The impact of hydrological wellness design on the psychological health and social interaction of rural elderly people
Hong Li
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Handling Editor: Wan Zhanhong
Abstract
The increase in China’s aging population raises health and social isolation issues for rural elderly. Hydrological wellness design, integrating natural hydrology and wellness, may benefit their wellbeing, but its specific effects and mechanisms on this group are understudied.
This study explores hydrological wellness design’s impact on the rural elderly’s psychological health and social interaction, focusing on relationships between its perception, health response and multimodal interactive perception, and the latter’s mediating role.
Data were collected from rural elderly people aged 60 and above in Zengcheng District, Guangzhou, through a questionnaire survey. Confirmatory Factor Analysis (CFA) was used to test the reliability and validity of the scales, and Structural Equation Modelling (SEM) was applied to empirically analyse the path relationships between variables.
Hydrological wellness design perception positively correlated with health response (path coefficient = 0.241, P < 0.05), and influenced it through multimodal interactive perception (path coefficient = 0.178, P < 0.05), which had a partial mediating effect (0.049, P < 0.05), with multisensory experiences indirectly enhancing elderly wellbeing.
Hydrological wellness design improves the rural elderly’s psychological health and social interaction by multimodal interactive perception, supporting the ‘environmental perception–interactive experience–health response’ pathway.
This study informs rural wellness design, emphasising hydrological elements and multisensory experiences. It guides policymakers, designers and health managers in promoting wellbeing for the elderly.
Keywords: aging, elderly-friendly community, health behaviours, healthy ageing, hydrological health care, multimodal interactive perception, rural areas, water ecological design.
References
Beute F, Andreucci MB, Lammel A, Davies ZG, Glanville J, Keune H, Marselle M, O’Brien LA, Olszewska-Guizzo A, Remmen R, Russo A, de Vries S (2020) Types and characteristics of urban and peri-urban green spaces having an impact on human mental health and wellbeing: a systematic review. An EKLIPSE Expert Working Group report. (UK Centre for Ecology & Hydrology: Wallingford, UK) Available at https://eklipse.eu/wp-content/uploads/website_db/Request/Mental_Health/EKLIPSE_HealthReport-Green_Final-v2-Digital.pdf
Bratman GN, Hamilton JP, Hahn KS, Daily GC, Gross JJ (2015) Nature experience reduces rumination and subgenual prefrontal cortex activation. Proceedings of the National Academy of Sciences of the United States of America 112(28), 8567-8572.
| Crossref | Google Scholar |
Bratman GN, Anderson CB, Berman MG, Cochran B, De Vries S, Flanders J, Folke C, Frumkin H, Gross JJ, Hartig T, Kahn PH, Jr, Kuo M, Lawler JJ, Levin PS, Lindahl T, Meyer-Lindenberg A, Mitchell R, Ouyang Z, Roe J, Scarlett L, Smith JR, van den Bosch M, Wheeler BW, White MP, Zheng H, Daily GC (2019) Nature and mental health: an ecosystem service perspective. Science Advances 5(7), eaax0903.
| Crossref | Google Scholar |
Chen Y, Yuan Y (2020) The neighborhood effect of exposure to blue space on elderly individuals’ mental health: a case study in Guangzhou, China. Health & Place 63, 102348.
| Crossref | Google Scholar |
Chen X, Giles J, Yao Y, Yip W, Meng Q, Berkman L, Chen H, Chen X, Feng J, Feng Z, Glinskaya E, Gong J, Hu P, Kan H, Lei X, Liu X, Steptoe A, Wang G, Wang H, Wang H, Wang X, Wang Y, Yang L, Zhang L, Zhang Q, Wu J, Wu Z, Strauss J, Smith J, Zhao Y (2022) The path to healthy ageing in China: a Peking University–Lancet Commission. The Lancet 400(10367), 1967-2006.
| Crossref | Google Scholar |
Etikan I, Musa SA, Alkassim RS (2016) Comparison of convenience sampling and purposive sampling. American Journal of Theoretical and Applied Statistics 5(1), 1-4.
| Crossref | Google Scholar |
Jimenez MP, DeVille NV, Elliott EG, Schiff JE, Wilt GE, Hart JE, James P (2021) Associations between nature exposure and health: a review of the evidence. International Journal of Environmental Research and Public Health 18(9), 4790.
| Crossref | Google Scholar | PubMed |
Kaplan S (1995) The restorative benefits of nature: toward an integrative framework. Journal of Environmental Psychology 15(3), 169-182.
| Crossref | Google Scholar |
Kline RB, Santor DA (1999) Principles & practice of structural equation modelling. Canadian Psychology 40(4), 381-427.
| Google Scholar |
Li H, Shi L, Wang F-L (2025) The impact of community water ecological design on promoting health behaviours among the elderly. Marine and Freshwater Research 76(2), MF24196.
| Crossref | Google Scholar |
National Committee on Aging and Ministry of Civil Affairs (2023) 2023年度国家老龄事业发展公报 [2023 National Report on Aging Affairs]. (国家老龄委员会和民政部 [National Committee on Ageing and Ministry of Civil Affairs]) Available at https://www.gov.cn/lianbo/bumen/202410/content_6979487.htm [In Chinese]
Nguyen GT, Truong DH (2024) Evaluating the importance of ecosystem services in university campus. Civil Engineering Journal 10(1), 234-248.
| Crossref | Google Scholar |
Östlund U, Kidd L, Wengström Y, Rowa-Dewar N (2011) Combining qualitative and quantitative research within mixed method research designs: a methodological review. International Journal of Nursing Studies 48(3), 369-383.
| Crossref | Google Scholar | PubMed |
Priyadarshani S, Mani M (2024) Sensory perception of humidity in the built environment for wellness: a scoping review. Current Science 127(2), 160-170.
| Google Scholar |
Rogers M, Winterton R, Warburton J, O’Keefe S (2013) Water management and healthy ageing in rural Australia: economic, social, and cultural considerations. Environment and Behavior 47(5), 551-569.
| Crossref | Google Scholar |
Schweitzer M, Gilpin L, Frampton S (2004) Healing spaces: elements of environmental design that make an impact on health. The Journal of Alternative and Complementary Medicine 10(Supplement 1), S71-S83.
| Crossref | Google Scholar |
Setiowati R, Koestoer RH (2024) Valuation of urban green open spaces using the life satisfaction approach. Civil Engineering Journal 10(4), 1159-1181.
| Crossref | Google Scholar |
Stier-Jarmer M, Throner V, Kirschneck M, Immich G, Frisch D, Schuh A (2021) The psychological and physical effects of forests on human health: a systematic review of systematic reviews and meta-analyses. International Journal of Environmental Research and Public Health 18(4), 1770.
| Crossref | Google Scholar | PubMed |
Su C, Wang X, Wang Y, Chen Y, Dai F, Chen X (2025) Mediating roles of cultural perception and place attachment in the landscape–wellbeing relationship: insights from historical urban parks in Wuhan, China. Land 14(6), 1176.
| Crossref | Google Scholar |
Völker S, Kistemann T (2011) The impact of blue space on human health and well-being – salutogenetic health effects of inland surface waters: a review. International Journal of Hygiene and Environmental Health 214(6), 449-460.
| Crossref | Google Scholar | PubMed |
White MP, Alcock I, Wheeler BW, Depledge MH (2013a) Coastal proximity, health and well-being: results from a longitudinal panel survey. Health & Place 23, 97-103.
| Crossref | Google Scholar | PubMed |
White MP, Alcock I, Wheeler BW, Depledge MH (2013b) Would you be happier living in a greener urban area? A fixed-effects analysis of panel data. Psychological Science 24(6), 920-928.
| Crossref | Google Scholar | PubMed |
World Health Organization (2015) World report on ageing and health. (WHO) Available at https://www.who.int/publications/i/item/9789241565042
Zhou Y, Tian H, Hu D, Hu H, Shen Q (2024) Spatial–temporal characteristics of green development level in river basin. HighTech and Innovation Journal 5(4), 1068-1084.
| Crossref | Google Scholar |
Zhu Q, Yao P, Li J (2025) The effect of nature-based landscape design on human health and well-being: a thematic synthesis. Journal of Environmental Engineering & Landscape Management 33(1), 55-71.
| Crossref | Google Scholar |