Relationships between Green Space Perceptions, Green Space Use, and the Multidimensional Health of Older People: A Case Study of Fuzhou, China

Abstract

Urban green spaces are vital for older people’s health. However, most studies have only focused on their relationship with single-dimensional health outcomes. This study introduced a theoretical model to explore how perceptions of green spaces influence older people’s multidimensional health, mediated by the use of these spaces. Using a literature review, interviews, and surveys, we developed and refined a measurement scale for older people’s perceptions of urban greenery. Using data from 513 seniors in Fuzhou’s urban parks, structural equation modeling was used to examine the relationships between their multidimensional health, usage, and perceptions of green spaces. The results showed that older people’s positive evaluations of green spaces, especially those with facilities, significantly increased their usage. This increased usage positively influences their physical, mental, and social health, with the most pronounced benefits for social health. The total impact of green space perception on multidimensional health was beneficial and significantly impacted social health, even though the direct impacts of quality perception on physical health and facility perception on social health were minimal. These findings enhance our understanding of the impact of green spaces on the health of older individuals and provide a theoretical basis for developing urban green spaces that maximize health advantages for older people.