Growing old: population ageing Fertility, Mortality and Social Change GEOG20016 Photo credit: Ibu Kemi of Gunung Kidul, Peter McDonald, Ageing in Rural Indonesia Project. Today: population ageing 1. Introduction: Demographic perspective of ageing: Definition and the two dimensions of population ageing 2. Indicators 3. Gender and ageing 4. Depressing streak in demography: too many people, too few people – from one “population bomb” to another: demographic “time bomb”. Clips on ageing in Japan. How will an ageing population change the world? https://www.youtube.com/watch?v=x4r0S5qoIXc 2:10 minutes Definition, concepts, causes, implications Introduction Population ageing: definition Definition: increasing share of older persons in the population Important because: “ Population ageing—the increasing share of older persons in the population—is poised to become one of the most significant social transformations of the twenty- first century, with implications for nearly all sectors of society, including labour and financial markets, the demand for goods and services, such as housing, transportation and social protection, as well as family structures and inter-generational ties.” https://www.un.org/en/development/desa/population/publica tions/pdf/ageing/WPA2017_Report.pdf Shift in terminology https://agsjournals.onlinelibrary.wile y.com/doi/10.1111/jgs.16848 “Based on American Geriatrics Society (AGS) work with the Leaders of Aging Organizations and the FrameWorks Institute, these recommendations were grounded in building better public perceptions of aging. They reinforced “that words like (the) aged, elder(s), (the) elderly, and seniors should not be used . . . because [they] connote discrimination and certain negative stereotypes.”1 The journal thus adopted “older adult(s)” and “older person/people” as preferred terminology, explicitly advocating against using “the elderly,” “senior(s),” and/or “senior citizen(s).” Population Ageing: cause Read: Natalie Jackson’s articles : https://eprints.utas.edu.au/3724/1/3724.pdf; https://www.dss.gov.au/sites/default/files/docum ents/05_2012/prp_no_13.pdf • Population ageing is the inevitable outcome of demographic transition • DT: – Shift from “traditional” society with high birth and death rates to “modern” society with low birth and death rates. Fertility and mortality transitions in between – Shift from young and growing population to old and potentially declining population Increase in proportions of older adults (usually defined as population aged 60/65 and over). Driven primarily by falling fertility Decline in IMR and increasing LE also partly contribute to increasing numbers and share of older adults in population, but if you have high fertility rates, population will not age structurally. Structural ageing: Primarily driven by falling mortality. Falling IMR – more survives into adulthood Increasing LE - high probability of reaching old age High fertility in baby boom years (e.g. after WWIi) contributes to numerical ageing (and structural ageing), but population will not experience increase in number of older adults if mortality rates were high. Numerical ageing: Why make distinction between structural and numerical ageing – Understand different primary drivers – Implications on overall population dynamics (and links with migration) – Implications on public policy Why make distinction between numerical and structural ageing Policy implications • Numerical ageing: – Increasing demand for income support and health care provision – Increasing cost (government spending) on income support and health care provision • Structural ageing: – Decline in population of workforce age – Decline in tax base – Hard for governments to fund increasing demand for income support and health care provisions! What does an ageing workforce mean for economic growth? • Extend retirement age: increasing life expectancy changes meaning of “old” – work longer • Ageism: Are older workers less creative/innovative/less productive? Population ageing = progress, or curse? Population ageing is the “fruits” of economic and human development, but also entails challenges! Population ageing and migration Week 11 – frictions Third demographic transition: - Linking birth, death and migration - Persistently low fertility and increased life expectancy → population ageing - “Unprecedented growth in racial and ethnic minorities population in the developed world” - Changing composition of the population due to long-term low fertility, and migration - Super diversity – not just changing numbers and %, but complex socio-econ interactions. - Ageing (and dying) in foreign land? - infrastructure for health and aged care If NOM does not offset natural decline: absolute decline in population size Natural decline (currently Australia natural increase) More deaths than births (B
More older adults than kids Structural and numerical ageing Demographic transition: fertility and mortality decline Some indicators How old is old? Who is old? Across many cultures, implicit assumption behind old age= when individuals can no longer work. Most common definition is 65+. Ageing is not only about chronological age. At societal level, spatio-temporal variation on who is old, also depending on relational context within a community. Ageing in Rural Indonesia project: work till you drop! • Indonesia’s LE=69 years of age “Rich” economies today: • Age of retirement is 65. • Mortality transition and increasing LE → Significant “gap” between onset of retirement and end of life • Generation X: looking forward to be 65+ → period of leisure, good health but retired from the labour force. (But, this may no longer be the case with uncertainties over the future of work) • Concept of “Third Age”: a time when individuals are still healthy enough to engage in activities (“active ageing”) • “Fourth Age”: age of physical and cognitive decline. For indicators purposes, defined as 80 or 85. But this will likely be changed along with health improvements/medical technology/higher LE. • Talks of extending age of retirement because of higher LE Share (or per cent or proportion of population aged 65 and over) https://www.aihw.gov.au/reports/older-people/older-australia-at-a- glance/contents/demographics-of-older-australians/australia-s-changing-age-and-gender-profile % of population aged 80 years and over, among population aged 60+ “Older population itself is ageing!” https://www.un.org/en/development/desa/population/publica tions/pdf/ageing/WPA2017_Report.pdf Median age of population https://www.visualcapitalist.com/mapped-the-median-age-of-every-continent/ https://www.visualcapitalist.com/median-age-of-the-population-in-every-country/ Dependency ratio • Total dependency ratio: measure of potential support of needs of young and elderly “dependents” • Ratio between young people aged less than 20 and elderly aged 65+, to working age population aged 20-64. • Falling fertility → global dependency ratio has been declined but expected to rise in next decades because of ageing. • Old-age dependency ratio reflects the number of persons aged 65 years or over in a population relative to the number of persons aged 20-64 years. • Population ageing → successive cohorts will have less adult children to provide “support” (directly and indirectly as tax base/social security transfers) • Assumption: young and old are in age of dependence. They need working-age population to support. • But “chronological” age does not necessarily determine dependency status. Increase in LE → delayed onset of dependency → years of life remaining as a proxy for dependency rather than years of life already lived (chronological age)” • Prospective old-age dependency ratio (POADR): the number of persons above the age closest to a remaining life expectancy of 15 years relative to the number of persons between age 20 and that age. • Projections: when using POADR, slower increase or decline in dependency ratio than when using traditional/conventional dependency ratio https://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2017_Report.pdf Example Total age dependency ratio= (People aged less than 15 + people aged 65 and over)/( number of people in working age) Old-age dependency ratio= (People aged 65+)/ (population aged 20-64) But with increasing LE, and better health in older ages: Life expectancy =85; then 85-15 =70 POADR - Prospective old-age dependency ratio “the number of persons above the age closest to a remaining life expectancy of 15 years relative to the number of persons between age 20 and that age.” POADR= (people aged 71+)/(people between the ages of 20-70) Notice lower and upper bound - Why 20 Recall Week 7 Lecture: Can we link this to protracted TTA? - Is DTT only a story about living longer? What does protracted TTA mean? Age at first marriage? Age at first birth? Age at having own first home? Gender and ageing In most countries, women tend to live longer than men Proposed reasons: • Gendered risky behaviuor • Gap largest in 1900s , slower mortality decline for males than female - perhaps due to smoking • Research in gender-specific medicine and age-related diseases: gut microbes, hormonal differences to help explain gender gap in longevity. Trend in high income countries • Narrowing gap due to sex differences in age patterns of mortality rather than declining sex ratios in mortality: • “ same rate of mortality decline produces smaller gains in e(0) for women than for men because women's deaths are less dispersed across age (i.e., survivorship is more rectangular).” (Glei and Horiuchi, 2007: https://www.tandfonline.com/doi/abs/10.1080/00324720701331433?sr c=recsys&journalCode=rpst20 Small gap in developing countries due to women’s lower position in society https://www.weforum.org/agenda/2016/05/countries-where-women-outlive- men-by-decade/ Gender and ageing Some Implications: • Gendered care regime. • Most carers of elderly are female spouses: women live older, men marry younger women. • Widowhood and loneliness. • Feminisation of poverty and vulnerability in later life. • Australia – higher proportion of women work in part-time employment: – Women reached retirement age with 37 % less superannuation savings than men men – “Women aged between 55 and 64 have an average of $196,000 in the bank, compared with $310,000 on average for men.” https://www.sbs.com.au/news/australian-women-retire- with-37-per-cent-less-super-than-men Marriage and family change, population ageing and implications on intergenerational relationship Gender: • Gender inequality over the life course: case of gender gap in labour market and retirement outcomes. (reflect on gendered labour force outcomes from last week) Weakening of marriage? • Diversity of family forms (Week 9) • Family disruptions ands caring obligations. Does marriage still matter (reflect on our lecture in Week 9)? • Studies on “differentials” on who gets to get married/who marries whom; who have kids outside of marriage and whether this matters (race/class inequalities); • How marital status/timing/type predicts other life outcomes (in later life: wealth, inequalities, life satisfaction, health and well-being) Intergenerational relationship: • Tensions around care expectations of elderly parents because of swift changes in fertility. • Rural pockets of ageing: skipped generation families • Tensions around changing roles of grandparenting: – Past: Available grandmother – Now: Grandmother with careers, mothers “lacking” support to build own career. – Co-residing grandmother/close proximity as predictor of mother’s labour force participation https://www.scmp.com/week- asia/society/article/2128700/one- 60-million-life-left-behind-child- china • https://www.nytimes.com/2019/12/17/ world/asia/japan-dolls-shrinking- population-nagoro.html Depressing streak in demography? Japan’s “demographic time bomb” Be careful and critical of using emotive language! Discourse to catastrophize demographic change https://www.youtube.com/watch?v=tALSvwS1XAM about 50 minutes 学霸联盟