The improvement of urban built-up environment is conducive to constructing a green city, promoting residents’ active life, and preventing and relieving hypertension. Based on the questionnaire and blood pressure measurement data, this paper constructs a structural equation model of multiple intermediaries in built-up environment, health behavior and hypertension, so as to analyze the influential factors of built-up environment on residents’ hypertension and clarify its path for influencing behavior. Research shows that the built-up environment in urban community has a significant impact on residents’ hypertension, and is not disturbed by individual health status. High-density supermarkets, convenience stores, parks and squares as well as low-density clinics and hospitals are likely to increase residents’ risk of hypertension and affect hypertension through healthy behaviors. Therefore, to improve the built-up environment in urban community will help to change the hygienic behavior, and improve the general level of the health, of residents.
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