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DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Ageing, senescence
and longevity:
are there limits?
Gustavo De Santis
Migration Policy Centre, Forum on Migration, Citizenship and
Demography:
Conference on Demography
European University Institute (Fiesole, Italy), 4-5 February 2016
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Yasutaro Koide (13 Mar 1903 - 19 Jan 2016)
Source: «La Repubblica», 19/1/2016 2
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Other world records of longevity
3
• The male longevity record now belongs to another Japanese:
Masamitsu Yoshida (aged 111). As for females, the world record
of longevity belongs to an American (Brooklyn, New York),
Susannah Mushatt, aged 116 (Source: La Repubblica,
19/1/2016)
• Other famous cases, of people who died recently, are those of
the French Jeanne Calment (who died in 1997, at the age of 122
years and five months). Then, the American Sarah Knauss
reached 119 years, while the Canadian Marie-Louise Meilleur
and Japanese Misao Okawa reached 117. Eight more cases
have been documented to have reached 116 years between
1990 to 2014, and twenty-five have reached 115 years (Source:
Jacques Vallin, in N-IUSSP, www.niussp.org).
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Highest age at death, by sex and year
(Sweden 1861-1999)
Source: Wilmoth et al (2000) “Increase of maximum life-span in Sweden”, 1861-1999, Science n° 289, p. 2366-68 4
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Maximum longevity vs maximum life expectancy
5
• Maximum longevity? Probably just above 122 years
(Source: J. Vallin, in N-IUSSP)
• Is this maximum longevity increasing? No solid
evidence, as yet. (Bad data and few observations for
the past, so that the time series is actually much
shorter that it seems.)
• Does this imply that life expectancy too will reach 120
years? Highly unlikely, because life expectancy is an
average, not a maximum – and heterogeneity (frailty)
matters a lot. Most probably, then, e0 will stop
increasing somewhere between 90 and 100 years.
And these levels will not be reached tomorrow.
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Highest life expectancy (World, 1840-2000):
A straight line?
Source: Oeppen and Vaupel (2002) “Broken limits to life expectancy”, Science, 296 (10), p. 1029-1031 6
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Highest life expectancy (World, 1750-2000):
probably slowing down
Source: Vallin and Meslé (2009) “The segmented trend line of highest life expectancies”, P&DR, 35(1), p. 159-187 7
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Life expectancy at birth by world region, 1950-2050
Source: UN (2015) World Population Ageing 8
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Probability of survival to age 80 by sex and region,
birth cohorts of 1950-1955 and 2000-2005
Source: UN (2015) World Population Ageing 9
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
The over 60 population is the fastest growing age
group worldwide
Source: UN (2015) World Population Ageing 10
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Population over 60: rampant (not only in Europe)
Source: UN (2015) World Population Ageing 11
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Ageing is a worldwide phenomenon
Source: UN (2015) World Population Ageing 12
Germany
Brazil
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Sustainability of pension systems endangered
Source: UN (2015) World Population Ageing 13
• “In some countries, large majorities of older people
are covered by existing pay-as-you go or unfunded
pension programmes, but declining old-age
support ratios imply that such programmes may
struggle to maintain adequate income support into
the future.
• In response, some countries are pursuing pension
system reforms, such as increasing the statutory
ages at retirement and encouraging private
savings.”
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Cost of health care systems may skyrocket
Source: UN (2015) World Population Ageing 14
• “Health care systems must adapt to meet the
needs of growing numbers of older persons.
• In countries [with good health systems] public
policies are needed to mitigate the upward
pressure on national health care budgets exerted
by the rising costs of health care services, and the
longer lifespans and increasing numbers of older
persons.”
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
In the eyes of the beholder?
Source: Own elaborations on UN data
* P&DR
15
Share aged 65+
Share with a residual life
expectancy of 15 years or less (i.e.,
moving “beta”)
[what Sanderson and Sherbov
(2013, 2015)* have recently
labelled “prospective old age”]
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Other approaches to measuring ageing (Who is old?)
Source: UN (2015) World Population Ageing 16
• Last five years of life (because health cost soar in
the final phase of one’s life): called “Health care
cost old age” (Sanderson and Sherbov, P&DR,
2015). (A/N Not qualitatively different from the
previous indicator, remaining life span of 15 years
or less)
• “Characteristics” approach: based on health, or
performance, memory, and the like (A/N only for
samples, not always representative, or
comparable)
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Immediate recall score, by age and region
Source: Skirbekk V., Loichinger E., Weber D. (2012) Variation in cognitive functioning as a refined approach to comparing aging
across countries, Proceedings of the National Academy of Sciences of the United States of America , 109 (3): 770-774. 17
80 85 90
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Survival is (by large) the main driver of ageing,
in the long run (not fertility or migration)
Source: Own elaborations on UN (2015) data 18
Europe, early 1950s
Stationary population
Actual population
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Actual and stationary population: comparing
age structures in 1952 (Europe)
Source: Own elaborations on UN (2015) data 19
1952
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Survival and ageing (Europe, 150
years of estimates and projections)
Source: Own elaborations on UN (2015) data 20
1952
2012
2047
2097
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
The difference between Px and Lx is limited and
decreasing
Sum of absolute % differences, over 21 5-year age classes
Source: Own elaborations on UN (2015) data 21
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Ageing is no longer an issue if
threshold ages are properly adjusted
Source: Own elaborations on UN (2015) data 22
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Conclusions: limits?
23
• IF we can properly adjust threshold ages, the part of
ageing driven by survival (the most important, in the long
run) is no longer an issue. (Big IF! And there will still be
ageing problems linked to fertility)
• If this adjustment is not possible, or not fully (first limit),
then greater need for transfers between generations,
which is arguably harder to push beyond certain levels
(Laffer curve, and similar objections) (second limit).
• I don’t know what the physical (natural) limits to ageing
and survival are. I know that we must overcome our own
(social) limits, i.e., we must be capable of adapting to
the ageing society that we are creating. Or be prepared
to pay the consequences.
DiSIA
DIPARTIMENTO DI STATISTICA,
INFORMATICA, APPLICAZIONI
"GIUSEPPE PARENTI"
Ageing, senescence
and longevity:
are there limits?
Gustavo De Santis
Migration Policy Centre, Forum on Migration, Citizenship and
Demography:
Conference on Demography
European University Institute (Fiesole, Italy), 4-5 February 2016

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Gustavo De Santis - ageing senescence and longevity

  • 1. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Ageing, senescence and longevity: are there limits? Gustavo De Santis Migration Policy Centre, Forum on Migration, Citizenship and Demography: Conference on Demography European University Institute (Fiesole, Italy), 4-5 February 2016
  • 2. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Yasutaro Koide (13 Mar 1903 - 19 Jan 2016) Source: «La Repubblica», 19/1/2016 2
  • 3. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Other world records of longevity 3 • The male longevity record now belongs to another Japanese: Masamitsu Yoshida (aged 111). As for females, the world record of longevity belongs to an American (Brooklyn, New York), Susannah Mushatt, aged 116 (Source: La Repubblica, 19/1/2016) • Other famous cases, of people who died recently, are those of the French Jeanne Calment (who died in 1997, at the age of 122 years and five months). Then, the American Sarah Knauss reached 119 years, while the Canadian Marie-Louise Meilleur and Japanese Misao Okawa reached 117. Eight more cases have been documented to have reached 116 years between 1990 to 2014, and twenty-five have reached 115 years (Source: Jacques Vallin, in N-IUSSP, www.niussp.org).
  • 4. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Highest age at death, by sex and year (Sweden 1861-1999) Source: Wilmoth et al (2000) “Increase of maximum life-span in Sweden”, 1861-1999, Science n° 289, p. 2366-68 4
  • 5. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Maximum longevity vs maximum life expectancy 5 • Maximum longevity? Probably just above 122 years (Source: J. Vallin, in N-IUSSP) • Is this maximum longevity increasing? No solid evidence, as yet. (Bad data and few observations for the past, so that the time series is actually much shorter that it seems.) • Does this imply that life expectancy too will reach 120 years? Highly unlikely, because life expectancy is an average, not a maximum – and heterogeneity (frailty) matters a lot. Most probably, then, e0 will stop increasing somewhere between 90 and 100 years. And these levels will not be reached tomorrow.
  • 6. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Highest life expectancy (World, 1840-2000): A straight line? Source: Oeppen and Vaupel (2002) “Broken limits to life expectancy”, Science, 296 (10), p. 1029-1031 6
  • 7. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Highest life expectancy (World, 1750-2000): probably slowing down Source: Vallin and Meslé (2009) “The segmented trend line of highest life expectancies”, P&DR, 35(1), p. 159-187 7
  • 8. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Life expectancy at birth by world region, 1950-2050 Source: UN (2015) World Population Ageing 8
  • 9. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Probability of survival to age 80 by sex and region, birth cohorts of 1950-1955 and 2000-2005 Source: UN (2015) World Population Ageing 9
  • 10. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" The over 60 population is the fastest growing age group worldwide Source: UN (2015) World Population Ageing 10
  • 11. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Population over 60: rampant (not only in Europe) Source: UN (2015) World Population Ageing 11
  • 12. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Ageing is a worldwide phenomenon Source: UN (2015) World Population Ageing 12 Germany Brazil
  • 13. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Sustainability of pension systems endangered Source: UN (2015) World Population Ageing 13 • “In some countries, large majorities of older people are covered by existing pay-as-you go or unfunded pension programmes, but declining old-age support ratios imply that such programmes may struggle to maintain adequate income support into the future. • In response, some countries are pursuing pension system reforms, such as increasing the statutory ages at retirement and encouraging private savings.”
  • 14. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Cost of health care systems may skyrocket Source: UN (2015) World Population Ageing 14 • “Health care systems must adapt to meet the needs of growing numbers of older persons. • In countries [with good health systems] public policies are needed to mitigate the upward pressure on national health care budgets exerted by the rising costs of health care services, and the longer lifespans and increasing numbers of older persons.”
  • 15. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" In the eyes of the beholder? Source: Own elaborations on UN data * P&DR 15 Share aged 65+ Share with a residual life expectancy of 15 years or less (i.e., moving “beta”) [what Sanderson and Sherbov (2013, 2015)* have recently labelled “prospective old age”]
  • 16. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Other approaches to measuring ageing (Who is old?) Source: UN (2015) World Population Ageing 16 • Last five years of life (because health cost soar in the final phase of one’s life): called “Health care cost old age” (Sanderson and Sherbov, P&DR, 2015). (A/N Not qualitatively different from the previous indicator, remaining life span of 15 years or less) • “Characteristics” approach: based on health, or performance, memory, and the like (A/N only for samples, not always representative, or comparable)
  • 17. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Immediate recall score, by age and region Source: Skirbekk V., Loichinger E., Weber D. (2012) Variation in cognitive functioning as a refined approach to comparing aging across countries, Proceedings of the National Academy of Sciences of the United States of America , 109 (3): 770-774. 17 80 85 90
  • 18. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Survival is (by large) the main driver of ageing, in the long run (not fertility or migration) Source: Own elaborations on UN (2015) data 18 Europe, early 1950s Stationary population Actual population
  • 19. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Actual and stationary population: comparing age structures in 1952 (Europe) Source: Own elaborations on UN (2015) data 19 1952
  • 20. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Survival and ageing (Europe, 150 years of estimates and projections) Source: Own elaborations on UN (2015) data 20 1952 2012 2047 2097
  • 21. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" The difference between Px and Lx is limited and decreasing Sum of absolute % differences, over 21 5-year age classes Source: Own elaborations on UN (2015) data 21
  • 22. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Ageing is no longer an issue if threshold ages are properly adjusted Source: Own elaborations on UN (2015) data 22
  • 23. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Conclusions: limits? 23 • IF we can properly adjust threshold ages, the part of ageing driven by survival (the most important, in the long run) is no longer an issue. (Big IF! And there will still be ageing problems linked to fertility) • If this adjustment is not possible, or not fully (first limit), then greater need for transfers between generations, which is arguably harder to push beyond certain levels (Laffer curve, and similar objections) (second limit). • I don’t know what the physical (natural) limits to ageing and survival are. I know that we must overcome our own (social) limits, i.e., we must be capable of adapting to the ageing society that we are creating. Or be prepared to pay the consequences.
  • 24. DiSIA DIPARTIMENTO DI STATISTICA, INFORMATICA, APPLICAZIONI "GIUSEPPE PARENTI" Ageing, senescence and longevity: are there limits? Gustavo De Santis Migration Policy Centre, Forum on Migration, Citizenship and Demography: Conference on Demography European University Institute (Fiesole, Italy), 4-5 February 2016