The core indicators provide an adaptable method for measuring the physical accessibility and social inclusiveness of communities and their impact on wellbeing and equity, especially for older adults. Assessing equity was seen as essential but challenging in practice. Fidelity of measurement was generally higher for the physical environment indicators than for the social environment indicators. Often the indicators were measured using a modified or an alternative definition. As a result, the majority of pilot sites reported data for each indicator using one of two possible operational definitions, though data availability varied. Pilot sites attempted to measure all indicators, covering the physical and social environment, quality of life and equity, using locally available data. The indicators were developed through research and international expert consultation, and piloted in 15 communities from 12 countries in 2014–2015. This study evaluated the process by which core indicators of Age-friendly Cities were measured in diverse contexts worldwide.
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