From Landscape Configuration to Health Outcomes: A Spatial–Behavioral Framework Linking Park Landscapes to Public Perceived Health Through Thermal Comfort and Loyalty Dynamics

Urban park landscape design has significant potential to alleviate heat stress and promote public health, particularly during extreme summer heat. This study explores how the spatial configuration of landscapes within the Yanghu Wetland Park in Changsha, China, influences pedestrian thermal comfort and destination loyalty under hot summer conditions, and how these factors affect public perceived health. It enriches current research by examining the impact of landscape spatial configuration, thermal comfort, and destination loyalty on public perceived health from a psychological perspective. We identified connections between park users’ spatial perceptions and their psychological and health perceptions. We used structural equation modeling (SEM) to examine the relationships among visitors’ spatial perception, psychological perceptions, and health perceptions within this large urban wetland park. At the same time, we explored how landscape characteristics, thermal comfort, destination loyalty, and public perceived health interact. This research constructs a Spatial–Thermal–Perception–Behavior (SPB) theoretical framework for such complex blue-green spaces, providing a multidimensional perspective on the relationship between the environment and health. Based on a survey of 321 visitors, This study pioneers the SPB theoretical framework, clarifying how this wetland park’s landscape configurations impact public perceived health through the mediating pathways of thermal comfort and destination loyalty. It provides a scientific basis for heat-adaptive landscape design in similar wetland park settings, aiming to enhance resident well-being and improve public perceived health.