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Neighborhood greenspace visits and mental health

Insights from mobility data across nine U.S. metropolitan areas

Bibliographic Data

ID22083508
AuthorsSarayu Chandra Mouli (Houston Methodist), Tong Zhang (0000-0003-1637-0666, Case Western Reserve University), Zhuo Chen (0000-0002-5351-3489, Case Western Reserve University), Sanjay Rajagopalan (0000-0001-6669-8163, Case Western Reserve University), Jay E Maddock (0000-0002-1119-0300, Houston Methodist), Khurram Nasir (0000-0001-5376-2269, Houston Methodist), K N Khurram Nasir (Houston Methodist), Weichuan Dong (0000-0002-3981-658X, Houston Methodist, corresponding author), Sadeer Al-Kindi (Houston Methodist)
Year2026
Volume14
Pages1731243-1731243
Publication date2026-02-06
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1731243
PMID41725747
OpenAlexW7128163314
LanguageEN
Citations received1
References cited14

Background Access to greenspace supports mental health, but most studies focus on the presence of greenness rather than actual use. Fewer explore how the association may vary within city boundaries and suburban areas. Objective We examined associations between neighborhood-level greenspace visits and poor mental health across nine U.S. metropolitan statistical areas (MSA), adjusting for Normalized Difference Vegetation Index (NDVI), demographics, and social vulnerability, and evaluated spatial heterogeneity. Methods We integrated greenspace visits, CDC PLACES mental health estimates (2023), Social Vulnerability Index (2018), demographics (ACS 2010–2014), and NDVI (2021). Ordinary least squares (OLS) models were conducted for each metro and overall, adjusting for NDVI, SVI themes, and demographics. Multi-scale geographically weighted regression (MGWR) assessed spatial variation. Results The sample included 13,152 tracts across nine MSAs (72.5 million residents). Poor mental health prevalence ranged from 12.9% (DC) to 18.7% (Houston), while visits ranged from 11.5 (Houston) to 33.2 (DC). In pooled models, more visits indicated better mental health (β = −0.029; R 2 = 0.62). Metro-specific models showed strongest effects in Houston (β = −0.113; R 2 = 0.716) and Atlanta (β = −0.096; R 2 = 0.634), with weaker results in Philadelphia and DC. MGWR revealed strong urban-core associations in Houston, Atlanta, and Dallas, while peripheral tracts often showed null effects. Conclusions Greenspace engagement, not just presence was linked to lower poor mental health across the metros, though associations varied by neighborhood. Promoting use may improve mental health, but interventions should account for local context and social vulnerability

Mental health · Metropolitan area · Psychological intervention · Social environment · Spatial contextual awareness · Health disparities and outcomes · Urban Green Space and Health · Urban Transport and Accessibility

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Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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