We examined the extent to which cities' climate change adaptation plans, in U.S. cities broadly and in shrinking cities, discuss health equity/justice, including injustices related to green spaces. Using content analysis of 88 cities' climate change adaptation plans, we coded for health, equity/justice, parks/green space, and joint usage of these terms. We made comparisons of keyword usage between shrinking and non-shrinking cities to examine how shrinking cities-with overlapping vulnerabilities and industrial legacies-differ from stronger market cities. Although health (97%) and equity/justice (81%) were common, only half of the cities discussed health and equity/justice concurrently, with overrepresentation from shrinking cities. Parks/green space were discussed alongside these themes in 28% of cities. Health equity emerged more in shrinking cities and recent plans (e.g., since 2018), suggesting recent shifts toward equity. Many cities vaguely described health equity solutions, necessitating clearer solutions for injustices, including parks/green space as climate adaptation and health infrastructure.