Global urban development has fully entered the stage of stock renewal, and the synergy between public health and historic heritage conservation has become a core issue of urban sustainable development in the post-pandemic era. As special spatial units carrying urban cultural memories, historic districts generally face problems such as chaotic traffic functions, a lack of slow traffic spaces, and insufficient public health support. Existing studies lack a public health-oriented special evaluation system and a sustainable renewal path adapted to their characteristics. This paper systematically sorts out eight core impact paths of street built environment elements on public health and constructs a healthy street evaluation system for historic districts, including six dimensions (transportation facilities, green squares, ancillary facilities, street-front commerce, urban furniture, and street network) and 30 core elements combined with the spatial and cultural characteristics of historic districts. Taking five typical streets in the Liuhe Area of Hankou Historic District as an empirical case, a comprehensive evaluation is carried out using a combination of quantitative surveys, questionnaire surveys, and spatial analyses. The results show that the overall health performance of street space in the study area is low, with extremely unbalanced development across dimensions. The core shortcomings are concentrated in incomplete slow traffic systems, lack of public spaces, prominent parking chaos, and fragmented historic styles, and the health problems of streets with different functional types show significant typological differentiation characteristics. Based on this, this paper proposes five systematic renewal strategies, transportation system optimization, public space improvement, landscape system perfection, historic style activation, and long-term mechanism construction, for achieving the synergistic goals of historic culture conservation, public health promotion, and urban sustainable development. This study not only enriches the theoretical system of research on healthy spaces in historic districts but also provides a referable evaluation framework and practical approach for modern historic districts in China and other similar historic districts with comparable spatial textures and functional characteristics.
Yuan et al. (Thu,) studied this question.