IDEAS home Printed from https://ideas.repec.org/a/dem/demres/v50y2024i12.html
   My bibliography  Save this article

Ageing and diversity: Inequalities in longevity and health in low-mortality countries

Author

Listed:
  • Cosmo Strozza

    (Syddansk Universitet)

  • Viviana Egidi

    (Università degli Studi di Roma La Sapienza)

  • Maria Rita Testa

    (Libera Università Internazionale degli Studi Sociali "Guido Carli")

  • Graziella Caselli

    (Università degli Studi di Roma La Sapienza)

Abstract

Background: Longevity and old age are two aspects of the same phenomenon, representing a major concern for modern societies. There is universal consensus among scholars about the need for new frameworks and measures to define older people in a more effective and dynamic way. Objective: The aim of this paper is to compute prospective old-age thresholds (POATs) in six countries characterised by disparate progress in survival. To outline possible strategies to counter population ageing, the paper also examines trends in POAT and disability-free POAT (DF-POAT) in Italy by gender, geographical area, and education. Methods: To compute the POAT, we use life tables from the Human Mortality Database (HMD) and the Italian National Institute of Statistics, Istat. In addition, to compute the DF-POAT, data on mortality and health by geographical area and education were retrieved from Istat. Results: During the period 1950–2020 the POAT advanced everywhere, albeit in different rhythms by country, gender, and period. However, great differences in POAT and DF-POAT have emerged, depending on place of residence, education, and health. Conclusions: The POAT changes the evaluation of population ageing and could reduce the alarm caused by measures based on static chronological old-age thresholds. Using Italy as a case study, we show that overcoming geographical and social inequalities would counteract the population ageing process. Contribution: The paper highlights how individual and population ageing is a relative concept, as acknowledged by James W. Vaupel in his studies where he explores the equivalence between ages based on mortality risks.

Suggested Citation

  • Cosmo Strozza & Viviana Egidi & Maria Rita Testa & Graziella Caselli, 2024. "Ageing and diversity: Inequalities in longevity and health in low-mortality countries," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 50(12), pages 347-376.
  • Handle: RePEc:dem:demres:v:50:y:2024:i:12
    DOI: 10.4054/DemRes.2024.50.12
    as

    Download full text from publisher

    File URL: https://www.demographic-research.org/volumes/vol50/12/50-12.pdf
    Download Restriction: no

    File URL: https://libkey.io/10.4054/DemRes.2024.50.12?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Alvarez, Jesús-Adrián & Kallestrup-Lamb, Malene & Kjærgaard, Søren, 2021. "Linking retirement age to life expectancy does not lessen the demographic implications of unequal lifespans," Insurance: Mathematics and Economics, Elsevier, vol. 99(C), pages 363-375.
    2. Duncan, G.J. & Daly, M.C. & McDonough, P. & Williams, D.R., 2002. "Optimal indicators of socioeconomic status for health research," American Journal of Public Health, American Public Health Association, vol. 92(7), pages 1151-1157.
    3. Elena Demuru & Viviana Egidi, 2016. "Adjusting prospective old-age thresholds by health status: empirical findings and implications. A case study of Italy," Vienna Yearbook of Population Research, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna, vol. 14(1), pages 131-154.
    4. Fernando Fernandes & Cássio M. Turra & Eduardo L.G. Rios Neto, 2023. "World population aging as a function of period demographic conditions," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 48(13), pages 353-372.
    5. Sanchez-Romero, Miguel & Lee, Ronald D. & Prskawetz, Alexia, 2020. "Redistributive effects of different pension systems when longevity varies by socioeconomic status," The Journal of the Economics of Ageing, Elsevier, vol. 17(C).
    6. Graziella Caselli & Rosa Maria Lipsi, 2018. "Survival inequalities and redistribution in the Italian pension system," Vienna Yearbook of Population Research, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna, vol. 16(1), pages 083-110.
    7. Wolfgang Lutz & Warren Sanderson & Sergei Scherbov, 2008. "The coming acceleration of global population ageing," Nature, Nature, vol. 451(7179), pages 716-719, February.
    8. Strozza, Cosmo & Vigezzi, Serena & Callaway, Julia & Kashnitsky, Ilya & Aleksandrovs, Aleksandrs & Vaupel, James W, 2022. "Socioeconomic inequalities in survival to retirement age or shortly afterwards: a register-based analysis," OSF Preprints 8wbdv, Center for Open Science.
    9. Vladimir Canudas-Romo, 2010. "Three measures of longevity: Time trends and record values," Demography, Springer;Population Association of America (PAA), vol. 47(2), pages 299-312, May.
    10. Alyson Raalte & Hal Caswell, 2013. "Perturbation Analysis of Indices of Lifespan Variability," Demography, Springer;Population Association of America (PAA), vol. 50(5), pages 1615-1640, October.
    11. Elisabetta Barbi, 2003. "Assessing the rate of ageing of the human population," MPIDR Working Papers WP-2003-008, Max Planck Institute for Demographic Research, Rostock, Germany.
    12. Warren C. Sanderson & Sergei Scherbov, 2005. "Average remaining lifetimes can increase as human populations age," Nature, Nature, vol. 435(7043), pages 811-813, June.
    13. James W. Vaupel, 2010. "Biodemography of human ageing," Nature, Nature, vol. 464(7288), pages 536-542, March.
    14. Ardito Chiara, 2021. "The unequal impact of raising the retirement age: Employment response and program substitution," IZA Journal of Labor Economics, Sciendo & Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 10(1), pages 1-37, January.
    15. Siu Cheung & Jean-Marie Robine & Edward Tu & Graziella Caselli, 2005. "Three dimensions of the survival curve: horizontalization, verticalization, and longevity extension," Demography, Springer;Population Association of America (PAA), vol. 42(2), pages 243-258, May.
    16. Shiro Horiuchi & Samuel Preston, 1988. "Age-specific growth rates: The legacy of past population dynamics," Demography, Springer;Population Association of America (PAA), vol. 25(3), pages 429-441, August.
    17. Margherita Moretti & Cosmo Strozza, 2022. "Gender and educational inequalities in disability-free life expectancy among older adults living in Italian regions," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 47(29), pages 919-934.
    18. Viorela Diaconu & Alyson van Raalte & Pekka Martikainen, 2022. "Why we should monitor disparities in old-age mortality with the modal age at death," PLOS ONE, Public Library of Science, vol. 17(2), pages 1-13, February.
    19. Michal Engelman & Vladimir Canudas‐Romo & Emily M. Agree, 2010. "The Implications of Increased Survivorship for Mortality Variation in Aging Populations," Population and Development Review, The Population Council, Inc., vol. 36(3), pages 511-539, September.
    20. Vladimir Canudas-Romo & Tianyu Shen & Collin Payne, 2021. "The role of reductions in old-age mortality in old-age population growth," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 44(44), pages 1073-1084.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Duncan Gillespie & Meredith Trotter & Shripad Tuljapurkar, 2014. "Divergence in Age Patterns of Mortality Change Drives International Divergence in Lifespan Inequality," Demography, Springer;Population Association of America (PAA), vol. 51(3), pages 1003-1017, June.
    2. Wen Su & Vladimir Canudas-Romo, 2024. "Cross-sectional Average Length of Life Entropy ( $${\mathcal{H}}_{\text{CAL}}$$ H CAL ): International Comparisons and Decompositions," European Journal of Population, Springer;European Association for Population Studies, vol. 40(1), pages 1-23, December.
    3. Marie-Pier Bergeron-Boucher & Marcus Ebeling & Vladimir Canudas-Romo, 2015. "Decomposing changes in life expectancy: Compression versus shifting mortality," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 33(14), pages 391-424.
    4. Gonzaga, Marcos Roberto & Queiroz, Bernardo L & Lima, Everton, 2017. "Compression of mortality: the evolution in the variability in the age of death in Latin America," OSF Preprints pdnfk, Center for Open Science.
    5. Michal Engelman & Hal Caswell & Emily Agree, 2014. "Why do lifespan variability trends for the young and old diverge? A perturbation analysis," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 30(48), pages 1367-1396.
    6. Paola Vazquez-Castillo & Marie-Pier Bergeron-Boucher & Trifon Missov, 2024. "Longevity à la mode: A discretized derivative tests method for accurate estimation of the adult modal age at death," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 50(11), pages 325-346.
    7. Marco Bonetti & Ugofilippo Basellini & Andrea Nigri, 2024. "The Average Uneven Mortality index: Building on the ‘e-dagger’ measure of lifespan inequality," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 50(44), pages 1281-1300.
    8. Trifon Missov & Adam Lenart & Laszlo Nemeth & Vladimir Canudas-Romo & James W. Vaupel, 2015. "The Gompertz force of mortality in terms of the modal age at death," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 32(36), pages 1031-1048.
    9. Bonetti, Marco & Basellini, Ugofilippo & NIGRI, ANDREA, 2023. "The Average Uneven Mortality index: Building on the "e-dagger" measure of lifespan inequality," SocArXiv xb6vq, Center for Open Science.
    10. Jorge M. Uribe & Helena Chuliá & Montserrat Guillen, 2018. "Trends in the Quantiles of the Life Table Survivorship Function," European Journal of Population, Springer;European Association for Population Studies, vol. 34(5), pages 793-817, December.
    11. Viorela Diaconu & Nadine Ouellette & Robert Bourbeau, 2020. "Modal lifespan and disparity at older ages by leading causes of death: a Canada-U.S. comparison," Journal of Population Research, Springer, vol. 37(4), pages 323-344, December.
    12. Iñaki Permanyer & Jeroen Spijker & Amand Blanes & Elisenda Renteria, 2018. "Longevity and Lifespan Variation by Educational Attainment in Spain: 1960–2015," Demography, Springer;Population Association of America (PAA), vol. 55(6), pages 2045-2070, December.
    13. Sergei Scherbov & Dalkhat Ediev, 2016. "Does selection of mortality model make a difference in projecting population ageing?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 34(2), pages 39-62.
    14. Dustin Brown & Mark Hayward & Jennifer Montez & Robert Hummer & Chi-Tsun Chiu & Mira Hidajat, 2012. "The Significance of Education for Mortality Compression in the United States," Demography, Springer;Population Association of America (PAA), vol. 49(3), pages 819-840, August.
    15. Shang, Han Lin & Haberman, Steven & Xu, Ruofan, 2022. "Multi-population modelling and forecasting life-table death counts," Insurance: Mathematics and Economics, Elsevier, vol. 106(C), pages 239-253.
    16. Isaac Sasson, 2016. "Trends in Life Expectancy and Lifespan Variation by Educational Attainment: United States, 1990–2010," Demography, Springer;Population Association of America (PAA), vol. 53(2), pages 269-293, April.
    17. Filipe Costa Souza & Wilton Bernardino & Silvio C. Patricio, 2024. "How life-table right-censoring affected the Brazilian social security factor: an application of the gamma-Gompertz-Makeham model," Journal of Population Research, Springer, vol. 41(3), pages 1-38, September.
    18. Jean-Marie Robine & Siu Lan Karen Cheung & Shiro Horiuchi, 2010. "Arthur Roger Thatcher's contributions to longevity research," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 22(18), pages 539-548.
    19. Felipe Vásquez & Gibran Vita & Daniel B. Müller, 2018. "Food Security for an Aging and Heavier Population," Sustainability, MDPI, vol. 10(10), pages 1-19, October.
    20. Vladimir Canudas-Romo & Tianyu Shen & Collin Payne, 2021. "The role of reductions in old-age mortality in old-age population growth," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 44(44), pages 1073-1084.

    More about this item

    Keywords

    longevity; aging; health; socioeconomic status; regional differences; old-age threshold; lifespan inequality;
    All these keywords.

    JEL classification:

    • J1 - Labor and Demographic Economics - - Demographic Economics
    • Z0 - Other Special Topics - - General

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:dem:demres:v:50:y:2024:i:12. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Editorial Office (email available below). General contact details of provider: https://www.demogr.mpg.de/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.