Cities around the world are facing the challenge of adapting to an aging population. As the number of older adults continues to grow, it is essential for cities to make changes to ensure that older adults are fully included in their communities. This issue has been a topic of discussion among thought leaders, policymakers, and urban planners, who are working to address the needs of older adults with limited resources.
One organization that has gained attention for its mission to create public spaces that work well for both 8-year-olds and 80-year-olds is 8 80 Cities, based in Toronto, Canada. Their belief is that if public spaces are accessible and welcoming to individuals of all ages, they will benefit everyone. While progress has been made in this area, there is still much work to be done to support older adults who may be disenfranchised, underserved, or marginalized in their communities.
Research published in the International Journal of Environmental Research and Public Health highlights the strain that the increasing number of older adults is placing on healthcare and social welfare systems worldwide. Many older adults express a desire to age in place, but financial constraints, illness, or challenges with managing their homes can make this difficult. For example, Bruce Willis, who was diagnosed with frontotemporal dementia in 2023, required full-time care in a separate residence to ensure a supportive environment for him and his family.
While some older adults may require extensive formal services, many remain active and independent but face obstacles in navigating cities that are not designed with their needs in mind. To address this issue, cities must evolve to become more age-friendly. The World Health Organization’s Age-Friendly Cities and Communities initiative, launched in 2007, emphasizes the importance of creating physical and social environments that enable older adults to age actively and participate fully in society.
Three emerging trends are shaping the future of age-friendly cities:
1. Radical Imagination in Creative Aging: Creative aging programs that incorporate arts and culture have been shown to promote cognitive health, reduce loneliness, and foster social connections among older adults. While cities like New York have embraced these programs, there is a need for a more inclusive and culturally relevant approach to creative aging.
2. Radical Design for Longevity Cities: Designing cities with a focus on experiences, rather than just infrastructure, can promote longer, healthier lives. Initiatives such as creating swimmable urban waterways, like those in Copenhagen, can have a positive impact on residents’ well-being and community engagement.
3. Radical Concepts for Dementia Villages: Dementia villages, like the Hogeweyk in the Netherlands, offer a humane alternative to traditional memory care settings by providing a normalized environment with freedom of movement and person-centered care. While these villages are still rare in the U.S., efforts are underway to develop similar projects that prioritize autonomy and dignity for individuals living with dementia.
In conclusion, as cities grapple with the challenges of an aging population, it is crucial to focus on promoting human dignity in old age. By embracing imagination, thoughtful design, and inclusive planning, cities can create environments where people of all ages can thrive. From 8-year-olds to 80-year-olds and beyond, everyone deserves to live in a community that supports their well-being and quality of life.

