Workshop of the EAPS Health, Morbidity and Mortality Working Group “Changing patterns of mortality and morbidity: age-, time-, cause- and cohort-perspectives” Prague, 16.–18. September 2015 How Long Will Japan Stand as the World Best Performer in Life Expectancy? Jacques Vallin and France Meslé * Institut national d’études démographiques (INED), Paris, France 90 85 80 75 70 65 60 45 50 55 Life expectancy in years Australia Iceland Japan The Netherlands New Zealand non-Maori Norway Sweden Switzerland 1840 1860 1880 1900 1920 1940 1960 1980 2000 Year Oeppen Jim and Vaupel James W., 2002. – Broken limits to life expectancy, Science, vol. 296, n° 10, p. 1029-1031. Life expectancy at birth CVR 85 Pasteur Since 1960 y = 0.2269x - 369.42 2 R = 0.9877 Jenner 75 1886-1960 y = 0.324x - 558.77 R2 = 0.9845 65 1790-1885 55 y = 0.1172x - 169.52 R2 = 0.7751 Before 1790 45 y = 0.005x + 29.956 R2 = 0.0014 35 1750 1800 1850 1900 1950 2000 VALLIN Jacques, MESLÉ France, 2009. – The Segmented Trend Line of Highest Life Expectancies, Population and Development Review, 35(1), p. 159-187. A complementary objection to Oeppen-Vaupel conclusions • If Japan slows down : a new best performer will take the lead • Is there any candidate to do it? • Will it be able to sustain the same pace for long? Candidates to catch up Japan • The « second best » since Japan took the lead • Some former leaders • New emergent countries Second best since Japan took the lead Post 1980 Second Best since 1970 Former leaders New comers When 2013 Japanese level could be reached? 2025 Australia, Estonia, Italy 2024 Taiwan 2023 Malta, Portugal 2 2022 Switzerland 2021 Slovenia 2020 France, Singapore 2019 Spain 2017 Korea, Luxembourg 2027 Canada, Finland 2028 England and Wales 2029 Netherlands, Norway, New Zealand 2030 Ireland 2031 Denmark 2032 Germany, Iceland 2033 Romania, Sweden 2034 Belgium 2037 Czech Rep., Poland 2041 Latvia 2042 USA 2043 Croatia, Russia 2046 Belarus, Hungaria, Slovakia 1 2010 2015 2020 2025 2030 2035 2040 2045 2050 When Japan could be caught up? After 2100 2110 Iceland, Germany, Slovakia Italy Sweden, Belgium USA Bulgaria Ukraine Hungari a Croatia Norway New Zealand Australia Belarus Poland Austria CzechLatvia 2070 Canada Finland Ireland Netherlands Denmark Russia Switzerland 2050 England & W France Portugal Taiwan Romania Malta Estonia Spain 2030 Singapore Slovenia Luxembour Korea g 2090 2010 2010 2020 2030 2040 2050 2060 2070 Year when reaching 2013 Japanese level South Korea, increasing life expectancy at old age Contributions to the increase of life expectancy at age 60, since 2000 Ten groups of causes, including senility Nine groups of causes, after redistributing senility Trends in standardized mortality rates by cause of death, at ages 60+ After redistributing senility Conclusion • Japan slowed down since 2009 • Other countries will catch it up very probably • Hong Kong already done, but it is a special case (just a large city) • Very likely, South Korea will do it very soon • Is it enough to sustain the pace of progress observed since the 1970s? The question has no clear answer yet. Thank you! Age and cause specific contributions to life expectancy increase 1985-98 Ten groups of causes, including senility Nine groups of causes, after redistribution of senility Age and cause specific contributions to life expectancy increase 1998-13 Ten groups of causes, including senility Nine groups of causes, after redistribution of senility Age and cause specific contributions to life expectancy increase 1998-13 Ten groups of causes, including senility Nine groups of causes, after redistribution of senility Trends in standardized mortality rates by cause of death a) Before redistributing senility Trends in standardized mortality rates by cause of death b) After redistributing senility
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