City Know-hows
Cold spells adversely impact the mental well-being of older adults, causing depression, sleep disturbances, and social isolation. This study highlights the failure of community services to address these issues, urging policymakers and healthcare providers to implement targeted mental health interventions for this vulnerable population.
Share
Target audience
Urban policymakers; Healthcare providers; Social workers
The problem
In China, people over 60 are projected to reach 28% by 2040, driven by longer life expectancy and declining fertility rates. During cold spells, older adults face heightened risks of depression, mood disturbances, and social isolation, exacerbated by the challenges of an ageing society, such as limited healthcare resources and insufficient community services. Despite the severity of these impacts, there is a notable lack of preparedness in community services and mental health support systems to address these challenges, leaving older adults without adequate coping mechanisms.
What we did and why
This study was motivated by the increasing vulnerability of ageing populations to extreme weather events, particularly in China. Our goal was to fill this gap by identifying specific challenges older adults face during cold spells and providing actionable insights for policymakers and healthcare providers to improve support systems and community resilience.
We conducted a qualitative study to explore the impact of cold spells on the mental well-being of older adults in Jinan, China, and to evaluate the preparedness of community services. Semi-structured interviews were conducted with 21 older adults aged 60 and covered topics including personal experiences during cold spells, coping strategies, and perceptions of community support.
Our study’s contribution
We discussed several key aspects, including psychological distress, physical health implications, social isolation, coping mechanisms, and gaps in community services. Our findings highlight the urgent need for targeted interventions to address the mental health and well-being of older adults during extreme weather events, with a focus on strengthening community services and resilience.
Our study addresses an important gap in understanding how cold spells affect the mental well-being of older adults living in urban areas. Key findings include:
Impacts for city policy and practice
Our findings underscore the need for immediate action to protect older adults from the mental well-being impacts of cold spells. Specifically, we call for:
Further information
Full research article:
Cold spells and mental well-being: the influence of cold spells on older adults in Jinan, China
Jifei Chen, Xiaoming Shi & Laurence L. Delina
Related posts

City residential streets offer an opportunity to give back to nature, making changes to make them a habitat for wildlife. Our study investigated the behaviour of rewilding

Evidence overwhelmingly suggests that the built environment has an impact on people’s health, particularly in terms of noncommunicable diseases such as asthma, diabetes and poor mental health. However, health is rarely prioritised in urban planning decisions at present, and earlier work by this research group has shown that senior decision-makers feel they lack the power to influence planning and policy decisions in order to improve the situation. This intervention area adds to the wider research programme, which is focused primarily on the delivery of quantifiable socio-environmental and health economics valuations. People make decisions not just based on economic valuation, so an understanding of why people make decisions and how those decisions can change is essential. This paper describes the methodology that will be used to develop this intervention. Findings will be published later.

We interviewed ten municipal officials and 23 residents in four Arab towns, and observed five outdoor gyms. We wanted to understand how outdoor gyms are perceived, what barriers limit their use, and what strategies could make them more effective. This was the first study of its kind in Arab towns in Israel, but it also speaks to underserved communities worldwide where informal urban development and limited resources shape access to healthy environments.