Zhang Man, Shen Tao, Li Ying, Li Qianqian, Lou Yongqi
Shanghai Research Institute for Intelligent Autonomous Systems, Tongji University, Shanghai, China.
College of Design and Innovation, Tongji University, Shanghai, China.
BMC Public Health. 2025 Jul 2;25(1):2200. doi: 10.1186/s12889-025-23402-y.
As global aging accelerates, community public spaces (CPS) are increasingly recognized as vital for promoting healthy aging. However, existing research often employs linear analytical methods or focuses on single health dimensions, overlooking how CPS features are non-linearly and interactively related to multiple aspects of elderly well-being.
This study analyzed data from 2,508 older adults in Shanghai to examine the associations between 13 CPS environmental features and physical, mental, and social health. An explainable machine learning approach, incorporating CatBoost and SHAP, was used to identify key correlates and patterns of interaction among features.
Destination accessibility, public transport, residential density, and walking infrastructure were positively associated with all health dimensions, while traffic complexity and crime rate showed consistent negative associations. SHAP interaction analysis revealed that health benefits often emerge from synergistic combinations of features, rather than from the effects of individual features in isolation.
This study provides new insights into the multidimensional and non-linear relationships between CPS features and elderly health. The findings offer empirical evidence to guide community planning and intervention strategies that foster health-supportive environments for aging populations.
随着全球老龄化加速,社区公共空间(CPS)日益被视为促进健康老龄化的关键要素。然而,现有研究往往采用线性分析方法,或聚焦于单一健康维度,忽略了CPS特征与老年人福祉多方面之间的非线性及交互关系。
本研究分析了来自上海2508名老年人的数据,以检验13个CPS环境特征与身体、心理和社会健康之间的关联。采用一种可解释的机器学习方法,结合CatBoost和SHAP,来识别特征之间的关键关联和交互模式。
目的地可达性、公共交通、居住密度和步行基础设施与所有健康维度均呈正相关,而交通复杂性和犯罪率则呈现一致的负相关。SHAP交互分析表明,健康益处往往源于特征的协同组合,而非单个特征的孤立影响。
本研究为CPS特征与老年人健康之间的多维非线性关系提供了新见解。研究结果为指导社区规划和干预策略提供了实证依据,这些策略旨在为老年人群营造有利于健康的环境。