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Age-Friendly Cities in Latin America: A Human Ecological Framework
Jonathan R Guillemot1,2, Mildred E Warner3,4
1Escuela de Medicina, Colegio de Ciencias de la Salud, Universidad San Francisco de Quito USFQ, Campus Cumbayá and Hospital de Los Valles, Quito 170901, Ecuador.
Geriatrics (Basel, Switzerland)
|May 23, 2023
Summary
Latin America
Area of Science:
- Urban Planning
- Gerontology
- Public Health
Background:
- Latin America faces demographic aging, yet adoption of the World Health Organization's (WHO) Age-Friendly Cities Framework is low.
- Existing frameworks may not fully address the unique socio-cultural and policy contexts of the Global South.
- Chile, Mexico, and Brazil are exceptions with higher adoption rates.
Purpose of the Study:
- To propose a human ecological framework to enhance the applicability of age-friendly city initiatives in Latin America.
- To identify limitations in the current WHO framework for the region.
- To integrate macro (policy) and micro (family support) levels alongside the WHO's meso-level focus.
Main Methods:
- Analysis of the WHO's Age-Friendly Cities Framework domains.
- Application of a human ecological perspective (macro, meso, micro levels).
- Comparative consideration of UNICEF's Child-Friendly Cities Initiative for insights into Global South contexts.
Main Results:
- The WHO framework's meso-level focus (built environment, services, participation) is insufficient for Latin America.
- Macro-level policy (migration, demography, social policy) and micro-level support (family, informal care) require greater attention.
- Potential design bias in the WHO framework, possibly oriented towards Global North settings.
Conclusions:
- A human ecological approach is crucial for adapting age-friendly city concepts to Latin America.
- Integrating macro and micro perspectives alongside meso-level interventions is necessary for effective implementation.
- The UNICEF Child-Friendly Cities Initiative offers valuable insights for a more inclusive framework.
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