Despite growing interest in how the urban built environment influences mental health, few studies have examined it across indoor–outdoor domains and subgroups. Using survey data from Beijing, we find that both residential crowding (indoor) and neighborhood green space (outdoor) are linked to depression risk. Specifically, residential crowding mainly affects local residents, while green space mainly affects migrants, with these effects varying by gender and family structure. The findings highlight that built environment inequality leads to health disparities, and planning strategies promoting mental health should address both indoor and outdoor factors and be tailored to the needs of specific vulnerable groups.
AmbreyChristopherFlemingChristopher. 2014. “Public Greenspace and Life Satisfaction in Urban Australia.” Urban Studies51 (6): 1290–321.
2.
AndresenElena M.MalmgrenJudith A.CarterWilliam B., et al. 1994. “Screening for Depression in Well Older Adults: Evaluation of a Short Form of the CES-D.” American Journal of Preventive Medicine10 (2): 77–84.
3.
BaumAndrewAielloJohn R.CalesnickLisa E.1978. “Crowding and Personal Control: Social Density and the Development of Learned Helplessness.” Journal of Personality and Social Psychology36 (9): 1000–11.
BjörgvinssonThrösturKertzSarah J.Bigda-PeytonJoe S., et al. 2013. “Psychometric Properties of the CES-D-10 in a Psychiatric Sample.” Assessment20 (4): 429–36.
7.
BlakeKevin S.KellersonRebecca L.SimicAleksandra. 2007. Measuring Overcrowding in Housing. Washington, DC: US Department of Housing and Urban Development.
8.
BotchweyNisha D.TrowbridgeMatthewFisherTom. 2014. “Green Health: Urban Planning and the Development of Healthy and Sustainable Neighborhoods and Schools.” Journal of Planning Education and Research34 (2): 113–22.
9.
BrownScott C.PerrinoTatianaLombardJoanna, et al. 2018. “Health Disparities in the Relationship of Neighborhood Greenness to Mental Health Outcomes in 249,405 U.S. Medicare Beneficiaries.” International Journal of Environmental Research and Public Health15 (3): 430.
10.
BuckmanJoshua E. J.SaundersRobStottJoshua, et al. 2021. “Role of Age, Gender and Marital Status in Prognosis for Adults with Depression: An Individual Patient Data Meta-Analysis.” Epidemiology and Psychiatric Sciences30 (January): e42.
11.
CerinEsterConwayTerry L.AdamsMarc A., et al. 2018. “Objectively-Assessed Neighbourhood Destination Accessibility and Physical Activity in Adults from 10 Countries: An Analysis of Moderators and Perceptions as Mediators.” Social Science & Medicine211 (August): 282–93.
12.
ChenHuajuanMuiAda C.2014. “Factorial Validity of the Center for Epidemiologic Studies Depression Scale Short Form in Older Population in China.” International Psychogeriatrics26 (1): 49–57.
13.
ChenJuan. 2011. “Internal Migration and Health: Re-Examining the Healthy Migrant Phenomenon in China.” Social Science & Medicine72 (8): 1294–301.
14.
ChenShaoweiLiuZhilin. 2016. “What Determines the Settlement Intention of Rural Migrants in China? Economic Incentives versus Sociocultural Conditions.” Habitat International58 (November): 42–50.
15.
CheungChau KiuLeungKwan KwokChanWing Tai, et al. 1998. “Depression, Loneliness, and Health in an Adverse Living Environment: A Study of Bedspace Residents in Hong Kong.” Social Behavior and Personality: An International Journal26 (2): 151–70.
16.
CheungNicole W.2014. “Social Stress, Locality of Social Ties and Mental Well-Being: The Case of Rural Migrant Adolescents in Urban China.” Health & Place27:142–54.
17.
CookR. DennisWeisbergSanford. 2009. Applied Regression Including Computing and Graphics. Hoboken: John Wiley.
18.
CuiCan. 2020. “Housing Career Disparities in Urban China: A Comparison between Skilled Migrants and Locals in Nanjing.” Urban Studies57 (3): 546–62.
19.
DeroseKathryn P.HanBingWilliamsonStephanie, et al. 2018. “Gender Disparities in Park Use and Physical Activity among Residents of High-Poverty Neighborhoods in Los Angeles.” Women’s Health Issues28 (1): 6–13.
20.
DuHuiminLiSi-mingHaoPu. 2018. ““Anyway, You Are an Outsider”: Temporary Migrants in Urban China.” Urban Studies55 (14): 3185–201.
21.
EnssleFriederikeKabischNadja. 2020. “Urban Green Spaces for the Social Interaction, Health and Well-Being of Older People—An Integrated View of Urban Ecosystem Services and Socio-Environmental Justice.” Environmental Science & Policy109 (July): 36–44.
22.
EvansGary W.2003. “The Built Environment and Mental Health.” Journal of Urban Health80 (4): 536–55.
23.
EvansGary W.WellsNancy M.ChanHoi-Yan Erica, et al. 2000. “Housing Quality and Mental Health.” Journal of Consulting and Clinical Psychology68 (3): 526.
24.
FanYinglingDasKirti V.ChenQian. 2011. “Neighborhood Green, Social Support, Physical Activity, and Stress: Assessing the Cumulative Impact.” Health & Place17 (6): 1202–11.
25.
Fontán-VelaMarioRivera-NavarroJesúsGullónPedro, et al. 2021. “Active Use and Perceptions of Parks as Urban Assets for Physical Activity: A Mixed-Methods Study.” Health & Place71 (September): 102660.
26.
FoyeChris. 2017. “The Relationship Between Size of Living Space and Subjective Well-Being.” Journal of Happiness Studies18 (2): 427–61.
27.
FrankLawrence D.Iroz-ElardoNicoleMacLeodKara E., et al. 2019. “Pathways from Built Environment to Health: A Conceptual Framework Linking Behavior and Exposure-Based Impacts.” Journal of Transport & Health12:319–35.
28.
GuiteHilary F.ClarkCharlotteAckrillGill. 2006. “The Impact of the Physical and Urban Environment on Mental Well-Being.” Public Health120 (12): 1117–26.
29.
GuptaShalooGorenAmirDongPeng, et al. 2016. “Prevalence, Awareness, and Burden of Major Depressive Disorder in Urban China.” Expert Review of Pharmacoeconomics & Outcomes Research16 (3): 393–407.
30.
HartigTerryMitchellRichardDe VriesSjerp, et al. 2014. “Nature and Health.” Annual Review of Public Health35 (1): 207–28.
31.
HeShenjingLiuYutingWuFulong, et al. 2010. “Social Groups and Housing Differentiation in China’s Urban Villages: An Institutional Interpretation.” Housing Studies25 (5): 671–91.
32.
HirtSonia A.CampbellScott D.2024. “The Planner’s Pentangle: A Proposal for a Twenty-First-Century Model of Planning.” Journal of Planning Education and Research44:2068–85.
33.
HuYangCoulterRory. 2017. “Living Space and Psychological Well-Being in Urban China: Differentiated Relationships across Socio-Economic Gradients.” Environment and Planning A: Economy and Space49 (4): 911–29.
34.
HuangYouqin. 2003. “A Room of One’s Own: Housing Consumption and Residential Crowding in Transitional Urban China.” Environment and Planning A: Economy and Space35 (4): 591–614.
35.
HuangYueqinWangYuWangHong, et al. 2019. “Prevalence of Mental Disorders in China: A Cross-Sectional Epidemiological Study.” The Lancet Psychiatry6 (3): 211–24.
36.
HydeJanet ShibleyMezulisAmy H.AbramsonLyn Y.2008. “The ABCs of Depression: Integrating Affective, Biological, and Cognitive Models to Explain the Emergence of the Gender Difference in Depression.” Psychological Review115 (2): 291–313.
37.
JabareenYosef Rafeq. 2006. “Sustainable Urban Forms: Their Typologies, Models, and Concepts.” Journal of Planning Education and Research26 (1): 38–52.
38.
KaplanStephen. 1995. “The Restorative Benefits of Nature: Toward an Integrative Framework.” Journal of Environmental Psychology15 (3): 169–82.
39.
LaiKa YanKumariSarikaGallacherJohn, et al. 2024. “Nexus between Residential Air Pollution and Physiological Stress Is Moderated by Greenness.” Nature Cities1 (3): 225–37.
40.
LeeChanamMoudonAnne Vernez. 2006. “The 3Ds + R: Quantifying Land Use and Urban Form Correlates of Walking.” Transportation Research Part D: Transport and Environment11 (3): 204–15.
41.
LeeChanamParkAmaryllis H.LeeHanwool, et al. 2024. “Measuring Urban Nature for Pedestrian Health: Systematic Review and Expert Survey.” Landscape and Urban Planning250:105129.
42.
LeslieEvaCerinEster. 2008. “Are Perceptions of the Local Environment Related to Neighbourhood Satisfaction and Mental Health in Adults?”Preventive Medicine47 (3): 273–78.
43.
LiJieLiuZhilin. 2018. “Housing Stress and Mental Health of Migrant Populations in Urban China.” Cities81 (November): 172–79.
44.
LiJieRoseNikolas. 2017. “Urban Social Exclusion and Mental Health of China’s Rural-Urban Migrants–a Review and Call for Research.” Health & Place48 (November): 20–30.
45.
LiQianfengDuHongfeiChiPeilian. 2021. “Job Stress and Well-Being among Internal Migrant Workers in China: A Review and Meta-Analysis.” Applied Psychology: Health and Well-Being13 (3): 537–58.
46.
LiShengWangLanlanChangKuo-Liang. 2018. “Do Internal Migrants Suffer from Housing Extreme Overcrowding in Urban China?”Housing Studies33 (5): 708–33.
47.
LiZhigangWuFulong. 2008. “Tenure-Based Residential Segregation in Post-Reform Chinese Cities: A Case Study of Shanghai.” Transactions of the Institute of British Geographers33 (3): 404–19.
48.
LiuJiakunEttemaDickHelbichMarco. 2022. “Systematic Review of the Association between Commuting, Subjective Wellbeing and Mental Health.” Travel Behaviour and Society28 (July): 59–74.
49.
LiuJixiangXiaoLongzhuYangLinchuan, et al. 2020. “A Tale of Two Social Groups in Xiamen, China: Trip Frequency of Migrants and Locals and Its Determinants.” Travel Behaviour and Society20 (July): 213–24.
50.
LiuTaoPengRongxiCaoGguangzhong. 2023. “Stay or Leave: How Migrants Respond to Dispersal Policies in Beijing.” Population Space and Place29:e2606.
51.
LiuYeWangRuoyuGrekousisGeorge, et al. 2019. “Neighbourhood Greenness and Mental Wellbeing in Guangzhou, China: What Are the Pathways?”Landscape and Urban Planning190 (October): 103602.
52.
MaYuxiaZhangYifanChengBowen, et al. 2020. “A Review of the Impact of Outdoor and Indoor Environmental Factors on Human Health in China.” Environmental Science and Pollution Research27 (34): 42335–45.
53.
Ministry of Housing and Urban-Rural Development. 2019. Urban Green Space Planning Standards GB/T 51346-2019.
54.
MouratidisKostas. 2021. “Urban Planning and Quality of Life: A Review of Pathways Linking the Built Environment to Subjective Well-Being.” Cities115 (August): 103229.
55.
NutsfordDanielPearsonAmber L.KinghamSimon. 2013. “An Ecological Study Investigating the Association between Access to Urban Green Space and Mental Health.” Public Health127 (11): 1005–11.
56.
ParkAlbertWangDewen. 2010. “Migration and Urban Poverty and Inequality in China.” China Economic Journal3 (1): 49–67.
57.
ParkerGordonBrotchieHeather. 2010. “Gender Differences in Depression.” International Review of Psychiatry22 (5): 429–36.
58.
PearlinLeonard I.BiermanAlex. 2013. “Current Issues and Future Directions in Research into the Stress Process.” In Handbook of the Sociology of Mental Health, edited by AneshenselCarol S.PhelanJo C.BiermanAlex, 325–40. Dordrecht, The Netherlands: Springer.
59.
PearlinLeonard I.MenaghanElizabeth G.LiebermanMorton A., et al. 1981. “The Stress Process.” Journal of Health and Social Behavior22 (4): 337–56.
60.
QinBoZhuWeiWangJiejing, et al. 2021. “Understanding the Relationship between Neighbourhood Green Space and Mental Wellbeing: A Case Study of Beijing, China.” Cities109 (February): 103039.
61.
RahmanMd ShahinoorMeenarMahbuburLabibS. M., et al. 2024. “Unveiling Environmental Justice in Two US Cities through Greenspace Accessibility and Visible Greenness Exposure.” Urban Forestry & Urban Greening101:128493.
62.
RegoecziWendy C.2008. “Crowding in Context: An Examination of the Differential Responses of Men and Women to High-Density Living Environments.” Journal of Health and Social Behavior49 (3): 254–68.
63.
RichardsonElizabeth A.PearceJamieMitchellRichard, et al. 2013. “Role of Physical Activity in the Relationship between Urban Green Space and Health.” Public Health127 (4): 318–24.
64.
RosenJovannaO’NeillMoiraHutsonMalo. 2022. “The Important Role of Government in Comprehensive Community Initiatives: A Case Study Analysis of the Building Healthy Communities Initiative.” Journal of Planning Education and Research42 (3): 350–64.
65.
Ruiz-TagleJaimeUrriaIgnacio. 2022. “Household Overcrowding Trajectories and Mental Well-Being.” Social Science & Medicine296 (March): 114051.
66.
SarkarChinmoyWebsterChrisGallacherJohn. 2014. Healthy Cities: Public Health through Urban Planning. Cheltenham: Edward Elgar Publishing.
67.
SchipperijnJasperEkholmOlaStigsdotterUlrika K., et al. 2010. “Factors Influencing the Use of Green Space: Results from a Danish National Representative Survey.” Landscape and Urban Planning95 (3): 130–37.
68.
SchwabJohn J.NadeauStephen E.WarheitGeorge J.1979. “Crowding and Mental Health.” The Pavlovian Journal of Biological Science: Official Journal of the Pavlovian14 (4): 226–33.
69.
ShiQianLiuMengxiMarinoniAndrea, et al. 2023. “UGS-1m: Fine-Grained Urban Green Space Mapping of 31 Major Cities in China Based on the Deep Learning Framework.” Earth System Science Data15 (2): 555–77.
70.
ShiQiujieLiuTaoPengRongxi. 2024. “Hukou Type, Hukou Place and Labour Market Vulnerability in Chinese Megacities: The Case of Beijing in the COVID-19 Pandemic.” Urban Studies61 (10): 1933–50.
71.
SongQianSmithJames P.2021. “The Citizenship Advantage in Psychological Well-Being: An Examination of the Hukou System in China.” Demography58 (1): 165–89.
72.
StevensJames P.1984. “Outliers and Influential Data Points in Regression Analysis.” Psychological Bulletin95 (2): 334–44.
73.
SugiyamaTakemiLeslieEvaGiles-CortiBillie, et al. 2008. “Associations of Neighbourhood Greenness with Physical and Mental Health: Do Walking, Social Coherence and Local Social Interaction Explain the Relationships?”Journal of Epidemiology & Community Health62 (5): e9.
74.
TaNaKwanMei-PoLinShuting, et al. 2021. “The Activity Space-Based Segregation of Migrants in Suburban Shanghai.” Applied Geography133 (August): 102499.
75.
United Nations. 2015. The 2030 Agenda for Sustainable Development. San Francisco: United Nations.
76.
Van den BergAgnes E.MaasJolandaVerheijRobert A., et al. 2010. “Green Space as a Buffer between Stressful Life Events and Health.” Social Science & Medicine70 (8): 1203–10.
77.
WolchJennifer R.ByrneJasonNewellJoshua P.2014. “Urban Green Space, Public Health, and Environmental Justice: The Challenge of Making Cities ‘Just Green Enough.’”Landscape and Urban Planning125:234–44.
78.
WongFu Keung D.SongHe Xue. 2008. “The Resilience of Migrant Workers in Shanghai China: The Roles of Migration Stress and Meaning of Migration.” International Journal of Social Psychiatry54 (2): 131–43.
79.
World Health Organization. 2017. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva: World Health Organization.
80.
WuFulongWebsterChrisHeShenjing, et al. 2010. Urban Poverty in China. Cheltenham: Edward Elgar Publishing.
81.
WuLongfengKimSeung Kyum. 2021. “Health Outcomes of Urban Green Space in China: Evidence from Beijing.” Sustainable Cities and Society65 (February): 102604.
82.
WuWeipingWangGuixin. 2014. “Together but Unequal: Citizenship Rights for Migrants and Locals in Urban China.” Urban Affairs Review50 (6): 781–805.
83.
XuJunfangWangJianWimoAnders, et al. 2016. “The Economic Burden of Mental Disorders in China, 2005–2013: Implications for Health Policy.” BMC Psychiatry16 (1): 137.
84.
XuWenSunHaiyanZhuBo, et al. 2021. “The Prevalence of Depressive Symptoms and Its Determinants among Adults in Mainland China: Results from a National Household Survey.” Journal of Affective Disorders281 (February): 220–27.
85.
YangJunSiriJosé G.RemaisJustin V., et al. 2018. “The Tsinghua–Lancet Commission on Healthy Cities in China: Unlocking the Power of Cities for a Healthy China.” The Lancet391 (10135): 2140–84.
86.
YooEun-HyeRobertsJohn E.EumYoungseob, et al. 2022. “Exposure to Urban Green Space May Both Promote and Harm Mental Health in Socially Vulnerable Neighborhoods: A Neighborhood-Scale Analysis in New York City.” Environmental Research204 (March): 112292.
87.
YuChunyanLouChaohuaChengYanCuiYuanqiLianQiguoWangZiliangGaoErshengWangLing. 2019. “Young Internal Migrants’ Major Health Issues and Health Seeking Barriers in Shanghai, China: A Qualitative Study.”BMC Public Health19 (1): 336.
88.
ZhaoMiaoxiWangYiming. 2018. “Measuring Segregation between Rural Migrants and Local Residents in Urban China: An Integrated Spatio-Social Network Analysis of Kecun in Guangzhou.” Environment and Planning B: Urban Analytics and City Science45 (3): 417–33.
89.
ZhouMinGuoWei. 2023. “Housing Characteristics and Health in Urban China: A Comparative Study of Rural Migrants and Urban Locals.” Population, Space and Place29 (1): e2600.
