Scoping review of age-friendly city plans in South Korea reveals neglect of climate resilience and environmental sustainability.
A scoping review examined 31 publication records concerning interventions for environmentally sustainable and climate-resilient cities and communities within the aging population of South Korea. The primary outcome assessed the incorporation or omission of climate resilience and environmental sustainability in age-friendly interventions. The review identified that interventions for age-friendly cities and communities largely neglect environmental sustainability and climate resilience. Government-driven initiatives were noted to rely on limited indicators. The most popular age-friendly city and community domains included outdoor spaces and buildings, followed by community support and health services, and communication and information. Notably, no interventions were observed for the domain of civic participation and employment.
The review did not report data on adverse events, serious adverse events, discontinuations, or tolerability, as these outcomes were not applicable to this observational synthesis. Key limitations include the capturing of limited comprehensiveness, the predominance of government-driven interventions, and a lack of robust evidence on their effectiveness. Funding or conflicts of interest were not reported.
The practice relevance of this review underscores the need to integrate climate change considerations into the under-addressed domains of the age-friendly city framework. Given the observational nature of the evidence and the lack of robust effectiveness data, clinicians and planners should interpret these findings as highlighting gaps in current urban planning strategies rather than establishing causal links to health outcomes.