Background: Green spaces reduce the risk of multiple adverse health outcomes by encouraging physical activity. This study examined correlations between urban green space and residents’ health outcomes in hilly neighborhoods: if they are mediated by social cohesion, visual aesthetics, and safety. Methods: We used multiple green space indicators, including normalized difference vegetation index (NDVI) extracted from satellite imagery, green view index (GVI) obtained from street view data using deep learning methods, park availability, and perceived level of greenery. Hilly terrain was assessed by the standard deviation of the elevation to represent variations in slope. Resident health outcomes were quantified by their psychological and physiological health as well as physical activity. Communities were grouped by quartiles of slopes. Then a mediation model was applied, controlling for socio-demographic factors. Results: Residents who perceived higher quality greenery experienced stronger social cohesion, spent more time on physical activity and had better mental health outcomes. The objective greenery indicators were not always associated with physical activity and might have a negative influence with certain terrain. Conclusions: Perceived green space offers an alternative explanation of the effects on physical activity and mental health in hilly neighborhoods. In some circumstances, geographical environment features should be accounted for to determine the association of green space and resident health outcomes.

As the main place of people’s daily activities, indoor space (its size, shape, colors, material and textures, and so on) has important physical, emotional and health-based implications on people’s behavior and quality of life. Material texture is an integral part of architectural environment perception and quality evaluation, but the effect of material texture on perceptual spaciousness lacks the support of experimental data. This research examined the effects between different wall textures on the observer’s perception of spaciousness in indoor space, the influence of wall texture changes in different room sizes, and how the associational meaning of texture affects the degree of influence of wall texture on the spaciousness of indoor space. By using VR technology and the magnitude estimation (ME) analysis method, the authors found that the effect of wall texture on perceptual spaciousness varies depending on the wall material, and the textural effect is affected by room size. The perception of spaciousness is influenced by the observer’s associational meaning of material texture, and the influence of associational meaning of material texture varies contingent on the room size. In relatively small rooms, the objective aspect (such as hardness, surface reflectivity, texture direction and texture depth) of the wall texture has a significant impact on perceived space. In contrast, the effects of subjective aspects (such as affinity and ecology) become more pronounced in relatively larger rooms. This research makes up for the lack of material texture research in perceptual spaciousness, and provides a new way for the designer to choose materials for the design of a spatial scale.

How to effectively reduce the disparity between urban and rural medical healthcare has become a major global concern. In China, the government has issued a series of reform measures to address the gap between urban and rural medical care. To explore the impact of China’s medical system reforms in improving health services in urban and rural areas and understand the factors promoting and hindering progress, we evaluated the healthcare system in Dalian City, China, from 2008 to 2017. The weighted TOPSIS (technique for order preference by similarity to ideal solution) model was used to assess the development of the healthcare system in the different districts and employed the obstacle model to identify and analyze indicators that hinder progress in health services. Using the local spatial clustering function, we categorized the districts in terms of the hindrance type that significantly hamper the growth of the healthcare system. Our results show the healthcare system in Dalian’s urban areas has steadily increased, while development in rural areas has been erratic. Although the urban–rural healthcare disparity has narrowed distinctly, sustained progress is not guaranteed. Based on the location theory, residents in urban areas are more affected by economic factors, while those in rural areas are more influenced by time considerations. When initiating healthcare reforms in urban areas, the impact of varying land prices and per capita disposable income should be considered. For rural areas, constructing more medical institutions to reduce the impact of time costs should be considered. We also found different factors that hinder the growth of the healthcare system for urban and rural areas. To address these impediments to progress, urban areas should pay more attention to coordinated development, while rural areas should address specific concerns based on local needs and conditions. More research on the progress in medical reform is crucial to provide reference and policy-guidance for countries facing similar concerns.

Avoiding injury and ensuring safe evacuations of children in disasters has always been a central issue requiring close attention in policymaking. However, there is little behavioural data on children's evacuation on stairs. In this study, evacuation drills were conducted in a three-storey kindergarten in Dalian, China. The article explores the well-trained children's vertical evacuation behaviour on stairs and horizontal evacuation behaviour in other areas such as corridors and lobbies. According to the vertical behavioural evacuation data collected in this study, the mean speed of children aged 4–6 is 0.55 ± 0.12 m/s, and children of different age groups exhibit distinctive evacuation behaviours on stairs. The mean speed of children on a horizontal plane is 0.87 ± 0.22 m/s. Then, the relationship between behavioural data (movement time, density, velocity, and flow rate) is compared and analyzed. It is found that the density and flow rate of the crowd at the stairwell entrance and the exit are higher than that of adults, and the children's walking speed is relatively slow. This study can provide reference for safety design, evacuation strategies and evacuation simulation settings of multi-storey kindergartens.

The quality of street space is the comprehensive suitability evaluation from the objective physical environments and the subjective pedestrian perception. Since the existing quality measurement models of street space do not consider both subjective and objective aspects, it is difficult for planners to accurately locate the low-quality streets that need to be regenerated. To solve this problem, this study proposes a new 5D+3S measurement model for street space quality evaluation. This model incorporates the widely acknowledged 5D dimensions of the physical environments (Design, Destination accessibility, Distance to transit, Density, and Diversity), and the 3S dimensions (Sociality, Safety, and Status) of walking perception derived from the keywords clustering on relevant literature. To test the validity of the proposed model, this study makes a comparative analysis on the results of the public assessment, expert scoring, and model measurement to verify whether the measurement results are objective and convincing. The results show that the quality grade obtained by the proposed measurement model is highly consistent with the subjective evaluation outcomes of the public and experts. Thus, the proposed measurement model is effective in quality measurement of the street space, which provides a new idea for future large-scale diagnosis of city public space quality.

Enhancing the walkability of urban streets is an effective means to improve public health, alleviate traffic congestion, and enhance the living environment. In China, the government has actively encouraged green travel and promoted improvements in the walk system. The walkability of the built environment is affected by many factors. In addition to the configuration of daily life facilities, street greening can have significant effects on walkability. To explore the rationality of street life facilities and understand the impact of the natural attributes of the block space (street-level greening) on the quality of the walking environment, we evaluated the walkability of Zhongshan Road in Qingdao, China and optimized the algorithm of the walk score. In this study, we selected residential areas as the starting point and modified the weight coefficients for facilities to evaluate the walkability of streets. Traditional research methods were combined with street view image capture, and the rate of the attenuation factor was used for the new optimization algorithm. We discussed the rationality of street life facilities and increased the green vision rate using a correction index. By comparing changes in walkability before and after joining, we analyzed the necessity of including new indicators. The results show that the average walking index of Zhongshan Road is 79.74, and the overall performance is good, showing a high trend in the west and a low trend in the east, and a high trend in the south and a low trend in the north. According to the general walking index, western stations and southern coastal areas have higher scores, and living facilities are well equipped; old northern and eastern residential areas have lower scores. Among them, the average weight of bookstores is 0.74, and the average weight of parks is 0.69. To meet residents’ needs for daily leisure activities, adding bookstores or similar facilities in community parks would be necessary to improve daily facilities and services. The average green viewing rate of Zhongshan Road is 20.48%, which is lower than the best visual perception value of 25.00%. Comparing the walking index changes before and after adding the green viewing rate, the high-scoring area shifted from the west to the south, and the west walking index has the most significant decline. Street greening has a certain impact on the quality of the walking environment. The results and conclusions of this study can be used as a reference in developing street walkability indicators and further improving the evaluation system.