专题报道
摘 要两年来，香港城市设计学会一直致力研究和评估香港城市环境是否适合城市中的老年人，同时，通过行动来干预和提升城市空间环境，以满足老龄化人口的基本需求。
关键词乐享退休生活；体验；同理心；障碍；启示
介 绍
伴随中国推行独生子女政策，全球城市化趋势加剧了发达经济体人口老龄化导致的人口结构转变（图1）。为老年人提供适当的城市关怀已成为迫在眉睫的挑战，但到目前为止的重点主要是为老年人提供充足的居住场所。而近期经常被提及的“居家安老”模式以及必要的“社区式关怀”在一定程度上弥补了公共医疗支持的不足。这实际上已将更广泛的城市公共领域定位为向老年人提供帮助的关键部分。
警示信号
近年来，香港城市设计学会越来越意识到城市环境在满足老年人口需求方面所面临的严峻问题。2017年初，政府统计出2016年中期人口统计的官方结果显示，人口的年龄中位数由10年前的39.6岁增加至43.4岁，这引起了严峻的警示。65岁或65岁以上人口的比例从2006年的12%增高至16%。1986年，这一数字仅为8%。社会老龄化是一个渐进的过程，很容易被人忽视，然而如果我们现在再向前看20年，这种差异就会变得非常明显，香港65岁以上的人口数量已达到香港人口的31.1%。
考虑到城市环境在城市普遍使用及环境健康方面不理想的情况，学会决定将注意力集中在现有人口老龄化的城市范围内。学会优先考虑那些致力于思考和投入面向未来发展的公共或私人开发项目。我们构思了一种三管齐下的方法，首先进行的研究被作为2018年2018 HKIUD大会“乐享退休生活行动—为全民城市设计”的讨论重点。会后明确了行动计划和目标、启动了一个试点项目，公布关键的城市设计要素，使老龄人口保持活力、健康和参与，从而继续为社会、社区做出贡献并减少护理负担（图2—图10）。
学会继续探索我们的城市如何更具包容性的物质和社会问题，以及为什么更好的城市设计对于加强我们社区的文化联系至关重要，特别是人口老龄化问题，包括步行、有活力生活环境、运输方式、社会参与、医疗保健和综合用途发展。积极的老龄化研究有以下目标。
第一，概述优秀具有包容性的城市设计应具备的关键的“软件”“硬件”，例如从政策、步行性、住房等角度来看。
第二，探索如何将来自世界各地的创新项目的最佳实践研究案例应用于我们的城市。
第三，明确在具体政策和城市设计方面什么可以有效地为香港的老年人服务。
第四，影响政府如何规划城市以适应人口快速老龄化的增长。
第五，突出业内专业人士将面临的机遇和挑战。
左小龙蹲趴在地上，依靠着被调到最暗的橘黄色路的微光，摸索着把散落周围的引擎部件一片一片拾了起来，满手都是机油，然后让泥巴跑到远处的店里要了一个塑料袋，他将这些残缺的发动机瓦，活塞，曲轴，连杆等东西放进了塑料袋里。但因为金属部件周围都是棱角，塑料袋一下就穿了，这些东西又散落在了地上。泥巴说：“算了。”
图 1 / Figure 1
2016年中期人口统计图 / 2016 Population By-census-Graphic Guide
来源：作者提供 / Source：Provide by the author
图 2 / Figure 2
2018 HKIUD 研讨会（2）/ HKIUD Conference 2018 (2)
来源：作者提供 / Source：Provide by the author
得到一些事实
“香港城市环境中的老龄化人口—体验工作坊”最初于2008年3月举行，是由香港生命科技大学、P＆T集团及香港圣公会福利会（SKHWC）联合举办的一项重要的会前研究活动。工作坊得到约40名目标参与者的支持，包括伯纳黛特·林（Bernadette Linn）女士（规划及土地发展局常任秘书长），托尼·谢（Tony Tse）先生（建筑、测量、规划及景观立法会议员），西尔维娅·林（Sylvia Lam）女士（建筑署署长），雷蒙德·李（Raymond Lee）先生（规划署署长），爱丽丝·万（Alice Wan）女士（南区健康及安全协会有限公司董事会成员）及苏珊·黄（Susanne Wong）女士（中环区民政事务专员）。参与者能够试穿香港历耆者（Eldpathy—empathy for elderly) HK提供的“老年模拟服装”，该组织鼓励通过体验项目参与老年慈善事业。该设备是台湾自行车与健康技术产业研发中心（CHC）的专利发明，由医生、护士、生理学家和社会工作者等专业人士开发，包括一些特殊设计的障碍，如重物、支架、松紧带、束带和一副模糊的眼镜，让参与者感受到老年人如何弯曲身体，掌握老年人的身体经验。在志愿者的协助下，参加者在西区参与多项典型的户外日常生活老人活动，例如参观西区长者社区中心，在公园内试用社区设施和老人健身器材，最终经历了老年人面临的不同的现实生活困境。
术后随访6个月～4年，其中1例双侧声带乳头状瘤患者分别于术后3个月、10个月复发，再次给于CO2切除，其中一例未复发，1例复发并癌变，行额侧喉部分切除。其余17例治愈。其中2例发生声带前部粘连。所有患者术后均未出现呼吸困难、出血等并发症发生。
开展这项研究的一个关键部分是建立一个数据集（表1—表7），可以重点就老年城市活动的主要障碍和启示得到收集和呈现。在佩戴老年人模拟服装之前，工作坊对参与者开展了一项在线调查，并在体验之后衡量其对当前身体的状况与他们未来可能的情况之间的感知变化。参与者不仅要了解他们的身体状况在未来几年会如何变化，并认识到与此相关的困难，他们也能够更好地理解社区中的老年人。几乎每个人都有需要照顾的老人家庭或朋友，为这项活动带来了非常个体化的相关性和观点。
第二次工作坊随后于2018年9月举办，参与者由来自香港中文大学、清华大学和斯坦福大学的学生组成，旨在教育明天的城市设计师，同时从对比鲜明的年轻体验者中收集更多数据。目前在这里分享的数据基于第一次和第二次体验工作坊期间进行的调查以及Facebook正在进行的在线调查。在线调查作为一个控制组，代表公众中那些没有体验过模拟服装的人的看法。
那么，香港的城市设计如何更具包容性，使老年人能够保持活力、独立并保持健康更长时间，从而乐享退休生活？设计师和政策制定者是否完全了解老年人面临的困难？
图 3 / Figure 3
HKIUD会议安排的体验活动/HKIUD-Actions for Active Ageing
来源：作者提供 / Source：Provide by the author
正式地说，我们需要更多的厕所
这个调查概述了改善城市环境所需的一系列重要问题，其中许多问题对于大多数人来说都是简单而明显的。例如，所有3个小组都认为保持积极乐观，更健康、自由、有能力出行”是老年人“心情愉快和健康”的关键议题。
A second workshop was subsequently held in September 2018 with participants comprised of students from Chinese University Hong Kong,Tsinghua University and Stanford University as a means to both educate tomorrow’s urban designers and at the same time collect further data from a contrasting and youthful user group. The data cur-rently shared here is based on the surveys undertaken during the First and Second Experiential workshops as well as that from the ongoing online survey on Facebook which acts as a control group representing the public perception of those who have not had the benefit of having experienced the simulation suit.
当我们面对“我们的城市环境如何支持积极健康乐颐年”这个问题时，可以在公众普遍认知与积极参加模拟服装的人的观点之间找出明显的差异。虽然第一和第二次体验工作坊的“体验者”和“学生”都表现出了一致的结果，大约三分之二的人认为环境“并不是他们想的那样”适合积极健康乐颐年，但未参加的公众提供了更为积极的观点，几乎有一半认为环境可以接受。第一次工作坊参与者在参加体验工作坊之前进行的调查结果为此提供了支持。因此，对老年人问题认识不正确的观点一直存在。
调查的第三个方面试图确定何种因素可以促进营造老年人友好型城市环境、舒适的步行环境，实现便利的交通连接。无障碍设施的可达性、休息区的设置也是各组突出强调的部分。该研究确定了塑造老年友好型城市环境的关键因素，将其分为4个子集：第一，安全；第二，体能支援；第三，认知能力；第四，福祉。
现任天津长荣科技集团股份有限公司常务副总裁的蔡连成，是一位印刷行业老将，虽为新加坡籍，却深耕中国市场多年，对于市场变化、走势，行业大小事，如数家珍、见解独到，如今又带领长荣股份，开拓国际市场。他身上所流露的爱拼才会赢的精神，以及老将风范，让我们这些后生晚辈不由得心生敬意。在长达两个小时的采访中，他认真又不失风趣地回答我们的每一个提问，就像是一位身经百战的老将在带领新兵驰骋疆场。那一刻，“印刷战场”的发展现状及未来前景似乎变得一览无遗，长荣股份的国际化战略规划与路径也悉数展现在我们眼前……
在认知和驾驭城市环境的能力方面，第一次工作坊小组的经验是深刻的。在进行了体验式工作坊之后，大家发现“难以找到新的场所”的数量显著增加，这对于老年人积极参与不熟悉的活动环境或被要求进入不熟悉的地点构成了很强的阻碍。在一天结束时，老年人可以保持与社区的联系，并能够在维护良好的基础设施中活动，这是他们在城市环境中最乐于见到的事情。
Participants were able to “gear up” with an“elderly simulation suit” provided by Eldpathy HK, an organisation that encourages participation in elderly philanthropy through experiential programmes. The suit, which is a patented invention of the Cycling & Health Technology Industry R& D Center (CHC) in Taiwan has been developed by professionals including doctors, nurses, physiologists, and social workers. It consists of several specially designed impediments such as weights,braces, elastic band restraints and a pair of blurry eyeglasses, which allows participants to feel how the aged bend their bodies and grasp the physical experiences of an elderly person. With the assistance of volunteers, participants were engaged in a number of typical outdoor daily life elderly activities in Western District, for example, visiting Western District Elderly Community Centre,trying out to the community facilities andfitness equipment for the elderly in a park, and eventually experiencing different real-life hardships faced by the elderly.
这些真的重要吗？
A key part of undertaking the research was to build up a data set that could highlight priorities in terms of identifying the key barriers and affordances to elderly urban activity. An online survey was developed which was undertaken by the workshop participants both before wearing the elderly simulation suit and following the exercise, the object being to gauge any change in perception between undertaking tasks in their current physical state compared with that of what they might expect in years going forward. Not only do participants get to understand how their physical condition will deteriorate in future years and recognise the difficulties associated with that, they are also able to better empathise with seniors in the community.Nearly everyone has elderly family or friends that need to be looked after, bringing a very personal relevance and perspective to the exercise.
世界卫生组织于2007年提出建议，对建筑环境进行更好的设计，创建适合老年人居住的城市，支持公众健康进入老年。公共卫生是一项需要跨所有部门、所有环境开展工作的工作，城市领域的投资作为公共卫生设施，与密集的纠正性公共医疗成本相比，其成本极低，效益却很高。然而，要全面衡量和见证高质素的城市设计供应及其经常维修费用对社会的投资回报，需要很长时间。香港城市设计学会希望能够使用收集到的数据来说服政策制定者及相关机构,可达性好,保持活力的城市设计策略可以被积累被并应用在普遍的城市环境中,而不仅仅在社区中提供多种多样的适老化设施。政府希望继续让年轻一代和长者参与有关乐享退休生活的公共决策。
二是抓好研究选题。重点围绕保障水安全、水利现代化、水生态文明建设等战略问题，水资源管理、水利工程建设和管理、水利投入、水权水价水市场等体制机制问题，水利法制建设、水行政管理改革、水利行业能力建设、基层水利发展等管理问题，摸清情况，理出思路，寻找对策，提出方案。
值得注意的是，以下这些都有助于我们理解老年人需要保持活跃和积极这个议题。如果人们在户外而不是在室内，他们更有可能步行。户外活动也有助于避免社交孤立以及由此带来的孤独和心理健康问题。人体还需要维生素D，阳光会影响我们的昼夜节律，影响睡眠质量。提供“虚拟和人工景观”的技术永远无法取代真实的景观。更好的步行环境是很重要的，使人感到愉快，为人遮荫降温，人们可以通过听鸟鸣、闻花香、享受天气和季节的变化来激活感官。
图 4 / Figure 4
我们现在的城市设计足够让老人享受退休生活吗？ / How well does our current urban environment support Active Aging？
来源：作者提供 / Source：Provide by the author
表 1 / Table 1
对老年人保持心情愉快及健康的调查（1）/ What do you consider the most important for the elderly to be happy and well (1)
来源：作者提供 / Source：Provide by the author
Health and Hygienic Environment 健康卫生的环境 2% 6% 10%Free od Air/Noise/Light Pollution 新鲜空气、无噪声、无污染 0% 2% 3%Easy to Navigate 轻松认路 8% 8% 6%Convenience in Transportation 便捷的交通出行 13% 13% 14%Comfortably Walkable 步行舒适 17% 17% 14%Visually Pleasant Streetscape 视觉愉悦的街景 1% 2% 2%Place and Benches for Rest 可供休息的地方和长椅 13% 13% 10%Usable Public Spaces 可用的公共空间 6% 9% 5%Public Recreational Facilities 公共娱乐设施 5% 2% 3%Safe from Hazard 远离危险 6% 10% 5%Safe from Crime 远离犯罪行为 0% 2% 4%Amenities such as Drinking Fountains，Toilets 便利设施，如饮水机、厕所 9% 6% 5%Weather Protection 天气防护 5% 4% 2%Barrier-Free 无障碍设施 10% 11% 10%What do you Consider the Most Important for the Elderly to be Happy and Well/老年人保持心情愉快及健康的调查1项/item 1 2facebook Health and Hygienic Environment 健康卫生的环境 2% 6% 10%Free od Air/Noise/Light Pollution 新鲜空气、无噪声、无污染 0% 2% 3%Easy to Navigate 轻松认路 8% 8% 6%Convenience in Transportation 便捷的交通出行 13% 13% 14%Comfortably Walkable 步行舒适 17% 17% 14%Visually Pleasant Streetscape 视觉愉悦的街景 1% 2% 2%Place and Benches for Rest 可供休息的地方和长椅 13% 13% 10%Usable Public Spaces 可用的公共空间 6% 9% 5%Public Recreational Facilities 公共娱乐设施 5% 2% 3%Safe from Hazard 远离危险 6% 10% 5%Safe from Crime 远离犯罪行为 0% 2% 4%Amenities such as Drinking Fountains，Toilets 便利设施，如饮水机、厕所 9% 6% 5%Weather Protection 天气防护 5% 4% 2%Barrier-Free 无障碍设施 10% 11% 10%
表 2 / Table 2
对长者保持心情愉快及健康的调查（2） / What do you consider the most important for the elderly to be happy and well (2)
来源：作者提供 / Source：Provide by the author
What do you Consider the Most Important for the Elderly to be Happy and Well/老年人保持心情愉快及健康的调查2项/item 1 2 facebook Connected with People they Care About 与自己关心的人保持联络 20% 23% 20%Staying Active for Better Health，Freedom and Ability to Go Places保持健康活跃及良好的活动能力 25% 28% 28%Living Close to Eateries/Shops/Recreational Facilities with Necessary Amenities 1 2facebook Connected with People they Care About 与自己关心的人保持联络 20% 23% 20%Staying Active for Better Health，Freedom and Ability to Go Places保持健康活跃及良好的活动能力 25% 28% 28%住所临近餐厅店铺，能享受康乐及所需设施并获得协助 21% 21% 15%Being Part of the Local Community/Engaged in Social Circles 融入当地社区及维持社交圈子 19% 19% 18%Living Close to Eateries/Shops/Recreational Facilities with Necessary Amenities住所临近餐厅店铺，能享受康乐及所需设施并获得协助 21% 21% 15%Being Part of the Local Community/Engaged in Social Circles 融入当地社区及维持社交圈子 19% 19% 18%
Cities notfit for the ageing populations
Barry Wilson
Introduction
Along with the one child policy of China, the demographic shift caused by ageing populations in developed economies has been exacerbated by the global trend to urbanisation. The challenge of providing adequate urban elderly care has become pressing, yet the focus up to now has primarily been on providing adequate elderly residential facilities, whereas the frequently presented preference for cageing in place” coupled with a clear necessity for increased “care in the community”that addresses the shortfall in public healthcare support, has in fact positioned the wider urban public realm as the critical battleground for support of the aged.
The Warning Signs
In recent years the Hong Kong Institute of Urban Design has become increasingly aware of the severe problems facing the urban environment in meeting the needs of the ageing population. This was brought to a stark warning in early 2017 when the government results of the Census and Statistics Department’s 2016 by-census, showed that the median age of the population had increased to 43.4 years, from 39.6 ten years previous. The proportion aged 65 or older had increased from 12 percent of the population in 2006 to a new high of 16 per cent. In 1986 thefigure was just 8 percent.The ageing of society is a very gradual process,which makes it hard to notice, however if we now look forward just another 20 years, the difference becomes critically apparent, with the number of people aged over 65 having gone up to a massive 31.1 per cent of Hong Kong’s population.
Already concerned about the poor urban environment found in terms of universal access and environmental health within the city, the Institute decided to focus its attention to evaluation of the urban realm in the eyes of its existing ageing population in an effort to prioritise both thinking and funding towards what would be needed to start to better futureproof both public and private capital works projects. A three-pronged approach was con-ceived in whichfirstly research would be undertaken that would be available as a focus for discussion at the 2018 HKIUD Conference “Actions for Active Ageing – Urban Design for All”. Thefinal post conference stage would reach clear actions and objectives in terms of kickstarting a pilot project addressing the key urban design factors that would enable an ageing population to remain active, healthy and engaged, thereby continuing to contribute society, the community and reduce burdens of care.
图 5 / Figure 5
选出城市里最危险的5个场地/Which are the Top 5 Hazards in the Urban Environment？
来源：作者提供 / Source：Provide by the author
表 3 / Table 3
总体原则（一）：安全 / Over=Arching Principle1-Safety
来源：作者提供 / Source：Provide by the author
1 2 facebook Steps/Uneven Surface 台阶、不平的马路 16% 15% 16%Road Crossing 穿越马路 16% 12% 12%Slippery Surface 路面湿滑 12% 10% 15%Narrow Pavement 过窄的人行道 14% 11% 8%Streep Roads 陡峭的路面 16% 13% 8%Vehicles in Motion/Parked 车辆行驶、停放 4% 9% 10%Obstacles 障碍物 13% 11% 9%Dim Lighting 灯光昏暗 4% 7% 6%Storage of Objects 物品的存放 4% 7% 4%Health Hazards/Pollution 健康危害、污染 0% 3% 7%Threat to Personal Safety 个人安全威胁 0% 2% 2%1 2facebook Steps/Uneven Surface 台阶、不平的马路 16% 15% 16%Road Crossing 穿越马路 16% 12% 12%Slippery Surface 路面湿滑 12% 10% 15%Narrow Pavement 过窄的人行道 14% 11% 8%Streep Roads 陡峭的路面 16% 13% 8%Vehicles in Motion/Parked 车辆行驶、停放 4% 9% 10%Obstacles 障碍物 13% 11% 9%Dim Lighting 灯光昏暗 4% 7% 6%Storage of Objects 物品的存放 4% 7% 4%Health Hazards/Pollution 健康危害、污染 0% 3% 7%Threat to Personal Safety 个人安全威胁 0% 2% 2%Over=Arching Principe1-Safety/总体原则（一）-安全项/item Over=Arching Principe1-Safety/总体原则（一）-安全项/item
表 4 / Table 4
最能提升外出安全的选项 / the Most Helpful in Enhancing Safety
来源：作者提供 / Source：Provide by the author
1 2 facebook Wider Pavements 更为宽阔的人行道 29% 31% 27%Handrails 扶手 29%30%28%Streetlights 路灯 6% 12% 16%Less Streetside Parking 减少路边停车 13% 5% 8%Purpose-built Utility Store/Refuse Points 专门建造的公用设施/垃圾收集点 0% 5% 3%Avoid Unused Public Spaces 避免未使用的公共空间 13% 10% 9%Warning Signs 警告标志 6% 8% 8%1 2facebook Wider Pavements 更为宽阔的人行道 29% 31% 27%Handrails 扶手 29%30%28%Streetlights 路灯 6% 12% 16%Less Streetside Parking 减少路边停车 13% 5% 8%Purpose-built Utility Store/Refuse Points 专门建造的公用设施/垃圾收集点 0% 5% 3%Avoid Unused Public Spaces 避免未使用的公共空间 13% 10% 9%Warning Signs 警告标志 6% 8% 8%the Most Helpful in Enhancing Safety/最能提升外出安全项/item
The Institute continues to explore both the physical and social issues of how our cities can be more inclusive and why better urban design is essential in reinforcing the cultural ties in our communities,especially with an ageing population, including ideas of walkability, active living environment,transport modes, social participation, healthcare and mixed-use development. Through its active ageing research, it contains the following aims.
First, outline the key aspects of the different “software” and “hardware” sides to excellent and inclusive urban design – e.g. from policy, walkability,housing, etc. perspectives.
Second, how best-practice case studies from innovative projects all over the world can be applied to our city.
Third, identify what will be needed, in specific policy and urban design terms, to effectively serve the ageing population in Hong Kong.
Fourth, how the government plans for the city to adapt to the rapidly ageing population growth.Fifth, the opportunities and challenges professionals in the industry will face going forward.
Getting Some Facts
“Ageing in the Hong Kong Urban Environment -An Experiential Workshop” was initially held in March 2018 as a major pre-conference research event jointly organised by HKIUD, P&T Group and Hong Kong Sheng Kung Hui Welfare Council(SKHWC). The workshop received support from approximately 40 targeted participants, including Ms. Bernadette Linn (Permanent Secretary for Development - Planning & Lands), Mr. Tony Tse(Member of the Legislative Council for Architectural, Surveying, Planning and Landscape), Mrs.Sylvia Lam (Director of Architectural Services Department), Mr. Raymond Lee ( Director of Plan-ning Department), Ms. Alice Wan (Member of the Board of Directors, Southern District Healthy &Safe Association Limited) and Mrs. Susanne Wong(District Officer of Central and Western).
图 6 / Figure 6
什么是老年人体能上最大的挑战？ / What are the Most Prominent Physical Challenges for the Elderly
来源：作者提供 / Source：Provide by the author
表 5 / Table 5
总体原则（二）：体能支援 / Over=Arching Principle2-Physical Support
来源：作者提供 / Source：Provide by the author
1 2facebook Step/Level Change 台阶变化 16% 16% 13%Need for Toilets 对于厕所的需求 18% 7% 15%No Seats along Pavement 人行道旁没有座椅 17% 17% 10%Deteriorating Vision 视力下降 13% 19% 14%Long Walking Distance 较长的步行距离 16% 14% 15%Steep Inclines 陡峭的斜坡 12% 11% 11%Exposure to Weather 风吹日晒 5% 9% 12%Impaired Hearing 听力障碍 1% 6% 7%Pollution 污染 0%1%3%项/item 1 2facebook Step/Level Change 台阶变化 16% 16% 13%Need for Toilets 对于厕所的需求 18% 7% 15%No Seats along Pavement 人行道旁没有座椅 17% 17% 10%Deteriorating Vision 视力下降 13% 19% 14%Long Walking Distance 较长的步行距离 16% 14% 15%Steep Inclines 陡峭的斜坡 12% 11% 11%Exposure to Weather 风吹日晒 5% 9% 12%Impaired Hearing 听力障碍 1% 6% 7%Pollution 污染 0%1%3%Over=Arching Principe2-Physical Support/总体原则（二）-体能支援项/item Over=Arching Principe2-Physical Support/总体原则（二）-体能支援
表 6 / Table 6
最需设立的老年人辅助设施 / the Most needed Supportive Facilitiesll
来源：作者提供 / Source：Provide by the author
1 2 facebook Means to Negotiate Slopes 通过斜坡的工具 17% 17% 19%More Handrails along Sidewalks 步道旁增设扶手 11% 14% 15%Benches for Rest at Regular Intervals 充足的休憩座椅 28% 20% 24%Access to Safe，Elderly-friendly Toilets 安全、老年人友好的厕所 24% 11% 20%Readable Sighs at Appropriate Height 高度适当的可读标志 6% 15% 2%Ways to Minimize Travel Between Destinations 缩减出行距离 8% 18% 9%Covered Walkways and Linkages 遮阳的行人道和连接通道 2% 5% 10%the Most needed Supportive Facilities/最需设立的老年人辅助设施项/item 1 2facebook Means to Negotiate Slopes 通过斜坡的工具 17% 17% 19%More Handrails along Sidewalks 步道旁增设扶手 11% 14% 15%Benches for Rest at Regular Intervals 充足的休憩座椅 28% 20% 24%Access to Safe，Elderly-friendly Toilets 安全、老年人友好的厕所 24% 11% 20%Readable Sighs at Appropriate Height 高度适当的可读标志 6% 15% 2%Ways to Minimize Travel Between Destinations 缩减出行距离 8% 18% 9%Covered Walkways and Linkages 遮阳的行人道和连接通道 2% 5% 10%
图3(b)1951—2017年为沪宁杭月均降水对比。其中，杭州和上海降水最多的月份为6月，南京为7月。其成因应与夏季风的推移有关。南京纬度高，进入雨区比杭州和上海晚。上海8月也出现一个降水高峰，推测主要是受夏季风回移的影响。杭州与之相比，在8月的降水峰值不明显。7-9月杭州的降水量基本稳定。而南京则只有7月一个高峰值，此前降水量逐月增多，此后逐月递减。月降水量的最高峰值杭州>南京>上海。三地月降水量最低的月份均为12月，属于夏季多雨、冬季少雨的类型，同样是亚热带季风气候的生动体现。
随着许多发达国家走向人口老龄化的阶段，使城市更加适合社会各年龄段的需要变得至关重要。实现积极健康的老年生活非常重要，优质景观区域的可达性使得老年人步行出行变得轻松愉快。不均匀的铺路、台阶，休息机会的缺乏或厕所供应不足都可能成为想要散步的老年人的障碍，这使得日光、自然环境和社交场所会是否成为老年人的负担。这是从家到目的地旅程的挑战，对决策制订起着关键作用。只要有一件事是错误的或困难的，就有可能阻止老年人走出家门，所以物理环境的设计至关重要。诸如是否在座位上放置设备以帮助上升或下降以及是否选择不会过热或过冷的材料等细节可以产生巨大的差异。
（1）假定制造商、零售商、物流服务集成商以及物流服务提供商均为风险中性且完全理性，各决策主体之间信息对称，均以追求各自利润最大化为目标。
作为临床心内科常见的一种多发疾病,冠心病心绞痛主要是因为患者心肌急性缺血所造成的,以胸闷、气促和气短等为为临床表现,会对患者身心健康产生严重影响,甚至会危及他们的生命。在临床治疗的过程中,西医疗法的短期治疗疗效比较理想,但是长期治疗效果却不是非常理想。如果在临床西医治疗期间可以配合中医治疗,那么会大大提升疾病治疗疗效。本次研究结合我院所收治的84例冠心病心绞痛患者,详细地探讨了中西医结合治疗法的应用疗效,现报告如下。
So how can urban design in Hong Kong be more inclusive and enable the elderly to stay active,independent and remain healthy longer which is the overall challenge of active ageing? Do designers and policy makers have a full understanding of the difficulties faced by the elderly?
在提供安全基础设施方面，道路交叉口、狭窄的步道、障碍物的存在和坡度因素对于体验参与者而言比公众认知影响更大。同时，台阶和不平坦表面的存在是其中最大的城市安全隐患。设置更宽敞的路面同时设置适合的扶手被认为是明智的选择，而支持性设施则强调需要更多地提供厕所和座椅来避免老人不得不长途跋涉的情况。
图 7 / Figure 7
方便易懂的信息和清晰的标志？ / Easy Information Gathering and Clear Signage
来源：作者提供 / Source：Provide by the author
图 8 / Figure 8
总体原则（三）：认知部分 / Over=Arching Principle3-Cognition
来源：作者提供 / Source：Provide by the author
表7 / Table 7
总体原则（四）：福祉 / Over=Arching Principle4-Well-Beingl
来源：作者提供 / Source：Provide by the author
images/BZ_27_1440_1155_2574_1236.pngConnection with the Community和社区的联结 20%13% 13%Easily Accessible places 容易到达的场所 17%12% 13%Well Maintained Environment 维护完好的环境 18%11% 17%Suitable Furniture 适合匹配的家具 18%13% 14%Facilities for Variety of Activities 各种活动设施 13%10% 11%Lively and Uplifting Ambience 活泼、令人振奋的氛围 8%9% 8%Weather Protection 天气防护 4%14% 8%Cleanliness 干净整洁 2%8% 10%Plants and Water Feature 植物和水景 0%7% 6%Pet-Friendly Facilities 宠物友好设施 1%3% 0%
It’s Official, We Need More Toilets
The survey outlines a whole host of important issues needed for improvements in the urban environment, where many are simple and obvious to most it would seem. For instance, all three groups similarly identify “Staying Active for Better Health, Freedom and Ability to Go Places” as the most important issue for the elderly to be “happy and well”.
When the question is asked “How Well Does Our Urban Environment Support Active Ageing?”,however a distinct differential can be identified between the public general perception and the considerations of those who have actively worn the simulation suit. Whilst both the “selected”and “student” participants of thefirst and second experiential workshops showed consistent results,with roughly two thirdsfinding the environment“not really” suitable to active ageing, a much more positive perspective is provided by the general public where almost half consider the environment acceptable. This is backed up by the results of the survey undertaken by the 1st workshop participants BEFORE they undertook the experiential workshop. The suggestion exists therefore that the problems of the elderly are not properly recognized.
The third area of the survey tries to identify what makes an elderly-friendly urban environment,where a comfortable walking environment and convenient transport connections are paramount to all survey groups. The importance of having barrier free access and rest points are also highlighted consistently across groups. The study identified the key elements that shape an elderly-friendly urban environment by dividing them into four subsets.
First, safe infrastructure.
Second, supportive amenities.
Third, cognitive power.
我国最早的佛寺藏书是白马寺藏经阁藏书。东汉永平十一年（公元68年），汉明帝敕令在洛阳创建白马寺。白马寺是中国第一古刹，有中国佛教的“祖庭”和“释源”之称。仅东汉时期，在白马寺就译有和收藏佛经192部，共395卷。其中，《四十二章经》为现存中国第一部汉译佛典。
Fourth, well-being factors.
我国商标资产证券化的必要性和可行性探究........................................................................王莲峰 叶赟葆 08.54
图 9 / Figure 9
体验式工作坊（1） / Experiential Workshop（1）
来源：作者提供 / Source：Provide by the author
When it comes to the provision of safe infrastructure, factors such as road crossing, narrow footpath widths, presence of obstacles and steepness of gradients have a greater importance to the experiential groups than the public perception, whilst the presence of steps and uneven surfaces is considered the greatest urban safety hazard across all sectors.Solving such problems with wider pavements and providing handrails is clearly substantiated whilst supportive amenities highlight the need for more regular provision of toilets and seats as a means to reducing the barrier of having to walk long distances.
对于一个演员来讲，塑造良好的身体形态是非常重要的。演员可以通过运动，如慢跑、游泳来增强身体的协调性，这有助于演员在表演的时候表现得轻盈、灵活。良好的身体形态还能够使人变得自信，有助于唱歌发声，塑造一个完美的舞台形象。通过不同的身体姿态能够表现出不同的美，有的声乐演唱要表现得端庄、典雅，有的则需要表现出轻盈、灵活。通过身体姿态的变换，向观众传达出不同的情感、不同的美感，或潇洒豪放，或秀丽甜美。值得注意的是，无论作品本身要表现的情感是悲伤还是愉快，演员本身都要表现出一种庄重的气质，不能够使身体松懈，从而影响表演。
When it comes to cognition and the ability of navigating the urban environment, the experience of the 1st workshop group was profound. After undertaking the experiential workshop, a significant increase was observed in numbersfinding it “difficult tofind new places” which would constitute a strong deterrent to actively engaging in the unfamiliar, widening the activity base or being required to attend unfamiliar locations. At the end of the day, maintaining connections with the community and having easily accessible places for a wide variety of activities in well maintained and appropriate facilities is what makes the elderly most happy in the urban setting.
Does It Really Matter?
As many developed countries move towards the problems of ageing populations, making our cities more age enabled to all sectors of society becomes essential. Being active through ageing is important and accessibility to quality landscape areas in particular makes it easy and enjoyable to get out on foot. Uneven paving, steps, a lack of rest opportunities or insufficient toilet provision can all act as barriers to elderly wanting to take a walk whereas access to daylight, the natural environment and sociable places act as affordances. It’s the challenge of the journey from the home to the destination that has a key impact on decision making.Just one thing wrong or difficult can stop elderly getting out and about, so the design of the physical environment is critically important. Details such as having arms on seats to help get up or down and choosing materials that don’t get too hot or cold can make a huge difference.
2.多媒体教学有可能使教师产生懒惰情绪。使用多媒体课件上课需要教师课前搜集大量教学素材，这势必会产生更大的工作量，因此很多教师为了节省时间，往往直接从网上下载课件或者借用其他教师的课件，这将会造成教师不愿认真备课，完全依赖借鉴的课件内容的现象，容易滋生教师的懒惰情绪。
图 10 / Figure 10
“老年模拟服装”/"elderly simulation suit"
来源：作者提供 / Source：Provide by the author
In better understanding the issues of keeping active it is noteworthy that people are simply more likely to walk if they are outside rather than being indoors. Getting outside can also help to avoid social isolation and the resultant problems of loneliness and mental health. The body also needs vitamin D through sunlight and daylight can affect our circadian rhythms and impact sleep quality.Technology providing a “virtual and artificial landscape”can never replace the real thing. Better pedestrian environments, which are pleasant,shaded and can activate the senses by hearing birdsong, smelling fl owers, and enjoying the change of weather and season are important.
TA-XTplus/30型物性测定仪、HH-S4型智能数显恒温水浴锅、SGSP-02型电热恒温隔水式培养箱、DF-101S型集热式恒温加热磁力搅拌器、SW-CJ-2D型超净工作台、APV1000型均质机、WJX-A500型高速多功能粉碎机。
The WHO recommends better design of the built environment to create age-friendly cities that support public health into old age. Public health is something that needs to work across all sectors and all environments and investment in the urban realm as a public health tool is extremely low in cost and high in benefit compared to intensive corrective public medical costs. It takes a long time however to fully measure and witness the return on investment to society at large of quality urban design provision and of its recurrent maintenance cost;perhaps even decades. The Hong Kong Institute of urban Design hopes to be able to use the data collected to convince policy makers and funding bodies of the real and valuable benefits that can be accrued from well considered universal urban design environments, having identified the importance, not just of providing a variety of diverse facilities within neighbourhoods, but also supporting ease of access to them, as the key to maintaining active urban ageing. It hopes to continue to engage both young and elderly generations in public decision making on active ageing issues.
参考文献
References
[1]Census & Statistics Department, HKSAR Government. Hong Kong population projections for 2017-2066[EB/OL]. [2019-04-15]. https://www.censtatd.gov.hk/press_release/pressReleaseDetail.jsp?charsetID=1&-pressRID=4200.
[2]HKSAR Government. Census and Statistics Department for the 2016 Population By-census[EB/OL]. [2019-04-15]. https://www.bycensus2016.gov.hk/en/index.html.
[3]Ward Thompson, Catharine. 2018. An Ecology of Urban Spaces. 26 September[EB/OL]. [2019-04-15]. http://www.initiatives.com.hk/180926-an-ecology-of-urbanspaces.html.
[4]Suar D. Global age-friendly cities: A guide[J]. Indian Journal of Medical Research, 2008, 127(5): 507-509.
Cities Not Fit for the Ageing Populations
Barry Wilson Translated by YUE Yang
Abstract The Hong Kong Institute of Urban Design has spent the last two years in researching and assessing the suitability of Hong Kong’s urban environment in encouraging active urban ageing and in identifying actions and interventions that could lead to significant improvements towards meeting the basic needs of an increasing elderly population.
Keywords Active-Ageing; Experiential; Empathy; Barriers; Affordances
致谢
在2019年3月30日召开的中国建筑学会城市设计分会年会上，来自香港城市设计学会的百瑞·威尔逊先生和来自清华大学建筑学院的张悦先生等专家做了精彩的学术报告。本期专题报道栏目刊登二位专家撰写的文章。特别感谢！
Acknowledgements
At the annual meeting of the Institute of Urban Design of the Architectural Society of China held on March 30,2019, Mr. Barry Wilson from the Hong Kong Institute of Urban Design and Mr. Zhang Yue from the School of Architecture of Tsinghua University made wonderful academic reports. This special report column of the journal features articles written by two experts. Special thanks to them!
百瑞·威尔逊(香港城市设计学会）
Barry Wilson, The Hong Kong Institute of Urban Design
香港城市设计学会副会长，香港大学兼职助理教授。他的Barry Wilson Project initiative项目在过去25年里一直致力于解决香港和中国内地的城市化问题。
[译者]岳 阳（清华大学）
[Translator]YUE Yang,Tsinghua University,Beijing,China
参考文献引用格式：
百瑞·威尔逊. 不适合老龄化人口的城市[J].岳阳,译. 城市设计, 2019(3): 20-29.
Barry Wilson. Cities Not Fit for Ageing Populations [J]. 城市设计, 2019(3): 20-29.
收稿日期：2019年6月1日
Received Date: June 1, 2019
标签：老年人论文; 香港论文; 的人论文; 健康论文; 城市环境论文; 社会科学总论论文; 人口学论文; 世界各国人口调查及其研究论文; 《城市设计》2019年第3期论文; 香港城市设计学会论文; 清华大学论文;