2024 Yes https://doi.org/10.1016/j.envres.2024.119490 Zhang, Xiyan Asia Observational Epidemiology Study Students Elementary (K-5) Middle/Jr High (6-8) High School (9-12) Particulate Matter (PM) Lighting Air quality Vegetation Vision Green space Cognative function Stress/Anxiety School visual environment Students Vision impairment Depression symptoms This prospective cohort study of 15,000+ students in eastern China examined school visual environment factors and depression. Better lighting, air quality, green space, and exercise were linked to lower depressive symptoms, informing school mental health strategies.