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Ten - America Under COVID-19: The Plight of the Old
Published online by Cambridge University Press: 25 April 2023
Summary
Introduction
Older adults represent the fastest-growing population segment in the US and many other cities of the Global North (United Nations, 2019), thanks to longer life spans and advancements in medicine. But along with the longer life expectancy come also challenges. Deteriorating physical health, death of a spouse or partner, and living alone make older adults particularly vulnerable to social isolation and loneliness (Victor and Bowling, 2012; see also Volume 4, Chapter Ten). Indeed, the likelihood of living alone increases with age, and this is particularly true for women (Nies and McEwen, 2015). Social isolation often leads to deteriorating mental and physical health (Luanaigh and Lawlor, 2008), including depression, decreases in cognitive functioning, cardiovascular disease, and even mortality (Courtin and Knapp, 2015).
One aspect of counteracting and lessening social isolation is to have opportunities and neighborhood places to go to, to meet, and communicate with others (see also Chapter Eleven, this volume). Being able to walk to the neighborhood grocery store or park not only helps older adults accomplish activities of daily living (ADLs) but also facilitates their social well-being and social needs (Clarke and Gallagher, 2013). Therefore, the built environment – and in particular its public places and ‘third spaces’ – interacts with the social environment (Kweon et al, 1998) and influences older adults’ health and well-being (World Health Organization, 2015).
But the COVID-19 pandemic has been brutal for older adults. Not only has it decimated their lives, but it has also increased the fear among the living of accessing public spaces, thus furthering their social isolation. As researchers of public space and aging from New York City and Los Angeles, we have talked with a number of older adults in our cities, who have been spared from the pandemic but remain stuck at home. One of them, Rebecca, 65, lives in a low-rise building in Brooklyn. She avoids the elevator in case other people use it and takes the stairs; but when she arrives at the street, it is too crowded to safely walk to the nearby park. One early morning she ventured out to Prospect Park, but found it crowded with young people not wearing masks and just turned around and went home. Eighty-year-old Harold, who lives near Times Square, where automobile traffic has been rerouted, cannot find a place to rest because chairs have been removed to discourage gathering.
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- Volume 3: Public Space and Mobility , pp. 97 - 108Publisher: Bristol University PressPrint publication year: 2021