In aging, one size does not fit all

Key points
- Conventional measures of age usually define people as 'old' at one chronological age, often 65.
- Are we overly dependent on conventional dependency ratios?
- The International Institute for Applied Systems Analysis (IIASA) is an international scientific institute that conducts research into the critical issues of global environmental, economic, technological, and social change that we face in the twenty-first century.
- In new study in the journal Population and Development Review, IIASA researchers Warren Sanderson and Sergei Scherbov provide new measures to replace the old-age dependency ratio.
Conventional measures of age usually define people as 'old' at one chronological age, often 65. In many countries around the world, age 65 is used as a cutoff for everything from pension age to health care systems, as the basis of a demographic measure known as the 'old-age dependency ratio,' which defines everyone over 65 as depending on the population between ages 20 and 65.
In new study in the journal Population and Development Review, IIASA researchers Warren Sanderson and Sergei Scherbov provide new measures to replace the old-age dependency ratio.
"There are better measures available for every aspect of population aging to which it is applied," says Sanderson. "Aging is a suite of multidimensional phenomena. In this study we deal with a number of aspects of aging and show that better measures exist for all of them." Previous research by the team has shown that defining people as 'old' at age 65 no longer fits the real-world data, as people live longer, healthier lives around the world. The new study pulls together a collection of demographic methods that replace the old-age dependency ratio for a variety of purposes, providing more useful information for policymakers as well as demographic research.
For example, health care costs on average increase significantly for people in their last few years of life. Yet as people live longer, those last few years come later and later, and people may stay healthy well into their 60s and 70s. When projections of future health care costs use age 65 as the cutoff, they may massively overestimate future costs to a health care system. The new study therefore proposes a health-care specific calculation that takes into account the postponement of deaths that occur because of the increase in life expectancy.
The old-age dependency ratio is also based in part on traditional retirement age being around 65. But today, a growing number of people over 65 are still working, and in response to increased life expectancy, many countries have begun increasing their public pension ages. Yet increasing pension ages can be unfair to younger generations, who may work longer and get less retirement money than previous generations. The study includes a new proposal for an 'intergenerationally equitable pension age,' in which each generation receives as much in pension payouts as they pay in, the average pension as a percentage of salary is the same for all generations, and the pension tax remains the same.
"There are many policy issues for which good estimates of the future consequences of aging are needed," says Scherbov. "In some instances, the large exaggerations in the extent of aging produced by the conventional measures could lead to inappropriate policies."
###
Further information and details on the new measures are available at: http://www.reaging.org/indicators
Reference
Written and revised by
Gerald Hurowitz, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
health.am provides general information, not medical advice. Always consult a qualified health professional about your own health.
Explore health topics
More in this topic
Healthy Aging →
NewsModify hospice eligibility for dementia patients, says Institute for Aging Research study
The system for hospice admissions for patients with advanced dementia, which is a terminal illness, should be guided by patient and family preference for comfort, not estimated life expectancy, says a new study…
3 November 2010
NewsWant to slow aging? New research suggests it takes more than antioxidants
Don't put down the red wine and vitamins just yet, but if you're taking antioxidants because you hope to live longer, consider this: a new study published in the June 2010 issue of the journal GENETICS casts doubt on…
6 July 2010
NewsExercise Beneficial for Healthy Aging
The benefits of engaging in regular exercise during middle age and beyond are demonstrated in several studies published in the Archives of Internal Medicine. Here are some tips to help you stick to a regular exercise…



