As urban aging issues intensify, the impact of the built environment in urban neighborhoods on the physical and mental health of elderly residents has garnered increasing attention. Previous studies have demonstrated that the built environment is related to various health outcomes; however, most empirical research typically focuses on the objective physical environment, lacking measurements of subjective environmental perceptions. This study, using 24 neighborhoods in Shanghai as case studies, employed deep learning, big data methods, and surveys to collect 462 valid questionnaires from elderly residents. Structural equation modeling was applied to explore the relationship between the built environment and the physical and mental health of elderly residents, incorporating respondents’ subjective perceptions, physical activity, and neighborhood relationships as chain mediation effects. The results indicate that although there is no direct relationship between the built environment and the mental health of elderly residents, the built environment positively impacts mental health through enhancing subjective.
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