Assessing age-friendly urban environments in Indonesia: Validation of the Indonesian age-friendly cities and communities questionnaire (AFCCQ) and differences across urban city categories

Background/Objectives: The global aging population is growing rapidly, especially in Southeast Asia and Indonesia. This demographic shift poses significant challenges for urban planning and public health, as older adults face barriers to accessing essential services and engaging in their communities. This study assesses the age-friendliness of urban environments in Indonesia by evaluating the psychometric properties of an Indonesian-language version of the Age-Friendly Cities and Communities Questionnaire (AFCCQ) and comparing perceived age-friendliness across urban categories. Methods: A cross-sectional survey using the Indonesian version of the AFCCQ was conducted between 7 January and 3 February 2025. The AFCCQ covers nine domains: housing, social participation, respect and social inclusion, civic participation and employment, communication and information, community support and health services, outdoor spaces and buildings, transportation, and financial status. Validity was assessed using item–total Spearman correlations and exploratory factor analysis; reliability was assessed using Cronbach’s α. Differences in domain scores across five urban categories were examined using the Kruskal–Wallis test with Bonferroni adjustment across the nine domain-level tests (α = 0.05/9 = 0.0056). Results: The study involved 505 community-dwelling older adults aged ≥60 years, with a mean age of 69.4 years; 81.6% were female. The average AFCCQ score was 14.96 ± 10.46. Overall Cronbach’s α was 0.90. The KMO value was 0.83 and Bartlett’s test was significant (χ²(253) = 13,374.41, p