Resident Heterogeneity in Health-Promoting Street Renewal: Evidence from Health Literacy—Activity Behavior Mismatch in Old Urban Neighborhoods

Responding to residents’ differentiated health-promoting needs has become important for improving the adaptability of street renewal in old urban neighborhoods. Based on 1404 valid questionnaires from residents in old urban neighborhoods of Jinan, China, this study develops an analytical framework linking group classification, environmental responses, and renewal strategies from the perspective of health literacy–activity behavior mismatch. Health literacy and activity behavior indices were constructed, and K-means clustering was used to identify mismatch groups. Estimated marginal means, average marginal effects, and multiple-response analysis were then employed to compare group-specific response trajectories and improvement preferences across four street environmental dimensions: slow-mobility space, service function, natural aesthetics, and activity facilities. Further interpretation of the obtained analytical results demonstrates that the investigated resident samples are partitioned into four typical subgroups: behavior-driven, high-literacy/high-behavior, literacy-driven, and low-literacy/low-behavior groups. Slow-mobility space was mainly associated with participation willingness and mismatch adjustment; natural aesthetics was primarily related to environmental cognition and perceived attractiveness; activity facilities were more relevant to mismatch changes among low-literacy/low-behavior residents; and service function mainly provided everyday convenience support. Improvement preferences were generally concentrated on basic environmental conditions, especially traffic safety, natural environment, and public activity spaces. These findings provide empirical evidence for group-based health-promoting street renewal and highlight its relevance to socially inclusive and sustainable urban regeneration.