Presentation in ICIC19 – 19th International Conference on Integrated Care 1-3 April 2019, Donostia-San Sebastian.

1. Ageing of elderly in Biscay:
Active Ageing Index as a tool to monitor
Yolanda González-Rábago1,2,Unai Martín1,2, Amaia Bacigalupe1,2, Sergio Murillo3
1 Department of Sociology 2, University of the Basque Country (UPV/EHU)
2 OPIK-Research Group in Social Determinants of Health and Demographic Change
3 Government of Biscay
1-3 April 2019. San Sebastian, Basque Country
Research Group on Social Determinants of
Health and Demographic Change

2. Ageing of population as a great political and social challenge
The increase in the proportion of elderly people is especially important in
some European regions: in Biscay  21.9% 65 years or over.
Government of Biscay: reflect on ageing and its consequences, making a
diagnosis of the so-called active ageing situation of elderly population.
The Active Ageing Index (AAI):
To improve knowledge situation in Biscay,
To plan action design
To identify gaps
To monitor the effects of the policies.
The main objective is to analyse the active ageing of older people in Biscay
with a European comparative perspective and to examine the evolution
between 2014 and 2018.
Reason for research: context and research objective

3. Active Ageing Index (AAI) composed by 4domains, 22indicators:
1. Employment
2. Participation in society
3. Independent, healthy and secure living
4. Capacity and enabling environment for active ageing
Older population 55 years and over
Biannual calculation in Biscay: 2014, 2016 and 2018
Comparative perspective with European Union countries (EU28)
Evolution of Biscay situation between 2014 and 2018
Methodology

4. Biscay has a better AAI score than the average of EU28, with 38.5 points,
although is far from the more advantaged countries
AAI in Biscay in the EU28 context
37.0
38.5
48.2
10,0
15,0
20,0
25,0
30,0
35,0
40,0
45,0
50,0 Greece
Croatia
Poland
Romania
Hungary
Slovenia
Slovakia
Bulgaria
Lithuania
Portugal
Spain
Italy
Latvia
Malta
Austria
Cyprus
EU28
CzechRepublic
Luxembourg
Biscay
Estonia
Belgium
France
Germany
Ireland
Finland
UK
Netherlands
Denmark
Sweden
Figure 1. AAI overall score in Biscay, EU28 average and EU28 countries, 2018

5. Women in the majority of EU28 countries have a worse score than men.
Biscay has a gender gap of 4.7 points
AAI in Biscay in the EU28 context
Figure 2. Gender gap in AAI overall score in Biscay, EU28 average and EU28 countries, 2018
-4.7
-3.1
-10,0
-8,0
-6,0
-4,0
-2,0
0,0
2,0 Malta
Netherlands
Cyprus
Portugal
Austria
Ireland
Luxembourg
Hungary
Biscay
Italy
Germany
Spain
Greece
Romania
EU28
Croatia
UK
Poland
CzechRepublic
Slovakia
Bulgaria
Slovenia
Belgium
Sweden
Latvia
Denmark
Lithuania
France
Finland
Estonia

6. - Employment due to a lower employment rate in later life than other
European countries
- Independent, healthy and secure living due to a smaller proportion of
people over 75 years living alone or in couple
AAI in Biscay in the EU28 context
Figure 3. Dimensions’ scores in Biscay, EU28 average and highest score country, 2018
28.9
24.4
70.6
64.0
31.1
21.3
71.5
57.5
45.4
30.6
80.1
71.4
-
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0
90,0
100,0
Employment Participation in society Independent,healthy
and secure living
Capacity for active
ageing
Biscay EU28 Highest score

7. -Higher Participation in society due to high political participation
- Better potential Capacity for active ageing due to a high LE and HLE, and
strong social network
AAI in Biscay in the EU28 context
Figure 3. Dimensions’ scores in Biscay, EU28 average and highest score country, 2018
28.9
24.4
70.6
64.0
31.1
21.3
71.5
57.5
45.4
30.6
80.1
71.4
-
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0
90,0
100,0
Employment Participation in society Independent,healthy
and secure living
Capacity for active
ageing
Biscay EU28 Highest score

8. There is a positive evolution of AAI in Biscay since 2014, showing
improvements in all dimensions, specially relevant in Employment and
Independent, healthy and secure living.
AAI in Biscay in the EU28 context
Figure 4. Evolution of dimensions’ scores in Biscay, 2014, 2016, 2018
23.2 20.9
65.3 62.5
34.5
27.5
19.1
70.8
60.0
35.4
28.9
24.4
70.6
64.0
38.5
0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0
90,0
100,0
Employment Participation in society Independent,healty
and secure living
Capacity for active
ageing
Overall AAI
2014 2016 2018

9. Positive and optimistic situation
Reinforced by effective public policies
To expand the potential of improvement of the active ageing
Untapped contribution of older people to society
Monitoring is key to:
 Improve the services provided
Support policymakers to make decisions for a healthy and active ageing
Conclusions

10. Eskerrik asko
Thank you
Muchas gracias
yolanda.gonzalezr@ehu.eus
opik@ehu.eus
www.ehu.eus/opik
@Opik_ikerketa
Research Group on Social Determinants of
Health and Demographic Change