# The impact of fine particulate matter on depression: Evidence from social media in China

**Authors:** Yao Zhong, Jianxin Guo, Hongbiao Wang, Zhufeng Qiao, Jichun Zhao, Lei Chen, Ying Nie

PMC · DOI: 10.1371/journal.pone.0320084 · 2025-03-31

## TL;DR

This study finds that fine particulate matter in the air is linked to increased depression in China, with higher pollution levels correlating with higher depression tendencies.

## Contribution

The novel use of social media data and instrumental variable analysis reveals a causal link between PM2.5 and depression tendencies.

## Key findings

- Every 1 μg/m³ increase in PM2.5 concentration leads to a 0.0559% rise in depression tendency.
- Depression susceptibility due to pollution shows a weekly pattern, affecting heating cities and lower-income groups more.
- Environmental policies have economic benefits by reducing healthcare costs related to depression.

## Abstract

Depression is a significant public health issue in China that imposes a heavy economic burden on society and families. Using a dataset of 8.54 million Weibo posts from 284 prefecture-level cities across China between 2016 and 2019, we calculate the depression tendency index for residents in each city. Using the weighting of pollutants in nearby cities as an instrumental variable, we apply the two-stage least squares method to estimate the impact of PM2.5 on depression. The findings reveal that (1) air pollution markedly influences residents’ susceptibility to depression, and every 1 μg/m3 increase in the PM2.5 concentration results in a 0.0559% increase in the depression tendency value. (2) The influence of air pollution on residents’ depression exhibits a distinct weekly pattern, with individuals in heating cities, on weekdays, and in lower-income brackets being more impacted. (3) Our analysis of healthcare expenditures affirms that China’s environmental governance policies have yielded significant economic advantages. As mitigation strategies, we propose the adoption of air pollution evasion measures, persistent refinement and enforcement of air pollution regulatory policies to reduce environmental pollution-related damage, paying attention to groups at risk of depression and fostering a healthy society.

## Linked entities

- **Diseases:** depression (MONDO:0002050)

## Full-text entities

- **Diseases:** Depression (MESH:D003866)

## Figures

16 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11957329/full.md

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Source: https://tomesphere.com/paper/PMC11957329