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Ageing in the Twenty-First Century: - HelpAge International

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Chapter 1: Sett<strong>in</strong>g <strong>the</strong> scene<br />

Our age<strong>in</strong>g world<br />

The age<strong>in</strong>g of <strong>the</strong> world population is progressive and<br />

rapid. It is an unprecedented phenomenon that is<br />

affect<strong>in</strong>g nearly all countries of <strong>the</strong> world. As long as<br />

fertility cont<strong>in</strong>ues to fall or rema<strong>in</strong>s low and old-age<br />

mortality keeps on decl<strong>in</strong><strong>in</strong>g, <strong>the</strong> proportion of older<br />

people will cont<strong>in</strong>ue to <strong>in</strong>crease.<br />

The numbers are stagger<strong>in</strong>g. In <strong>the</strong> past ten years alone,<br />

<strong>the</strong> number of people aged 60 or over has risen by 178<br />

million – equivalent to nearly <strong>the</strong> entire population of<br />

Pakistan, <strong>the</strong> sixth most populous country <strong>in</strong> <strong>the</strong> world.<br />

And <strong>in</strong> Ch<strong>in</strong>a alone, <strong>the</strong> estimated number of older<br />

people <strong>in</strong> 2012 is 180 million.<br />

The number of people who turn 60 each year worldwide<br />

is nearly 58 million, equivalent to almost two persons<br />

every second. In 2012, people aged 60 or over represent<br />

almost 11.5 per cent of our total global population of<br />

7 billion. By 2050, <strong>the</strong> proportion is projected to nearly<br />

double to 22 per cent. By 2050, for <strong>the</strong> first time <strong>the</strong>re<br />

will be more older people than children under 15<br />

(Figure 1). 2 In 2000, <strong>the</strong>re were already more people<br />

aged 60 or over than children under 5. 3<br />

What is age<strong>in</strong>g?<br />

When talk<strong>in</strong>g about age<strong>in</strong>g, it is essential to<br />

dist<strong>in</strong>guish between population or demographic age<strong>in</strong>g<br />

as “<strong>the</strong> process whereby older <strong>in</strong>dividuals become a<br />

proportionately larger share of <strong>the</strong> total population” 4<br />

and <strong>in</strong>dividual age<strong>in</strong>g, <strong>the</strong> process of <strong>in</strong>dividuals<br />

grow<strong>in</strong>g older. This <strong>in</strong>dividual process of age<strong>in</strong>g is<br />

multidimensional and <strong>in</strong>volves physical, psychological<br />

and social changes. While this report refers to<br />

<strong>in</strong>dividual age<strong>in</strong>g <strong>in</strong> terms of health and well-be<strong>in</strong>g<br />

and experiences of later life, <strong>the</strong> ma<strong>in</strong> focus is on<br />

population age<strong>in</strong>g.<br />

Who is old?<br />

The United Nations uses 60 years to refer to older people.<br />

This l<strong>in</strong>e, which divides younger and older cohorts of<br />

a population, is also used by demographers. However,<br />

<strong>in</strong> many developed countries, <strong>the</strong> age of 65 is used as<br />

a reference po<strong>in</strong>t for older persons as this is often <strong>the</strong><br />

age at which persons become eligible for old-age social<br />

security benefits. So, <strong>the</strong>re is no exact def<strong>in</strong>ition of<br />

“old” as this concept has different mean<strong>in</strong>gs <strong>in</strong> different<br />

societies.<br />

Def<strong>in</strong><strong>in</strong>g “old” is fur<strong>the</strong>r challenged by <strong>the</strong> chang<strong>in</strong>g<br />

average lifespan of human be<strong>in</strong>gs. Around 1900, average<br />

life expectancy was between 45 and 50 years <strong>in</strong> <strong>the</strong><br />

developed countries of that time. Now, life expectancy<br />

<strong>in</strong> developed countries reaches 80 years.<br />

There are o<strong>the</strong>r def<strong>in</strong>itions of “old” that go beyond<br />

chronological age. Old age as a social construct is often<br />

associated with a change of social roles and activities,<br />

for example, becom<strong>in</strong>g a grandparent or a pensioner.<br />

Older persons often def<strong>in</strong>e old age as a stage at which<br />

functional, mental and physical capacity is decl<strong>in</strong><strong>in</strong>g<br />

and people are more prone to disease or disabilities.<br />

re 1: Population aged 0-4, 0-14 and number of persons aged 60 or over, 1950-2050<br />

Figure 1: Population aged 0-4, 0-14 and aged 60 or over,<br />

1950-2050<br />

2,500 million<br />

2,000<br />

1,500<br />

1,000<br />

500<br />

0<br />

Population aged 0-4<br />

(thousands)<br />

Population aged 0-14<br />

(thousands)<br />

Population aged 0-4<br />

Population aged 60 or over<br />

(thousands) Population aged 0-14<br />

Population aged 60 or over<br />

Source: UNDESA, Population<br />

Division, Source: World UNDESA Population Population Prospects: Division, World Population<br />

The 2010 Prospects: Revision The (New 2010 York, Revision 2011). (New York, 2011).<br />

1950<br />

1955<br />

1960<br />

1965<br />

1970<br />

1975<br />

1980<br />

1985<br />

1990<br />

1995<br />

2000<br />

2005<br />

2010<br />

2015<br />

2020<br />

2025<br />

2030<br />

2035<br />

2040<br />

2045<br />

2050<br />

20 <strong>Age<strong>in</strong>g</strong> <strong>in</strong> <strong>the</strong> <strong>Twenty</strong>-<strong>First</strong> <strong>Century</strong>: A Celebration and A Challenge

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