The aging population has brought increased attention to the urgent need to address social isolation and health risks among the elderly. While previous research has established the positive effects of parks in promoting social interaction and health among older adults, further investigation is required to understand the complex relationships between perceptions of the park environment, social interaction, and elderly health. In this study, structural equation modeling (SEM) was employed to examine these relationships, using nine parks in Wuhan as a case study. The findings indicate that social interaction serves as a complete mediator between perceptions of the park environment and elderly health (path coefficients: park environment on social interaction = 0.45, social interaction on health = 0.46, and indirect effect = 0.182). Furthermore, the results of the multi-group SEM analysis revealed that the mediating effect was moderated by the pattern of social interaction (the difference test: the friend companionship group vs. the family companionship group (Z = 1.965 > 1.96)). Notably, family companionship had a significantly stronger positive impact on the health of older adults compared to friend companionship. These findings contribute to our understanding of the mechanisms through which urban parks support the physical and mental well-being of the elderly and provide a scientific foundation for optimizing urban park environments.
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