Exercise carried out by EuroHealthNet members, led by EuroHealthNet and the Dutch National Institute for Public Health and the Environment (RIVM)

Portugal - Survey respondents and Workshop participants: Caldas de Almeida, Teresa - National Institute of Health Doutor Ricardo Jorge, Head of Health Promotion Unit; Costa, Alexandra - National Institute of Health Doutor Ricardo Jorge, Senior Technical ExpertExecutive summary: recommendations for action: The COVID-19 pandemic caught the world unprepared and has changed the shape of public health – and of our lives – for the foreseeable future. A group of senior public health officials from national and regional public health agencies across Europe came together to discuss current developments, the interrelated complexities and implications for their work in the near and longterm future. This report reflects their insights into some of the most pressing societal challenges and trends for public health in the years ahead, adopting a broad definition of health which encompasses social and environmental factors. Challenges considered include the rise in social and health inequalities, the increasing pressure on health systems, and negative impacts on population mental health. They reflect both direct as well as indirect impacts of the crisis on health, such as for instance unemployment and its pathways to ill-health. Climate change and (further) environmental degradation were highlighted as key longterm challenges. The exercise also included setting out opportunities, such as the fact that public health has been put in the spotlight and is at the centre of political agendas and public mindsets. The group concluded that “building back better” from the pandemic could provide an opportunity to strengthen health promotion and disease prevention, to bring more sectors together around the topic of health, including mental health and to enable citizens to adopt healthier, more sustainable behaviours. The importance of community action and social cohesion during the pandemic also provides opportunities to boost local level initiatives and networks. Over the next months and years, actions need to be taken to tackle the challenges at the root level, cushion the impacts of crisis and mitigation measures and encourage positive developments. Public health actors and agencies continue to have a pivotal role to ensuring a resilient, inclusive and sustainable recovery from the pandemic. This foresight exercise led to a draft set of recommendations for how different actors can help bring this about. The recommendations were discussed and validated in a EuroHealthNet partnership workshop in November 2020 and reflect this exchangeAim: EuroHealthNet and its member organisations have important roles to play in the future of public health in Europe, as well as on the ground in their home countries. They monitor, analyse and act to protect and improve the health of the population. This foresight exercise aimed to understand and discuss some of the trends and challenges but also the potential opportunities that have arisen from the pandemic, to inform members’ strategies and their work. It also sought to provide input for EuroHealthNet’s strategy for the coming years and explore how the partnership can positively contribute to “building back better”. The exercise, and this report, also aims to be useful to the broader stakeholder community, working on or around public health at local, national and EU level.info:eu-repo/semantics/publishedVersio

Does aging-friendly enhance sustainability? Evidence from Hong Kong

The aging population is one of the demographic changes in the 21st century. World Health Organization defines an age-friendly city as a place that has an “inclusive and accessible urban environment that promotes active aging.” It receives considerable attention in the field of gerontology and contains important aspects of sustainable urban development. Unfortunately, there have not much research that addresses the relationship between aging-friendly and sustainability. There is a need to modify the market mechanism to achieve environmental objectives while striking a balance between social and economic considerations. This paper aims to empirically examine the integrated relationships between the dense urban environment and the social and emotional needs of the elderly in the Hong Kong context. The on-street survey was conducted in eight districts in Hong Kong to collect the opinions about aging-friendly criteria and sustainability indicators. It utilizes principal component analysis and multiple regression technique to unveil the mask of their intrinsic relationship. The empirical results suggest how the aging-friendly factors have impacted the economic, environmental, and social sustainability to a certain extent. Notably, two key findings were revealed from the empirical results. (a) “Outdoor Spaces” is consistently found not to be a planning factor that can enhance three types of sustainability, irrespective of the age groups in Hong Kong; (b) “Community Support and Health Services” is regarded as a significant factor, with the exception of economic sustainability (age group ≤60).Green Open Access added to TU Delft Institutional Repository 'You share, we take care!' - Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Housing Quality and Process Innovatio

Does retirement offer a ‘window of opportunity’ for healthy lifestyle change? Views from workers on the cusp of retirement

Objective: Improving health behaviors can delay or prevent lifestyle diseases. Previous quantitative studies suggest that interventions at retirement may be particularly effective. This study introduces the voices of older people to explore the potential of retirement as a change point. Method: This qualitative study of current and anticipated health behaviors among 55 people approaching retirement in England reports thematic analysis of semi-structured interviews. Results: Many respondents expected improved health behaviors whether from conscious changes or simply as a beneficial side effect of retiring, while a smaller group felt retirement carried inherent health risks, with a need to guard against these. Discussion: The retirement transition can potentially establish positive health behaviors, but interventions need careful targeting to maximize their benefit. Further research is required to explore how far intentions translate into practice and the barriers and facilitators to doing so