Assessing progress in United States age-friendly communities: are initiatives making a difference?

Background and Objectives Population aging has led to the growth of Age-Friendly Community Initiatives (AFCIs), which focus on shaping community environments to support healthy aging and aging in place. AARP (formerly named the American Association of Retired Persons) leads the national effort in th...

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Published in:Gerontologist Vol. 66; no. 7; pp. 1 - 12
Main Authors: Zhang, Xue, Warner, Mildred E
Format: Article
Published: Oxford University Press / USA Jul2026
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Jul2026
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        atl: Assessing progress in United States age-friendly communities: are initiatives making a difference?
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        au:
          Zhang, Xue
          Warner, Mildred E
        affil:
          Department of Biobehavioral Health, Penn State University, University Park, Pennsylvania, United States
          Department of City and Regional Planning and Department of Global Development, Cornell University, Ithaca, New York, United States
      su:
        United States
        American Association of Retired Persons
        Ecology
        Income
        Population density
        Communities
        Transportation
        Housing
        Active aging
        Social participation
        Research funding
        Data analysis
        Independent living
        Descriptive statistics
        Aging in place
        Statistics
        Data analysis software
        Neighborhood characteristics
        Regression analysis
      sug:
        subj:
          Ecology
          Income
          Population density
          Communities
          Transportation
          Housing
          Active aging
          Social participation
          United States
          American Association of Retired Persons
          Other Community Housing Services
          Other support activities for transportation
          All Other Support Activities for Transportation
          Research funding
          Data analysis
          Independent living
          Descriptive statistics
          Aging in place
          Statistics
          Data analysis software
          Neighborhood characteristics
          Regression analysis
      keyword:
        AARP
        Age in place
        Age-friendly network
        community
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        https://dx.doi.org/10.1093/geront/gnag114
        inLanguage:en
        livability
        neighborhood
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42179171/
        Social engagement
        transportation
        AARP
        Age in place
        Age-friendly network
        community
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        https://dx.doi.org/10.1093/geront/gnag114
        inLanguage:en
        livability
        neighborhood
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42179171/
        Social engagement
        transportation
      ab: Background and Objectives Population aging has led to the growth of Age-Friendly Community Initiatives (AFCIs), which focus on shaping community environments to support healthy aging and aging in place. AARP (formerly named the American Association of Retired Persons) leads the national effort in the United States. This study is the first to evaluate whether communities joining the AARP Network of Age-Friendly States and Communities (NAFSC) are more age-friendly than others, and whether NAFSC members made progress over time. Research Design and Methods This study used the national AARP Livability Index data in 2015 and 2024, and identified 736 NAFSC community members and 12 NAFSC state members as of 2024. Livability includes the total livability score and seven categories: housing, neighborhood, transportation, environment, health, engagement, and opportunity. Multilevel mixed-effects linear regression models with state-level random effects were estimated, controlling for community racial/ethnic composition, age structure, income, population density, and metropolitan status. Results NAFSC members had significantly higher total livability, neighborhood, transportation, and health scores than non-members in both years. NAFSC communities maintained their levels of engagement and opportunity, despite the national-level decrease in these two domains. Health lagged in communities with a higher share of older adults. Rural communities also lagged behind. Discussion and Implications Supporting an aging population requires institutional action, indicated by joining the NAFSC. Encouraging social and civic engagement is also key to improving community livability and supporting aging in place. Greater attention is needed on health, and on rural communities. The age-friendly movement has the potential to benefit both older adults and people of all ages.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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