Locked down by inequality: Older people and the COVID-19 pandemic

Urban Stud. 2023 Jun;60(8):1465-1482. doi: 10.1177/00420980211041018. Epub 2021 Sep 6.

Abstract

This paper develops the argument that post-COVID-19 recovery strategies need to focus on building back fairer cities and communities, and that this requires a strong embedding of 'age-friendly' principles to support marginalised groups of older people, especially those living in deprived urban neighbourhoods, trapped in poor quality housing. It shows that older people living in such areas are likely to experience a 'double lockdown' as a result of restrictions imposed by social distancing combined with the intensification of social and spatial inequalities. This argument is presented as follows: first, the paper examines the disproportionate impact of COVID-19 on older people, highlighting how the pandemic is both creating new and reinforcing existing inequalities in ageing along the lines of gender, class, ethnicity, race, ability and sexuality. Second, the paper explores the role of spatial inequalities in the context of COVID-19, highlighting how the pandemic is having a disproportionate impact on deprived urban areas already affected by cuts to public services, the loss of social infrastructure and pressures on the voluntary sector. Finally, the paper examines how interrelated social inequalities at both the individual and spatial level are affecting the lives of older people living in deprived urban neighbourhoods during the pandemic. The paper concludes by developing six principles for 'age-friendly' community recovery planning aimed at maintaining and improving the quality of life and wellbeing of older residents in the post-pandemic city.

本文提出了这样一种观点,即后疫情时代的经济复苏战略需要侧重于建设更公平的城市和社区,而这又需要大力贯彻“关爱老年人”的原则,支持边缘化的老年人群体,特别是那些生活在贫困的城市社区、受困于劣质住房的老年人。我们表明,由于保持人际距离的要求以及社会和空间不平等的加剧,生活在这些地区的老年人可能会经历“双重封锁”。我们的论证如下:首先,本文探讨了新冠肺炎对老年人不成比例的影响,强调疫情如何在性别、阶级、族裔、种族、能力和性方面造成新的老龄化不平等、并加剧现有的老龄化不平等。其次,本文探讨空间不平等在新冠肺炎背景下的影响,强调疫情如何对贫困城市地区产生不成比例的影响,这些地区原本就已经受到了公共服务削减、社会基础设施损失和对志愿者服务部门的压力的影响。最后,本文探讨在疫情期间,个人和空间层面的社会不平等(两者相互交织)如何影响生活在贫困城市社区的老年人的生活。本文最后提出了“关爱老年人”的社区恢复规划的六项原则,这些原则旨在维持和改善后疫情时代城市老年居民的生活质量和福祉。.

Keywords: COVID-19; age-friendly cities; ageing populations; austerity; deprived neighbourhoods; older people; social exclusion; social inequality.