Volume 2, Issue 2 (Spring 2016 -- 2016)                   JCCNC 2016, 2(2): 103-114 | Back to browse issues page

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Bastani F, Haghani H, Goodarzi P. Age–Friendly Cities Features From the Elderly’s Perspectives Underscoring “Community Support and Health Services”. JCCNC. 2016; 2 (2) :103-114
URL: http://jccnc.iums.ac.ir/article-1-94-en.html
1- Department of Geriatric Nursing, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Biostatistics, School of Health Management and Informatics, Iran University of Medical Sciences, Tehran, Iran.
3- MSc. Department of Geriatric Nursing, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran. , pr_goodarzi@yahoo.com
Abstract:   (1160 Views)

Background: The 21st century is faced with increase in challenges of urban population and aging. According to statistics, the old population in the world and in Iran is increasing. Obviously, their health promotion is the concern of the community and achieving it requires purposeful planning. Being healthy means to feel good in social, mental, and physical dimensions (definition by the World Health Organization). Recently special attention has been paid to the health and quality of life of old people. In this regard, the concept of “age-friendly city” with its 8 components has been raised. This study aimed to evaluate age-friendly city from the perspective of the old people with the emphasis on the component of “supports of the community and healthcare services.”

Methods: This study was a cross-sectional study. A total of 400 old people who had the study inclusion criteria have been selected among referrals to 4 healthcare centers in Tehran, by stratified sampling and proportional allocation method. Study Instruments were short cognitive test, demographic characteristics, and checklist of evaluating age-friendly city. Data were analyzed using descriptive and inferential statistics by SPSS 20. The significance level was set at less than 0.05(P<0.05).

Results: In this study, 53% of the samples were women and 47% were men. The majority of subjects (56.8%) were in the age group of 60 to 70 years and most of them (59.9%) had under-diploma degree. Generally, the mean scores of the component of “supports of the community and healthcare services” was 82.26, which was less than the median score of the component. Housewives compared to the retired (reference group) has made the old people’s attitudes score towards the component of “neighborhood supports and healthcare services” to increase to 0.26 and the mean time spending outdoors (1 to 3 h) compared to the reference group (less than 1 h) has made the old people’s attitudes score towards the same component to reduce to -0.13. 

Conclusion: In line with the holistic nursing care, paying attention to the social dimension of the old people health, also considering the low mean score of the studied components, the need for culturalwell-being planning is felt. This planning must be based on old people’s attitudes and in line with strengthening the components of age-friendly city. It also requires coordination among the health authorities, urban authorities, representatives of the old people (including associations and retirement centers, etc.) and experts in Gerontology.

Full-Text [PDF 600 kb]   (646 Downloads)    
Type of Study: Research | Subject: General
Received: 2015/12/1 | Accepted: 2016/04/1 | Published: 2016/05/1

References
1. Alidoust, S, Holden, G & Bosman, CJ 2014, 'Urban environment and social health of the old: a critical discussion on physical, social, and policy environments', Athens Journal of Health, vol. 1, pp. 169-80.
2. Ayoubi Avaz, K, Pravaneh, S, Ali Akbari, A, Miller, W, Reza Soltani, P & Ghahari, S 2015, '[Comparison of social participation level between older adults with assistive mobility devices and those without the devices (Persian)]', Iranian Journal of Ageing, vol. 10, no. 3, pp. 166-73.
3. Bakhtiyari, F, Foroughan, M, Fakhrzadeh, H, Nazari, N, Najafi, B, Alizadeh, M et al 2014, '[Validation of the Persian version of Abbreviated Mental Test (AMT) in old residents of Kahrizak Charity Foundation (Persian)]', Iranian Journal of Diabetes and Metabolism, vol. 13, no. 6, pp. 487-94.
4. Dadkhah, A 2007, '[Review of aged rendered services in USA and Japan and guidelines for Iran Ageing strategic plan (Persian)]', Iranian Journal of Ageing, vol. 2, no. 3, pp. 166-76.
5. Dellamora, MC, Zecevic, AA, Baxter, D, Cramp, A, Fitzsimmons, D & Kloseck, M 2015, 'Review of assessment tools for baseline and follow-up measurement of age-friendliness', Ageing International, vol. 40, no. 2, pp. 149-64. doi: 10.1007/s12126-014-9218-7 [DOI:10.1007/s12126-014-9218-7]
6. Fitzgerald, KG & Caro, FG 2014, 'An overview of age-friendly cities and communities around the world', Journal of Aging & Social Policy, vol. 26, no. 1-2, pp. 1-18. [DOI:10.1080/08959420.2014.860786] [PMID]
7. Ghadir Zadeh, MR, Fadayevatan, R, Akbari Kamrani, AA, Davatgaran, K, Hashemi Nazari, SS, & Mirtorabi, SD 2012, 'Road accident mortality rate of the Iranian Old from 2006 to 2008 (Persian)]', Iranian Journal of Ageing, vol. 7, no. 1, pp. 49-56.
8. Gilmour, H 2012, 'Social participation and the health and well-being of Canadian seniors', Health Reports, vol. 23, no. 4, pp. 23-32. PMID: 23356042 [PMID]
9. Hodkinson, H 1972, 'Evaluation of a mental test score for assessment of mental impairment in the elderly', Journal of Age and ageing, vol. 1, no. 4, pp. 233-238. doi: 10.1093/ageing/1.4.233 [DOI:10.1093/ageing/1.4.233]
10. Kadoya, Y 2013, 'Toward an aged-friendly city: the constraints preventing the old 's participation in community programs in Akita city', Working with Old People, vol. 17, pp. 101-108. doi: 10.1108/wwop-05-2013-0012 [DOI:10.1108/WWOP-05-2013-0012]
11. Kajitani, S 2011, 'Working in old age and health outcomes in Japan', Japan and the World Economy, vol. 23, no. 3, pp. 153-162. doi: 10.1016/j.japwor.2011.06.001 [DOI:10.1016/j.japwor.2011.06.001]
12. Kharazmi, OA, Zarghani, SH & Johari, L 2014, 'Evaluating of out door spaces and public transportation in Mashhad based on age-friendly cities indicators', Paper Presented at The 6th National Conference on Urban Planning and Management with Emphasis on the Elements of Slamic City, 12 & 13 November 2016, Iran, Mashhad.
13. Lowen, T, Davern, MT, Mavoa, S & Brasher, K 2015, 'Age-friendly cities and communities: access to services for old people', Australian Planner, vol. 52, no. 4, 255-65. doi: 10.1080/07293682.2015.1047874 [DOI:10.1080/07293682.2015.1047874]
14. Moradi, S, Fekrazad, H, Taher Mousavi, M & Arshi, M 2011, '[The study of relationship between social participation and quality of life of old people who are member of senior association of Tehran city in 2011 (Persian)]', Iranian Journal of Ageing, vol. 7, no. 4, pp. 41-46.
15. Nguyen, OK, Chan, CV, Makam, A, Stieglitz, H & Amarasingham, R 2015, 'Envisioning a social-health information exchange as a platform to support a patient-centered medical neighborhood: a feasibility study', Journal of General Internal Medicine, vol. 30, no. 1, pp. 60-67. doi: 10.1007/s11606-014-2969-8 [DOI:10.1007/s11606-014-2969-8]
16. Plouffe, L & Kalache, A 2010, 'Towards global age-friendly cities: determining urban features that promote active aging', Journal of Urban Health, vol. 87, no. 5, pp. 733-39. doi: 10.1007/s11524-010-9466-0 [DOI:10.1007/s11524-010-9466-0]
17. Ribeiro, AI, Mitchell, R, Carvalho, MS & De Pina, MDF 2013, 'Physical activity-friendly neighbourhood among older adults from a medium size urban setting in Southern Europe', Preventive Medicine, vol. 57, no. 5, pp. 664-670. doi: 10.1016/j.ypmed.2013.08.033 [DOI:10.1016/j.ypmed.2013.08.033]
18. Ruza, J, Kim, JI, Leung, I, Kam, C & Ng, SYM 2015, 'Sustainable, age-friendly cities: An evaluation framework and case study application on Palo Alto, California', Sustainable Cities and Society, vol. 14, pp. 390-96. doi: 10.1016/j.scs.2014.05.013 [DOI:10.1016/j.scs.2014.05.013]
19. Statistical Center of Iran 2011, National population and housing Census 2011 (1390): Selected Findings, Statistical Center of Iran, Tehran, Viewed 18 October 2015, http://www.amar.org.ir
20. Steels, S 2015, 'Key characteristics of age-friendly cities and communities: A review', Cities, vol. 47, pp. 45-52. doi: 10.1016/j.cities.2015.02.004 [DOI:10.1016/j.cities.2015.02.004]
21. Takagi, D, Kondo, K & Kawachi, I 2013, 'Social participation and mental health: moderating effects of gender, social role and rurality', BMC Public Health, vol. 13, no. 1, pp. 1. doi: 10.1186/1471-2458-13-701 [DOI:10.1186/1471-2458-13-701]
22. Tehran Municipality 2015, Age-Friendly City, viewed 29 October 2015, http://www.region2.tehran.ir.default.aspx?tabid=274&ArticleId=47704
23. Telatar, G, Üner, S, Özcebe, H, Bicer, B, & Sari, Ö 2015, 'Defining the satisfaction from healthcare services among old in Sinop, Turkey, 2014', The European Journal of Public Health, vol. 25, no. 3. doi: 10.1093/eurpub/ckv175.039 [DOI:10.1093/eurpub/ckv175.039]
24. The United Department of Economic and Social affairs 2015, World Populations prospects, UN, New York.
25. The United Department of Economic and Social affairs 2013, World population ageing, UN, New York.
26. WHO 2009a, The World Health Organisation: Global Age-Friendly Cities, Guide and Checklist, A review of their use by local government, World Health Organization, Geneva, viewed 15 August 2015, http://www.mav.asn.au/policy-services/social-community/ageing-disability/ageing/Documents
27. WHO 2009b, WHO global network of age-friendly cities, World Health Organization, Geneva, Viewed 10 September 2015, http://www.who.int.entity.ageing.projects.age-friendly-cities-network.en
28. WHO 2011a, Global age-friendly cities: a guide 2007, World Health Organization, Geneva, Viewed 22 August 2015, http://www.who.int.ageing.publications
29. WHO 2013a, WHO global network of age-friendly cities and communities, World Health Organization, Geneva, Viewed 22 August 2015, http://www.who.int.ageing.projects.age_friendly_cities_network.en
30. WHO 2015a, Definition of an older or old person, World Health Organization, Geneva, Viewed 20 September 2015, http://www.who.int.healthinfo.survey.ageingdefnolder.en

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