Mobility is a key aspect of active ageing enabling participation and autonomy into later life. Remaining active brings multiple physical but also social benefits leading to higher levels of well-being. With globally increasing levels of urbanisation alongside demographic shifts meaning in many parts of the world this urban population will be older people, the challenge is how cities should evolve to enable so-called active ageing. This paper reports on a co-design study with 117 participants investigating the interaction of existing urban spaces and infrastructure on mobility and well-being for older residents (aged 55 + years) in three cities. A mixed method approach was trialled to identify locations beneficial to subjective well-being and participant-led solutions to urban mobility challenges. Spatial analysis was used to identify key underlying factors in locations and infrastructure that promoted or compromised mobility and well-being for participants. Co-designed solutions were assessed for acceptability or co-benefits amongst a wider cross-section of urban residents (n = 233) using online and face-to-face surveys in each conurbation. Our analysis identified three critical intersecting and interacting thematic problems for urban mobility amongst older people: The quality of physical infrastructure; issues around the delivery, governance and quality of urban systems and services; and the attitudes and behaviors of individuals that older people encounter. This identified complexity reinforces the need for policy responses that may not necessarily involve design or retrofit measures, but instead might challenge perceptions and behaviors of use and access to urban space. Our co-design results further highlight that solutions need to move beyond the generic and placeless, instead embedding specific locally relevant solutions in inherently geographical spaces, populations and processes to ensure they relate to the intricacies of place.Electronic supplementary materialThe online version of this article (10.1007/s11524-018-0232-z) contains supplementary material, which is available to authorized users.
The recent turn towards evidence-based or evidence-informed policy making has generated interest in systematic literature review techniques. Systematic reviewing is increasingly being adopted to address questions in complex social policy areas, but the methodological development lags behind. Drawing on the experience of undertaking three systematic reviews of housing related topics, as part of a project designed to empirically test the transfer of systematic review methods to social policy and social care, this paper reflects on the use of the systematic review methods in housing research and considers how our experience accords with recent methodological development of reviewing in other areas. The paper first examines wider methodological developments occurring during the course of the three-year project, before considering changing review practices in housing studies. It then goes on to examine the key methodological challenges that remain unresolved, in particular: searching for literature, quality appraising studies, interpreting old research against shifting contextual factors, and providing an actual synthesis of diverse material. It calls for a more thoughtful approach to the method and more careful consideration of when systematic reviews may be appropriate.
There is limited evidence that explicitly considers the relationship between fuel poverty and disabled people. Additionally, within English policy, disabled people are treated as a single group with homogenous needs, despite both highly varied needs and eligibility for fuel poverty or welfare support. Given this gap in knowledge the paper investigates the relationship between fuel poverty and disabled people in the context of policy change. The paper reports research on: the extent of fuel poverty among households containing disabled people; the relationship between tenure, disability and fuel poverty; and the relationship between fuel poverty policy support and disabled people.
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