Longchi Xu

With accelerating urbanization and a global emphasis on quality of life, the effects of the built environment on individual physiological and psychological well-being have become a critical research focus. However, existing studies remain fragmented in terms of theoretical perspectives, spatial scales, and methodological approaches, and a comprehensive synthesis of the physiological and psychological effects of the built environment is still lacking. This review adopts an interdisciplinary approach, integrating architecture, urban planning, landscape architecture, geography, and psychology to systematically review the literature on the health impacts of the built environment. Its findings indicate that the scope of the built environment has expanded from natural settings to residential areas, streets, and public spaces. Research scales have progressed from macro-level districts to streets and public spaces and further to micro-level physical environments. The impacts have extended from emotional responses to broader health and well-being outcomes, with increasing attention being given to specific population groups. Technological advances have shifted research paradigms from traditional surveys to approaches incorporating big data, machine learning, virtual reality, and physiological monitoring, enabling more precise analyses of links between spatial perception and emotional responses. This review identifies gaps in interdisciplinary integration, long-term monitoring, and the consideration of individual differences, highlighting the need for future studies to integrate multimodal data with theory-informed practice to support more human-centered, health-promoting built environments.