity for the over-65s: could it be a cost-effective exercise for the NHS? J Pub Health Med 19:397–402CrossRefGoogle Scholar
  61. Mutrie N, Carney C, Blamey A, Crawford F, Aitchison T, Whitelaw A (2002) “Walk in to Work Out”: a randomized controlled trial of self help intervention to promote active commuting. J Epidemiol Community Health 56:407–412CrossRefGoogle Scholar
  62. National Statistics (2002) Census 2001: First results on population for England and Wales. The Stationery Office, LondonGoogle Scholar
  63. Natural England (2008) Walking the way to health.
  64. National Centre for Chronic Disease Prevention and Health Promotion (1999) Physical activity and health: a report of the Surgeon General. NCCDPHP, United States Department of Health and Human Services, Washington DCGoogle Scholar
  65. NICE (2006) Modeling the cost-effectiveness of physical activity interventions. Matrix Research and Consultancy Report to National Institute for Clinical excellenceGoogle Scholar
  66. Nielsen TS, Hansen KB (2007) Do green areas affect health? Results from a Danish survey on the use of green area and health indicators. Health Place 13:839–850PubMedCrossRefGoogle Scholar
  67. Northern Ireland General Register Office (2003) Health Statistics for Northern Ireland. NIGRO, BelfastGoogle Scholar
  68. Office for National Statistics (2000) Key health Statistics from General Practice 1998: analyses of morbidity and treatment data, including time trends England and Wales. The Stationery Office, LondonGoogle Scholar
  69. Office for National Statistics (2003) Deaths registered by cause and area of residence. ONS, LondonGoogle Scholar
  70. Powe NA, Willis KG (2004) Mortality and morbidity benefits of air pollution (SO2 and PM10) absorption attributable to woodland in Britain. J Environ Manage 70(2):119–128PubMedCrossRefGoogle Scholar
  71. POST (2001) Health benefits of physical activity. Postnote Number 162. Parliamentary Office of Science and Technology House of Commons, LondonGoogle Scholar
  72. Powell N (2005) The Chopwell wood health pilot project. Countryside Recreation 13:8–12Google Scholar
  73. Pretty J, Peacock J, Hine R, Sellens M, South N, Griffin M (2007) Green exercise in the UK countryside: effects on health and psychological well-being and implications for policy and planning. J Environ Plan Manage 50(2):211–231CrossRefGoogle Scholar
  74. Ryan M, Skåtun D (2004) Modeling non-demanders in choice experiments. Health Econ 13:397–402PubMedCrossRefGoogle Scholar
  75. Scotland General Register Office (2003) Scottish health statistics 2000. Scottish Executive, EdinburghGoogle Scholar
  76. Sox HC, Blatt MA, Higgins MC, Marton KI (1988) Medical decision making. Butterworths, Boston, MAGoogle Scholar
  77. Stewart H, Owen S, Donovan R, MacKenzie R, Hewitt N (2002) Trees and sustainable urban air quality. Centre for Ecology and Hydrology, Lancaster UniversityGoogle Scholar
  78. Sugiyama T, Leslie E, Giles-Corti B, Owen N (2007) Associations of neighborhood greenness with physical and mental health: do walking, social coherence and local social interaction explain the relationships? J Epidemiol Commun Health 62:e9CrossRefGoogle Scholar
  79. Swales C (2001) A health economics model: the cost benefits of the physical activity strategy for Northern Ireland – a summary of key findings. Economics Branch, Department of Health. Social Services and Public Safety for the Northern Ireland Physical Activity Strategy Implementation Group. BelfastGoogle Scholar
  80. Townshend T, Lake AA (2009) Obeseogenic urban form: theory, policy and practice. Health Place 15:909–916PubMedCrossRefGoogle Scholar
  81. Ulrich RS (1984) View through a window may influence recovery from surgery. Science 224:420–421PubMedCrossRefGoogle Scholar
  82. US Department of Health and Human Services (1996) Physical activity and health: a report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Center for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 1996.
  83. Van den Berg AE, Koole SL, van der Wulp NY (2003) Environmental preferences and restoration: (how) are they related? J Environ Psychol 23:135–146CrossRefGoogle Scholar
  84. Van Houtven G, Powers J, Jessup A, Yang J-C (2006) Valuing avoided morbidity using meta-regression analysis: what can health status measures and QALYs tell us about WTP? Health Econ 15:775–795PubMedCrossRefGoogle Scholar
  85. Vargas KE, McPherson G, Simpson JR, Peper PJ, Gardner SL, Xiao Q (2007) Temperate interior west community tree guide: benefits, costs, and strategic planting. USDA Forest Service, Pacific Southwest Research Station, General Technical Report. PSW-GTR-206. Albany, CaliforniaGoogle Scholar
  86. Viscusi WK, Aldy JE (2003) The value of statistical life: a critical review of market estimates throughout the world. J Risk Uncertain 27(1):5–76CrossRefGoogle Scholar
  87. Walker S, Colman R (2004) The cost of physical inactivity in Halifax regional municipality. General progress index for Atlantic Canada: measuring Sustainable Development. Halifax, Nova ScotiaGoogle Scholar
  88. Wang G, Macera CA, Scudder-Soucie B, Schmid T, Pratt M, Buchner D (2004) Cost effectiveness of a bicycle/pedestrian trail development in health promotion. Prev Med 38(2):237–242PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2011

Authors and Affiliations

  1. 1.School of Architecture, Planning and LandscapeUniversity of Newcastle upon TyneNewcastle upon TyneLondon
  2. 2.CJC ConsultingOxfordLondon

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