Threefold Environmental Inequality: Canopy Cover, Deprivation, and Cancer-Risk Burdens Across Baltimore Neighborhoods
Abstract
1. Introduction
- First, we provide a more spatially detailed (CBG-level) analysis of tree canopy inequity across Baltimore City and County, capturing heterogeneity that tract-level studies cannot resolve.
- Second, we link canopy patterns directly to a standardized and widely used deprivation index (ADI), offering insights relevant to health equity research and federal environmental justice frameworks.
- Third, we incorporate pollution-related cancer risk, revealing how environmental benefits and environmental hazards co-occur spatially and contribute to cumulative disadvantage across neighborhoods.
- Fourth, we apply the Lorenz–Gini framework to quantify inequality in population-weighted tree canopy distribution, advancing methodological approaches in environmental justice research.
- Fifth, we extend distributional inequality analysis by incorporating the Atkinson index, a severity-sensitive inequality metric that allows differential ethical weighting of canopy deficits among disadvantaged populations, complementing conventional Gini-based approaches.
- Sixth, we introduce a Triple Burden Index integrating canopy deficit, socioeconomic deprivation, and modeled cancer risk, providing a unified framework for identifying neighborhoods experiencing compounded environmental disadvantage and quantifying the population potentially affected by intersecting social and environmental burdens.
2. Materials and Methods
2.1. Study Area
2.2. Data Sources
2.3. Methods
2.4. Ecological Analytical Framework and Inference
3. Results
3.1. Relationship Between Tree Canopy and Socioeconomic Deprivation
3.2. Tree Canopy by ADI Decile
3.3. Inequality in Tree Canopy Distribution
3.4. Spatial Distribution of Deprivation, Canopy, and Cancer Risk
4. Discussion
Canopy Inequality as an Embedded and Policy-Produced Urban Configuration
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
| ADI | Area Deprivation Index |
| ADI_NATRANK | National percentile rank of the Area Deprivation Index |
| ADI_STATERNK | State percentile rank of the Area Deprivation Index |
| CBG | Census Block Group |
| TCI | Tree Canopy Inequality (population-weighted Gini coefficient for canopy distribution) |
| TCC | Tree Canopy Cover |
| EPA | U.S. Environmental Protection Agency |
| NATA/AirToxScreen | National Air Toxics Assessment/Air ToxScreen (EPA’s air toxics risk assessment program) |
| LOESS/LOWESS | Locally Estimated Scatterplot Smoothing |
| GEOID | Geographic Identifier (U.S. Census standardized identifier) |
| TBI | Tripple Burden Index |
References
- Gunn, W.L.; Rao, M. The Legacy of Redlining: A Geospatial Analysis of Environmental Burdens in Portland, Oregon. Bachelor’s Thesis, Portland State University, Portland, OR, USA, 2022. [Google Scholar]
- Li, D.; Newman, G.D.; Wilson, B.; Zhang, Y.; Brown, R.D. Modeling the relationships between historical redlining, urban heat, and heat-related emergency department visits: An examination of 11 Texas cities. Environ. Plan. B Urban Anal. City Sci. 2022, 49, 933–952. [Google Scholar] [CrossRef]
- Hsu, A.; Sheriff, G.; Chakraborty, T.; Manya, D. Disproportionate exposure to urban heat island intensity across major US cities. Nat. Commun. 2021, 12, 2721. [Google Scholar] [CrossRef]
- Azzouz, M.; Hasan, Z.; Rahman, M.M.; Gauderman, W.J.; Lorenzo, M.; Lurmann, F.W.; Eckel, S.P.; Palinkas, L.; Johnston, J.; Hurlburt, M.; et al. Does socioeconomic and environmental burden affect vulnerability to extreme air pollution and heat? A case-crossover study of mortality in California. J. Expo. Sci. Environ. Epidemiol. 2025, 35, 294–302. [Google Scholar] [CrossRef]
- Lewis, P.G.T.; Chiu, W.A.; Nasser, E.; Proville, J.; Barone, A.; Danforth, C.; Kim, B.; Prozzi, J.; Craft, E. Characterizing vulnerabilities to climate change across the United States. Environ. Int. 2023, 172, 107772. [Google Scholar] [CrossRef] [PubMed]
- Chakraborty, T.; Hsu, A.; Manya, D.; Sheriff, G. Disproportionately higher exposure to urban heat in lower-income neighborhoods: A multi-city perspective. Environ. Res. Lett. 2019, 14, 105003. [Google Scholar] [CrossRef]
- Wu, C.; Shui, W.; Yang, H.; Ma, M.; Zhu, S.; Liu, Y.; Li, H.; Wu, F.; Wu, K.; Sun, X. Heat adaptive capacity: What causes the differences between residents of xiamen island and other areas? Front. Public Health 2022, 10, 799365. [Google Scholar] [CrossRef]
- Meili, N.; Manoli, G.; Burlando, P.; Carmeliet, J.; Chow, W.T.; Coutts, A.M.; Roth, M.; Velasco, E.; Vivoni, E.R.; Fatichi, S. Tree effects on urban microclimate: Diurnal, seasonal, and climatic temperature differences explained by separating radiation, evapotranspiration, and roughness effects. Urban For. Urban Green. 2021, 58, 126970. [Google Scholar] [CrossRef]
- Pace, R.; De Fino, F.; Rahman, M.A.; Pauleit, S.; Nowak, D.J.; Grote, R. A single tree model to consistently simulate cooling, shading, and pollution uptake of urban trees. Int. J. Biometeorol. 2021, 65, 277–289. [Google Scholar] [CrossRef] [PubMed]
- Barron, S.; Rugel, E.; Cheng, Z.; Nesbitt, L.; Sheppard, S.; Czekajlo, A.; Girling, C. Achieving the urban tree trifecta: Scenario modelling for salubrious, resilient, and diverse urban forests in densifying cities. Arboric. Urban For. (AUF) 2023, 49, 313–328. [Google Scholar] [CrossRef]
- Alexandra, J.; Norman, B. The city as forest-integrating living infrastructure, climate conditioning and urban forestry in Canberra, Australia. Sustain. Earth 2020, 3, 10. [Google Scholar] [CrossRef]
- Morello-Frosch, R.; Jesdale, B.; Cushing, L. The Colorline Reflected in Green: The Distribution of Heat Risk—Related Land Cover in Relation to Racial Residential Segregation. In Proceedings of the ISEE Conference Abstracts 26, Seattle, WA, USA, 24–28 August 2014; Volume 2014, p. 2872. [Google Scholar]
- Francis, J.; Disney, M.; Law, S. Monitoring canopy quality and improving equitable outcomes of urban tree planting using LiDAR and machine learning. Urban For. Urban Green. 2023, 89, 128115. [Google Scholar] [CrossRef]
- Schwarz, K.; Fragkias, M.; Boone, C.G.; Zhou, W.; McHale, M.; Grove, J.M.; O’neil-Dunne, J.; McFadden, J.P.; Buckley, G.L.; Childers, D.; et al. Trees grow on money: Urban tree canopy cover and environmental justice. PLoS ONE 2015, 10, e0122051. [Google Scholar] [CrossRef]
- Locke, D.H.; Hall, B.; Grove, J.M.; Pickett, S.T.; Ogden, L.A.; Aoki, C.; Boone, C.G.; O’Neil-Dunne, J.P. Residential housing segregation and urban tree canopy in 37 US Cities. Npj Urban Sustain. 2021, 1, 15. [Google Scholar] [CrossRef]
- Kolosna, C.; Spurlock, D. Uniting geospatial assessment of neighborhood urban tree canopy with plan and ordinance evaluation for environmental justice. Urban For. Urban Green. 2019, 40, 215–223. [Google Scholar] [CrossRef]
- Le Galès, P.; Vitale, T. Governing the Large Metropolis. A Research Agenda. 2013. Available online: https://sciencespo.hal.science/hal-01070523/ (accessed on 14 April 2025).
- Grove, M.; Ogden, L.; Pickett, S.; Boone, C.; Buckley, G.; Locke, D.H.; Lord, C.; Hall, B. The legacy effect: Understanding how segregation and environmental injustice unfold over time in Baltimore. In Social Justice and the City; Routledge: Oxfordshire, UK, 2020; pp. 224–237. [Google Scholar]
- Burghardt, K.T.; Avolio, M.L.; Locke, D.H.; Grove, J.M.; Sonti, N.F.; Swan, C.M. Current street tree communities reflect race-based housing policy and modern attempts to remedy environmental injustice. Ecology 2023, 104, e3881. [Google Scholar] [CrossRef]
- Dickerson, R.R.; Stratton, P.; Ren, X.; Kelley, P.; Heaney, C.D.; Deanes, L.; Aubourg, M.; Spicer, K.; Dreessen, J.; Auvil, R.; et al. Mobile laboratory measurements of air pollutants in Baltimore, MD elucidate issues of environmental justice. J. Air Waste Manag. Assoc. 2024, 74, 753–770. [Google Scholar] [CrossRef] [PubMed]
- Chuang, W.C.; Boone, C.G.; Locke, D.H.; Grove, J.M.; Whitmer, A.; Buckley, G.; Zhang, S. Tree canopy change and neighborhood stability: A comparative analysis of Washington, DC and Baltimore, MD. Urban For. Urban Green. 2017, 27, 363–372. [Google Scholar] [CrossRef]
- Merse, C.L.; Buckley, G.L.; Boone, C.G. Street Trees And UrbanRenewal: A BaltimoreCase Study. Geogr. Bull. 2009, 50, 1. [Google Scholar]
- Shcheglovitova, M. Valuing plants in devalued spaces: Caring for Baltimore’s Street trees. Environ. Plan. E Nat. Space 2020, 3, 228–245. [Google Scholar] [CrossRef]
- University of Wisconsin School of Medicine and Public Health. Area Deprivation Index (ADI) 2020 (v3.1). Neighborhood Atlas. 2023. Available online: https://www.neighborhoodatlas.medicine.wisc.edu (accessed on 14 April 2025).
- Locke, D.H.; Ossola, A.; Schmit, J.P.; Grove, J.M. Sub-parcel scale analysis is needed to capture socially-driven canopy cover change in Baltimore, MD. Landsc. Urban Plan. 2025, 253, 105187. [Google Scholar] [CrossRef]
- Valbuena, R.; Vauhkonen, J.; Packalen, P.; Pitkänen, J.; Maltamo, M. Comparison of airborne laser scanning methods for estimating forest structure indicators based on Lorenz curves. ISPRS J. Photogramm. Remote Sens. 2014, 95, 23–33. [Google Scholar] [CrossRef]
- USDA Forest Service, Field Services & Innovation Center—Geospatial Office. USFS NLCD Percent Tree Canopy CONUS v2021-4 [Raster Dataset]. In Multi-Resolution Land Characteristics Consortium (MRLC). 2023. Available online: https://www.mrlc.gov/data/type/nlcd-tree-canopy-cover (accessed on 14 April 2025).
- Ingle, M.; Khatib, R.; Du, Y.; Valuckaite, V.; Singh, R.; Kong, S.; Williamson, T.; Baman, S. Area deprivation index predicts annual chronic kidney disease screening and chronic kidney disease development among patients with newly diagnosed hypertension and type 2 diabetes in a large midwestern health system: A retrospective cohort study. BMJ Public Health 2024, 2, e000679. [Google Scholar] [CrossRef] [PubMed]
- Knighton, A.J.; Savitz, L.; Belnap, T.; Stephenson, B.; VanDerslice, J. Introduction of an area deprivation index measuring patient socioeconomic status in an integrated health system: Implications for population health. EGEMs 2016, 4, 1238. [Google Scholar] [CrossRef]
- U.S. Census Bureau. American Community Survey 5-Year Data (2018–2022), Table B01003: Total Population [Data Set]; U.S. Department of Commerce: Washington, DC, USA, 2023. Available online: https://www.census.gov/data/developers/data-sets/acs-5year.html (accessed on 14 April 2025).
- U.S. Environmental Protection Agency. National Air Toxics Assessment (NATA): Modeled Ambient Concentrations and Cancer Risk from Hazardous Air Pollutants—Region 3 by Census Block [Data Set]; U.S. EPA, Office of Air Quality Planning and Standards: Research Triangle Park, NC, USA, 2023. Available online: https://www.epa.gov/national-air-toxics-assessment (accessed on 14 April 2025).
- Lerman, R.I.; Yitzhaki, S. A note on the calculation and interpretation of the Gini index. Econ. Lett. 1984, 15, 363–368. [Google Scholar] [CrossRef]
- Atkinson, A.B. On the measurement of inequality. J. Econ. Theory 1970, 2, 244–263. [Google Scholar] [CrossRef]
- Pratschke, J.; Vitale, T.; Morelli, N.; Cousin, B.; Piolatto, M.; Del Fabbro, M. Electoral support for the 5 Star Movement in Milan: An ecological analysis of social and spatial factors. J. Urban Aff. 2023, 45, 998–1021. [Google Scholar] [CrossRef]
- Nesbitt, L.; Meitner, M.J.; Girling, C.; Sheppard, S.R.; Lu, Y. Who has access to urban vegetation? A spatial analysis of distributional green equity in 10 US cities. Landsc. Urban Plan. 2019, 181, 51–79. [Google Scholar] [CrossRef]
- Schüle, S.A.; Hilz, L.K.; Dreger, S.; Bolte, G. Social inequalities in environmental resources of green and blue spaces: A review of evidence in the WHO European region. Int. J. Environ. Res. Public Health 2019, 16, 1216. [Google Scholar] [CrossRef] [PubMed]
- Boone, C.G.; Buckley, G.L.; Grove, J.M.; Sister, C. Parks and people: An environmental justice inquiry in Baltimore, Maryland. Ann. Assoc. Am. Geogr. 2009, 99, 767–787. [Google Scholar] [CrossRef]
- Alvarez, C.H.; Calasanti, A.; Evans, C.R.; Ard, K. Intersectional inequalities in industrial air toxics exposure in the United States. Health Place 2022, 77, 102886. [Google Scholar] [CrossRef] [PubMed]
- Salvalai, G.; Blanco Cadena, J.D.; Quagliarini, E. Greenery as a mitigation strategy to urban heat and air pollution: A comparative simulation-based study in a densely built environment. Tema 2023, 9, 1–19. [Google Scholar] [CrossRef]
- McDonald, R.I.; Biswas, T.; Sachar, C.; Housman, I.; Boucher, T.M.; Balk, D.; Nowak, D.; Spotswood, E.; Stanley, C.K.; Leyk, S. The tree cover and temperature disparity in US urbanized areas: Quantifying the association with income across 5723 communities. PLoS ONE 2021, 16, e0249715. [Google Scholar] [CrossRef] [PubMed]
- Barbot, M. When the history of property rights encounters the economics of convention. Some open questions starting from European history. Hist. Soc. Res. Hist. Sozialforschung 2015, 40, 78–93. [Google Scholar]
- Gerrish, E.; Watkins, S.L. The relationship between urban forests and income: A meta-analysis. Landsc. Urban Plan. 2018, 170, 293–308. [Google Scholar] [CrossRef]
- Riley, C.B.; Gardiner, M.M. Examining the distributional equity of urban tree canopy cover and ecosystem services across United States cities. PLoS ONE 2020, 15, e0228499. [Google Scholar] [CrossRef] [PubMed]








Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2026 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
Share and Cite
Ibebuchi, C.C.; Abu, I.-O. Threefold Environmental Inequality: Canopy Cover, Deprivation, and Cancer-Risk Burdens Across Baltimore Neighborhoods. World 2026, 7, 6. https://doi.org/10.3390/world7010006
Ibebuchi CC, Abu I-O. Threefold Environmental Inequality: Canopy Cover, Deprivation, and Cancer-Risk Burdens Across Baltimore Neighborhoods. World. 2026; 7(1):6. https://doi.org/10.3390/world7010006
Chicago/Turabian StyleIbebuchi, Chibuike Chiedozie, and Itohan-Osa Abu. 2026. "Threefold Environmental Inequality: Canopy Cover, Deprivation, and Cancer-Risk Burdens Across Baltimore Neighborhoods" World 7, no. 1: 6. https://doi.org/10.3390/world7010006
APA StyleIbebuchi, C. C., & Abu, I.-O. (2026). Threefold Environmental Inequality: Canopy Cover, Deprivation, and Cancer-Risk Burdens Across Baltimore Neighborhoods. World, 7(1), 6. https://doi.org/10.3390/world7010006

