Nico De Witte

Developing Age-Friendly Cities: Case Studies from Brussels and Manchester and Implications for Policy and Practice

Developing environments responsive to the aspirations of older people has become a major concern for social and public policy. Policies and programs directed at achieving “age-friendly” communities are considered to require a wide range of interventions, including actions at the level of the social and physical environment. This article compares the age-friendly approaches of two European cities, Brussels and Manchester, with a particular focus on policies and initiatives that promote active aging in an urban context. The article examines, first, the demographic, social, and multicultural contexts of Brussels and Manchester; second, the way in which both cities became members of the World Health Organization Global Network of Age-Friendly Cities and Communities; third, similarities and differences in the age-friendly approaches and actions adopted by both cities; and fourth, opportunities and barriers to the implementation of age-friendly policies. The article concludes by discussing the key elements and resources needed to develop age-friendly cities.

Social Capital and Feelings of Unsafety in Later Life A Study on the Influence of Social Networks, Place Attachment, and Civic Participation on Perceived Safety in Belgium

The aim of this study was to examine the relation between social capital, defined in terms of social ties, place attachment, and civic participation, and feelings of unsafety in later life. Survey data for 24,962 people aged 60 years and older from 85 municipalities across Belgium provided the empirical evidence for the analysis. The results of the multiple regression analysis reveal that a lack of opportunities for political participation is the most important factor in interpreting feelings of unsafety. In addition, several features of place attachment proved to be associated with feelings of unsafety, such as neighborhood satisfaction and neighborhood involvement. Finally, some recommendations to reduce feelings of unsafety among older people are discussed. The results point to the need to enhance opportunities to give older people a voice in the process of political decision making as an important action in reducing feelings of unsafety.

Theorising the relationship between older people and their immediate social living environment

This article presents a theoretical framework for exploring the dynamics between older people and their immediate social living environment. After introducing a gerontological perspective that goes beyond microfication, a literature review presents findings from studies that have explored the role of place and locality for older people. Next, this contribution seeks to broaden the conceptual field by introducing key dimensions of the relationship between older people and their social environment. A critical investigation of underlying assumptions and constructions of older people within certain research traditions that address the social environment is presented. In conclusion, the role of the social environment is underlined as a dynamic, multi-dimensional, historically and spatially contextualized process that both shapes and is shaped by the experiences and practices of older people.

The comprehensive frailty assessment instrument: Development, validity and reliability

Population aging forces governments to change their policy on elderly care. Older people, even if they are frail and disabled, are motivated to stay in their own homes and environment for as long as possible. Consequently, the early detection of frail older persons is appropriate to avoid adverse outcomes. Several instruments to detect frailty exist, but none use environmental indicators. This study addresses the development and psychometric properties of the Comprehensive Frailty Assessment Instrument (CFAI). This new self-reporting instrument includes physical, psychological, social and environmental domains. The CFAI showed good fit indices and a high reliability. The underlying structure of the CFAI demonstrates the multidisciplinary nature of frailty. Using the CFAI can stimulate nurses and other community healthcare providers toward a more holistic approach of frailty and can guide them to take appropriate interventions to prevent adverse outcomes such as disabilities or hospitalization.

To Volunteer or Not The Influence of Individual Characteristics, Resources, and Social Factors on the Likelihood of Volunteering by Older Adults

The study examines a hybrid theory containing individual characteristics, resources, and social factors and volunteering of older adults living in Belgium. As scholars have pointed out the underresearched importance of taking the recruitment potential of older adults into account, this study investigates whether potential volunteers, actual volunteers, and non-volunteers in later life are different from each other in terms of individual characteristics (e.g., religiosity), resources (e.g., socioeconomic status), and social factors (e.g., social networks and social roles). Data for the present research were derived from the Belgian Aging Studies, a sample of 31,581 individuals aged 65 to 80 years. Logistic regression analyses indicate that altruistic and religious values, physical health, frequent contact with friends, and providing help to others are important predictors for potential volunteers as well as actual volunteers. Overall, the results indicate important insights for recruitment and retention of older volunteers.

Social participation among older adults living in medium-sized cities in Belgium: the role of neighbourhood perceptions

This study examines the associations between neighbourhood perceptions and social participation in a sample of older adults living in medium-sized cities in Flanders, Belgium. Strong evidence of the influence of place on older peoples physical and mental health exists. However, the question of how neighbourhoods promote or hinder social participation remains under-explored in social gerontology. Using data generated from the Belgian Ageing Studies, a multivariate regression model (n = 1877) is tested, with personal characteristics, subjective neighbourhood assessments and objective city-level measures as independent variables, and two indicators of social participation as dependent variables: social activity and formal participation. Positive predictors included neighbourhood involvement, frequent contact with neighbours and availability of activities for older people. However, the predictive role of neighbourhood perceptions is stronger for formal participation than for social activity, which is explained more by individual characteristics. The article concludes by discussing the implications of the findings for research and practice pertaining to health promotion interventions.

Municipality and Neighborhood Influences on Volunteering in Later Life

This article explores the relationships between municipality features and volunteering by older adults. In the literature, strong evidence exists of the influence of place on older people’s health. However, the question how neighborhoods and municipalities promote or hinder volunteer participation remains under-explored. Data for the research are derived from the Belgian Aging Studies. We estimate logistic multilevel models for older individuals’ engagement in volunteering across 141 municipalities in Belgium (N = 67,144). Analysis shows that neighborhood connectedness, neighborhood satisfaction, home ownership, and presence of services predict voluntary engagement at older ages. The findings support that perceptions and quality of social resources that relate to neighborhoods may be important factors to explain volunteering among older adults. Moreover, the findings suggest that volunteering in later life must be considered within a broader framework.

Limitations in Activities of Daily Living in Community-Dwelling People Aged 75 and Over: A Systematic Literature Review of Risk and Protective Factors

Background Most older people wish to age in place, for which functional status or being able to perform activities of daily living (ADLs) is an important precondition. However, along with the substantial growth of the (oldest) old, the number of people who develop limitations in ADLs or have functional decline dramatically increases in this part of the population. Therefore, it is important to gain insight into factors that can contribute to developing intervention strategies at older ages. As a first step, this systematic review was conducted to identify risk and protective factors as predictors for developing limitations in ADLs in community-dwelling people aged 75 and over. Methods Four electronic databases (CINAHL (EBSCO), EMBASE, PsycINFO and PubMed) were searched systematically for potentially relevant studies published between January 1998 and March 2016. Results After a careful selection process, 6,910 studies were identified and 25 were included. By far most factors were examined in one study only, and most were considered risk factors. Several factors do not seem to be able to predict the development of limitations in ADLs in people aged 75 years and over, and for some factors ambiguous associations were found. The following risk factors were found in at least two studies: higher age, female gender, diabetes, hypertension, and stroke. A high level of physical activity and being married were protective in multiple studies. Notwithstanding the fact that research in people aged 65 years and over is more extensive, risk and protective factors seem to differ between the ‘younger’ and ‘older’ olds. Conclusion Only a few risk and protective factors in community-dwelling people aged 75 years and over have been analysed in multiple studies. However, the identified factors could serve both detection and prevention purposes, and implications for future research are given as well.

Is volunteering in later life impeded or stimulated by other activities

Purpose: Volunteering among older adults has received increasing attention from researchers, policy makers, and associations. However, there remains a lack of knowledge in how volunteering is impacted by other activities in the lives of older adults. In order to understand activity engagement in later life, insights into the extent to which activities compete with or complement each other are necessary. Methods: Data for the present research were derived from the Belgian Aging Studies (N = 23,768). The main objective is to uncover the activities that impede or stimulate actual volunteering and/or the likeliness to volunteer at an older age. Results: Structural equation models indicate a strong positive correlation between altruistic types of activities and actual volunteering. Furthermore, older adults active in personal leisure activities are more drawn to be potential volunteers. Implications: The article demonstrates that the activity level of older people is not sufficient to understand volunteering, that is, a distinction between the types of activities is essential.

Older adults' transportation walking: a cross-sectional study on the cumulative influence of physical environmental factors

BackgroundThe physical environment may play a crucial role in promoting older adults’ walking for transportation. However, previous studies on relationships between the physical environment and older adults’ physical activity behaviors have reported inconsistent findings. A possible explanation for these inconsistencies is the focus upon studying environmental factors separately rather than simultaneously. The current study aimed to investigate the cumulative influence of perceived favorable environmental factors on older adults’ walking for transportation. Additionally, the moderating effect of perceived distance to destinations on this relationship was studied.MethodsThe sample was comprised of 50,685 non-institutionalized older adults residing in Flanders (Belgium). Cross-sectional data on demographics, environmental perceptions and frequency of walking for transportation were collected by self-administered questionnaires in the period 2004-2010. Perceived distance to destinations was categorized into short, medium, and large distance to destinations. An environmental index (=a sum of favorable environmental factors, ranging from 0 to 7) was constructed to investigate the cumulative influence of favorable environmental factors. Multilevel logistic regression analyses were applied to predict probabilities of daily walking for transportation.ResultsFor short distance to destinations, probability of daily walking for transportation was significantly higher when seven compared to three, four or five favorable environmental factors were present. For medium distance to destinations, probabilities significantly increased for an increase from zero to four favorable environmental factors. For large distance to destinations, no relationship between the environmental index and walking for transportation was observed.ConclusionsOur findings suggest that the presence of multiple favorable environmental factors can motivate older adults to walk medium distances to facilities. Future research should focus upon the relationship between older adults’ physical activity and multiple environmental factors simultaneously instead of separately.