ArticlePreventive medicine reports2026
Residential greenness and depressive symptoms in the Mexican adult population: A cross-sectional study.
Article in Preventive medicine reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
Introduction: Evidence from high-income countries suggests that residential greenness may protect against adverse mental health outcomes. However, few studies have explored this association in low- and middle-income countries (LMICs) such as Mexico. Methods: We used nationally representative data from working-age adult participants (aged 20-59 years) in the 2018-19 Mexican National Health and Nutrition Survey to estimate the cross-sectional association of exposure to residential greenness, using the satellite-based Normalized Difference Vegetation Index (NDVI). Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale-Short Form (CESD-7; range: 0-21). Linear regression models estimated the association of NDVI with depressive symptoms, adjusting for individual sociodemographic factors. Results: Overall, 16.2% of the analytical sample reported high prevalence of depressive symptoms (CESD-7 ≥ 9 points). In adjusted models, higher greenness was associated with a lower depressive symptom score (b = -0.34; 95% CI: -0.56, -0.13). Results suggested a protective association for women (b = -0.34; 95% CI: -0.61, -0.08), men (b = -0.32; 95% CI: -0.65, -0.01), and residents of urban areas (b = -0.44; 95% CI: -0.70, -0.18), but not for residents of non-urban areas. Conclusion: Our findings suggest that exposure to residential greenness is associated with lower depressive symptoms among Mexican adults.
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