1. Introduction
The rapid development of aging has led to an increasing number of studies highlighting social isolation as a significant threat to the health of the elderly [
1,
2,
3,
4,
5,
6]. Social isolation among the elderly stems from various factors, including retirement, relocation, children leaving for education or employment, the loss of spouses and friends, and the decline in physical and psychological capabilities [
7,
8,
9]. Notably, social isolation contributes to mental health issues such as anxiety, loneliness, depression, and suicide. It is also closely linked to physical ailments like obesity, hypertension, and heart disease [
2,
10,
11]. Recognizing the health risks associated with social isolation in older adults, the World Health Organization (WHO) emphasized these concerns in its report entitled “Social Isolation and Loneliness among Older People”. The WHO urges all countries to take action in order to eliminate the health risks posed by social isolation among the elderly [
5,
6].
Urban parks are widely acknowledged for their positive impact on physical and mental well-being. Firstly, they offer a serene and refreshing natural environment that elicits positive emotions, thus promoting health [
12,
13,
14]. Secondly, urban parks facilitate various activities such as physical exercise and social interaction, which have a positive influence on health [
15]. For the elderly population, urban parks provide valuable social interaction resources that contribute to social support, thereby reducing mental health risks like anxiety and loneliness [
16,
17]. However, there is a need for further exploration of the underlying mechanisms linking the park environment, social interaction, and the health of older adults, especially with regard to the mediating role of social interaction [
18].
Furthermore, studies have demonstrated that the health effects of social interaction among older adults in parks are influenced by two modes: family companionship and friend companionship [
19,
20]. Interpersonal relationships serve as the foundation for social interactions [
21]. Family companionship focuses on emotional communication and support within the family, while friend companionship centers around shared hobbies like square dancing, singing, and playing board games [
22,
23]. Different activity contents might have varying impacts on health outcomes. Therefore, it is crucial to examine the differences in the effects of these two modes of social interaction on health [
24].
In addition, previous research primarily examined the influence of objective park environments on social interactions and health, while paying limited attention to the role of subjective perceptions of the park environment. Perceptions of the park environment refer to park users’ experiences and evaluations of the park’s quality and amenities. Some studies indicate that parks impact health outcomes, such as relaxation and the promotion of social interaction, through perceptual dimensions like safety, comfort, and aesthetics [
25,
26]. Perceived safety is crucial for facilitating socialization and leisure activities, enabling individuals to better assimilate into the environment and enjoy recreational pursuits [
27]. When people perceive the environment as comfortable, they are more inclined to engage in longer and more frequent social interactions [
28,
29,
30]. Additionally, perceptions of aesthetics play a significant role in shaping social interactions, as visually appealing and inviting environments are more likely to foster participation in social activities [
31]. Given that older adults are more vulnerable and sensitive to environmental perceptions [
32,
33], it is essential to focus on the mechanisms underlying the impact of subjective park environment perceptions.
To address the gaps in existing research, this study advances the understanding of the interaction mechanisms among perceptions of park environments, social interactions, and health [
12,
13,
14,
19,
20,
25,
26]. The following hypotheses are proposed:
H1: Perceptions of the park environment have a significant positive impact on health.
H2: Perceptions of the park environment have a significant positive impact on social interaction.
H3: Social interaction has a significant positive impact on health.
H1 suggests a direct impact of perceptions of the park environment on health, while H2 and H3 propose indirect effects, indicating that perceptions of the park environment influence health through their impact on social interaction.
This study employed structural equation modeling (SEM) to analyze the relationships among perceptions of the park environment, social interaction, and the health of the elderly. Additionally, a multi-group SEM analysis was conducted to examine the moderating effects of different social interaction patterns (family companionship and friend companionship) on the relationship between perceptions of the park environment and health. Through this research, we aimed to gain a comprehensive understanding of how urban parks contribute to the physical and mental well-being of the elderly. The findings will provide a scientific foundation for designing strategies to optimize urban park environments.
5. Discussion
In this study, SEM was employed to investigate the intricate relationship between park environment perception, social interaction, and the health status of older adults. The results of the study indicate that social interaction plays a fully mediating role between park environment perception and the health of older adults. Specifically, there was no direct influence relationship between park environment perception and health, and the impact of park environment perception on health only occurs indirectly through the mediating variable of social interaction. These findings differed from some previous studies that showed a direct impact of park environment perception on the health of park visitors, with social interaction playing a partially mediating role [
18,
52,
53]. Previous research primarily focused on mental health measures such as attention, stress, tension, and anxiety dimensions, suggesting that park environment perception contributes to attention restoration and stress reduction among park visitors [
13,
54]. However, it is important to note that in this study, the measurement model of health included both mental health and physical health indicators. Previous evidence suggests that park environment perception has a significant positive effect on mental health but lacks direct evidence of an effect on physical health [
55,
56]. This disparity in findings may explain the differences in the partially mediated and fully mediated relationships observed.
In the multi-group analysis, we observed a moderating effect of social interaction patterns on the mediating effect. Specifically, the group accompanied by family members exhibited a significantly stronger positive effect of social interaction on health compared to the group accompanied by friends. This suggests that social interactions involving family members are more beneficial to the health of older adults compared to interactions with non-family members. This finding contrasts with studies conducted in Western societies, where Chinese older adults prioritize family as their primary source of social support [
57,
58]. In Western societies, older adults tend to seek social support from groups, organizations, volunteer teams, and non-kinship networks [
59].
The results of this study provide theoretical support for promoting social interaction and health among older adults by enhancing the environmental quality and perceived experience of parks. Social interaction fully mediates the relationship between perceptions of the park environment and health. Therefore, park design should focus on creating spaces conducive to social activities, offering diverse activity areas such as chess zones, dance areas, and Tai Chi zones to increase opportunities for social interaction [
60,
61]. Semi-outdoor or indoor service buildings should be provided to facilitate social activities under various weather conditions, and the strategic placement of resting seats should be considered to allow for comfortable interactions [
62]. To ensure that older adults gain a sufficient sense of safety, comfort, and aesthetics in the park environment, it is crucial to improve accessibility features by using non-slip materials to pave wide and flat paths, installing appropriate ramps, handrails, and guardrails, and providing seats and canopies at suitable heights [
63]. Park designs should fully consider the physical characteristics and needs of older adults, such as providing adequate resting seats and proper lighting facilities [
64]. Additionally, the aesthetic quality of both natural and cultural landscapes must be emphasized [
65]. In summary, park planning and design should center on promoting social interaction among older adults by optimizing environmental quality, enhancing facilities, and organizing activities to create a public space conducive to their social and health needs.
However, this study has several limitations: Firstly, it relied on cross-sectional data, which restricted the ability to capture changes and establish causal relationships over time, especially for phenomena like health impacts that require long-term observation. To address this limitation, future research should consider incorporating longitudinal study designs to examine the relationships between perceptions of the park environment and health, allowing for a better understanding of the temporal dynamics involved [
66,
67]. Secondly, this study heavily relied on self-report measures to assess variables such as physical and mental health, perceptions of the park environment, and social interaction. While self-report assessments are commonly used due to their cost-effectiveness, ease of data collection from large populations, and good reliability and validity, they are not without limitations. Self-report measures may be subject to inaccuracies in the recollection of elderly individuals, susceptibility to subjective interference leading to evaluation bias, and potential issues related to social desirability bias [
68]. Finally, the study did not specifically explore spatial variability across different park locations. Future research should consider integrating multiple assessment methods, such as incorporating instrumental measurements of objective health indicators like heart rate, blood pressure, and blood sugar [
69,
70], to provide a more comprehensive and accurate understanding of the health status of elderly individuals. Meanwhile, on the temporal level, future research should conduct long-term series studies to reveal long-term trends, control short-term fluctuations, evaluate interventions, explore causal relationships, and enhance predictive capabilities; on the spatial level, future studies should account for the heterogeneity of parks to gain a more comprehensive understanding of the factors that influence human health in park settings.