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Age-friendly environments: global trends and where is Central and Eastern Europe ?

Age-friendly environments: global trends and where is Central and Eastern Europe ?. EAST Workshop Budapest , 10-11 June 2016 Zsuzsa Széman Maria Tróbert Semmelweis University. Demographic and urbanisation trends by 2050. WOR L D 50+ 34% 65 + 22%

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Age-friendly environments: global trends and where is Central and Eastern Europe ?

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  1. Age-friendly environments: global trends and where is Central and Eastern Europe? EAST Workshop Budapest, 10-11 June 2016 Zsuzsa Széman Maria Tróbert Semmelweis University

  2. Demographic and urbanisation trends by 2050 • WORLD • 50+ 34% • 65+ 22% • Population of world in cities 70% WHO, 2005, Global Age-friendly Cities -32 cities , Guide (2007)

  3. Elder-friendly approach • environment, • social /welfare, societal • follow up/ action, implemantation researches, secondary analysis • proper urban planning • e.g adequate urban environment • financial sources • experts/knowledge

  4. East Canada, Quebec region 177 settlements Ottawa • Pedestrian Signal Technology • Snow Go Program market principle • Snow Go Assistant Program social • Low income/handicapped • Snow Angel civil /neighbours

  5. Quebec region, Ottawa • Community Connect Training • Gatekeeper model • Isolated older people • Mapping needs • Listen to older people • Fulfil needs • Social department of local government • Volunteers

  6. Canada: West, British Columbia • 2007-2010: 30 cities • Vancouver: „Elder-friendly Action Plan 2013-2015” (60+) • improve health state and well-being • decrease/eliminate social inequalities by action program • services for active and healthy • built environment • safety and emergency • education/training • Awareness • Elaborated by: seniors, carers, family carers of demented people, NGOs, local decision makers

  7. Canada: Mid - Manibota region • Research: since late 90s • Centre on Aging, University of Manitoba • new concept • research on age-friendliness • projects • mapping elder-friendly plans • 2013 more than 100age-friendly settlements • 1/3 below 1000- rural region

  8. Manibota: age-friendly ruralsettlementsMeaning and practice • Built environment and transport • Social participation • Information

  9. 1. Built environment and transport • Alteration • Environment: • e.g. set up public WC, obstacle-free public environment/public building, increase green areas, better lighting • Involving market actors • e.g. convince shop owners to let the public use the WC • Transport logistics

  10. 2.Social participation • whole community • e.g.recreation/health prevention for everybody, • parties, • social gatherings for all age groups, • only for older age groups: • e.g. mapping older people at social risk, • visits, • drive training, • swimming training, • innovative projects by involving them

  11. 3. Information • For whole community • social, health, cultural, services • safety • emergency • Only for older generations • elder-friendly/current events

  12. Main pillars of age-friendly environment • research • ICT development – long distances, bad weather • tertiary education • communication between different actors • volunteers, older people • financial support • good examples - widespread • focus: ageing society • aim to prevent social exclusion

  13. USA • Similar trends • Similar tools • Research • E.g. University of Wisconsin, Institute on Ageing and Environment 2015: age-friendly • 24 states • 47 cities • New York City BUT • Sun City 26% 65+ • built for older people, different approach

  14. Australia By2051 • 85 + 6% • 15-64 67% (57% in 2002) Science/research + policy Elder-friendly environment • Urban • Isolated areas

  15. To elaborate: HOW? • Planning • whole community • older people • Tasmania • Positive Ageing Plan, 2006-2011 • Positive Ageing Plan, 2012 – 2016

  16. Pillars of Positive Ageing Plan 1. Health 2. Social 3. Community

  17. Health • health state • financial situation • personal characteristics • gender • time spent alone

  18. 2. Social • family relations • social network • relations with carer

  19. 3. Community • social capital • information on social/community events • available services • improve services • allowance, benefit • improve access to transport • prevention of discrimination • tailored services • development of infrastructure

  20. QUEENSLAND • big region • cooperation with Tasmania • adaptation of approach, good examples

  21. Australia: Research Many researches from 2000s • One result e.g. correlation between time spent away from home and subjective „being active” Source Aird, Rosemary L - Buys, Laurie (2015): Active Aging: Exploration into Self-Ratings of "Being Active," Out-of-Home Physical Activity, and Participation among Older Australian Adults Living in Four Different Settings .Journal of aging research 2015 (9):501823

  22. Japan: age-friendly criteria • 1971 :city for the youth but old now • Very rapid ageing • city should follow, adapt to changes • physical • during lifetime • in life of family • in styles of generations • habits of generation

  23. To achieve age-friendly environment • ageing-friendly planning, • decision making, • financing, • Research • development/ICT, • mobilisation of family resources

  24. China • Mainland China • family role, special culture • ageing persons should remain with their family • Hong Kong • joint families- living together • Singapore • Planning 3 generations living together • China: special feature: different culture,role of family

  25. India, Sri Lanka: age-friendly environment:different meaning • India, Delhi • poverty- poor infrastructure-crime • police:mapping older people at risk, telephone register • Sri Lanka • Cataracts - Eye Camps for Older People • monks –temple- urge participation in screening • New dimension of age-friendly environment: religion

  26. Dublin Declaration on Age-Friendly Cities and Communities in Europe 2013 • e.g. 10European cities – research • Change of climate increasing morbidity (older people) • age friendly environment • more green areas • decrease negative trends. • increase social cohesion, • strengthen intergenerational and inner generational, community

  27. Ireland • 2008 e.g. Louth county program • a great place to grow old • 2013 national program, Age-friendly Ireland (15 cities) • 2014 smaller towns as well: Cavan Age Friendly Town Initiative • Age Friendly Cities &  Counties Programme • AIM: country where it is nice to be getting old.

  28. Western, Northern Europe • e.g. UK, Germany, Sweden, Finland, Netherlands • similar trends

  29. Central and Eastern Europe • lagging behind • EU initiative: 2008-2012 • „Q-AGEING (Q-AGEING - Quality Ageing in an Urban Environment) • Slovenia, Maribor • Italy, Treviso province, Genoa • Poland, Sopot, • Hungary, Budapest (XI district) • Germany

  30. Elder-friendly House Model (EF) 2003-2005 AIM: Keep independence in home environment Co-operation NGO/ idea – ministerial financing Target group 75 + with home care recipients • Tailor-made obstacle-free home environment • different regions • different types of houses

  31. Methodology • Survey 150 • 40% of falls – obstacles in the flat • Subsample 50 • Alteration 20 • Follow-up 20 • New sample 30

  32. Help needed Rating: 2,25-2,7 (1-3 scale ) • bathing, • moving in flat, • cooking, • heavy and easy home work, • cleaning • alteration 20 first phase 30 second phase

  33. Bathroom: problem 1 high bath, no grips

  34. Bathroom: Solution 1Shower tray, grips, moved washing machine

  35. Bathroom: problem 2High bath, obstacles

  36. Bathroom: solution 2Shower cabin, moved wash basin

  37. Bathroom: problem 3, specialElderly owner insists on bath

  38. Bathroom: solution 3, specialStep and grips Felmérés: Felmérés:

  39. Dissemination of model • Tender – financed by ministry • 2700 applicants • ¼ approved • Target group: older people over 65 + receiving social services

  40. Spatial differences Potential for prevention of social exclusion Hungary: 19 counties 52% of applicationsfrom poorest 3 counties • Northern Eastern (Szabolcs) 29% • Northern (Borsod) 12% • Eastern 11% .

  41. Bielefelder Model (BM) 1996 • aim: keep independent life - ensure social integration • integrated service among LTC recipients • Bielefeld region, 40 residential districts • cooperation: emplamenting by 7 nursing services, 5 housing associations • 2013 -12 residential areas, 442 households

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