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审视新西兰奥塔哥地区的老年友好型城市:健康老龄化的进展、困境与途径。

Taking stock of Age-Friendly Cities in Aotearoa New Zealand: Progress, pitfalls and pathways towards healthy ageing.

作者信息

Annear Michael, Hyde Caitlin

机构信息

Faculty of Environment, Society, and Design, Lincoln University, Lincoln, New Zealand.

出版信息

Australas J Ageing. 2025 Jun;44(2):e70058. doi: 10.1111/ajag.70058.

DOI:10.1111/ajag.70058
PMID:40536235
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12178091/
Abstract

Cities across Aotearoa New Zealand are undergoing rapid demographic transitions towards super-aged communities. Such changes necessitate innovations to support healthy ageing that incorporate social and environmental developments in addition to health service improvements. The World Health Organization (WHO) Age-Friendly Cities (AFC) framework and global network provide guidance and pathways to enhance livability and well-being for ageing societies. New Zealand's engagement with the WHO AFC network has been both recent and inconsistent, with only seven municipalities formally participating since 2018, and limited uptake among larger population centres. Drawing on published action plans and evaluation reports at city and district level, demographic trend data at national and sub-national scale, and government and WHO policy and procedural documents, this paper critically examines the progress and challenges associated with AFC initiatives in New Zealand since 2018. While there is evidence of gradual increases in AFC commitment at both national and local level in New Zealand, including growth of a local proxy network, significant gaps and limitations remain with engagement and implementation. Five key challenges are identified, including the lack of operationalisation and measurement of indicators of AFC development and success, overreliance on implementation partners, a lack of sustainable funding commitments, limited support for community advocates and volunteers, and challenges engaging cities and districts in the context of competing urban design frameworks. Actionable recommendations are proposed to strengthen AFC development, including improved integration of AFC principles in urban planning, formalised key performance indicators, and enhanced support for community champions.

摘要

新西兰各地的城市正在经历向超级老龄化社区的快速人口结构转变。这种变化需要创新举措来支持健康老龄化,这些举措除了改善卫生服务外,还应纳入社会和环境发展因素。世界卫生组织(WHO)的友好型城市(AFC)框架及全球网络为提升老龄化社会的宜居性和福祉提供了指导和途径。新西兰与WHO的AFC网络的合作起步较晚且不稳定,自2018年以来只有7个城市正式参与,在人口较多的中心地区参与度有限。本文借鉴城市和地区层面已发布的行动计划和评估报告、国家和次国家层面的人口趋势数据以及政府和WHO的政策与程序文件,批判性地审视了2018年以来新西兰AFC倡议相关的进展和挑战。虽然有证据表明新西兰国家和地方层面在AFC方面的投入在逐渐增加,包括一个地方代理网络的发展,但在参与和实施方面仍存在重大差距和局限性。确定了五个关键挑战,包括缺乏对AFC发展和成功指标的操作化及衡量、过度依赖实施伙伴、缺乏可持续的资金承诺、对社区倡导者和志愿者的支持有限,以及在相互竞争的城市设计框架背景下让城市和地区参与面临的挑战。提出了可行的建议以加强AFC发展,包括在城市规划中更好地整合AFC原则、制定正式的关键绩效指标,以及加强对社区倡导者的支持。

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