Septem mber 2014 N No. 2014/5 Living g to old d age:: A new w worlld norm m 1. O Old-age de eaths acco ounted forr half of all a deaths worldw wide in 2005-2010, 2 marking a significant of soc milestone m cioeconomiic deve elopment. Everryone aspirres to live to old ag ge but unttil rece ently fewer than half of all people e born in th he world survived to their 65th birthday. However, th he mostt recent revision of World Populatio on Prospects1 revea als that the e world rece ently passed d a significant milesstone: due to o improveme ents in life-ex xpectancy over the last fifty yearrs, the perce entage of dea aths occurrin ng d-age, define ed as the nu umber of dea aths at age 65 6 in old and o older per 100 0 total deaths at all ages, increased 28 2 perce entage pointts: from 22 per cent in 1950-1955 to fifty p per cent in 20 005-2010 wo orldwide. 2. Th he increase in the percentage p e of old-ag ge deaths reflects significantt progress in n both morre and less develo oped regions Figgure 1. Increasse of the perce entage of old‐aage death by devvelopment group, 1950‐2010 0 The b biggest incrrease in the e percentage e of old-age e death hs occurred in the less developed rregions, and d the s smallest in n the leastt developed d countries s (Figurre 1). Ne evertheless all regions experienced d signifi cant increasses, and th he largest a and smalles st increa ases were a about 30 and 10 percen ntage points s, respe ctively. 3. Wo orldwide th he increase e in the perrcentage of o old-a age deaths was due m mainly to the reduction n of ch ild-age dea aths. Dividiing ages intto child-age (0-4 years),, mid-age (5 564), a and old-age (65+), it sho ows that the e percentage e of m mid-age dea aths change ed only 2 percentage e points s: from 38 p per cent in 1 1950-1955 to o 36 per cent in 200 05-2010 (Fig gure 2). In otther words, a among the 28 8 perce ntage point increase in F Figure 1, 26 w was attributed d e decline of cchild-age de eaths. The m main cause of o to the child-a age death is commu unicable disseases; and d reduc ing child mortality is the ffourth target of the United d Nation ns Millennium m Developme ent Goals. Figuree 2. Percentagge of deaths att child‐age (0‐4 4), mid‐age (5‐ 64) an nd old‐age (65++) of the world d 100% % 90% % 80% % 70% % 60% % 65+ 5‐‐64 0‐‐4 50% % 40% % 30% % 20% % 10% % Septe ember 2014 POPFACTTS, No. 2014/5 5 2008 2003 1998 1993 1988 1983 1978 1973 1968 1963 1958 1953 0% % 1 4. TThe main reason off the incre ease in th he perc centage of o old-age deaths, for f the lesss deve eloped reg gions (LDR),, was also the declin ne of c child-age deaths, d whiich is simila ar to that of o the world. But the main re eason was different fo or the least deve eloped countries (LD DC) and th he more develope ed regions (MDR) (Figu ure 3). FFigure 3. Perce entage of deaths of the leastt developed co ountries (LDC),, less develope ed regions (LDR R), and more developed reg d gions (MDR) For the more developed d regions (MDR), the e entage of m mid-age deaths declin ned notably y: perce from 34 per cen nt in 1950-1 1955 to 25 per cent in n e 2005--2010. The main cause of the deccrease of the hs was the reduction of o perce ntage of miid-age death e diseases. M Moreover, the percentage e non-c ommunicable hs reached tthe level of lower than 1 of chi ld-age death ent in 2005-2 2010. per ce 5. Altthough the percentage e of old-ag ge deaths reach hed 50 per cent in 200 05-2010 worrldwide, it differs rs remarkab bly between n countriess (Figure 4). In 20 005-2010, th he three cou untries with the highes st perce ntages were e Italy (86% %), Sweden (86%), and d hile the three e nations with the lowes st Greecce (85%); wh perce ntages were e the Democratic Rep public of the e o (13%), Cha ad (12%), an nd Angola (11 1%). Congo 100 0% 90 0% 80 0% 70 0% 60 0% 50 0% 65++ 40 0% 5‐‐6 64 30 0% 0‐‐4 4 20 0% 10 0% 0 0% For the least developed d countries (LDC), th he centage of mid-age deaths increa ased notably y: perc from m 34 per ce ent in 1950--1955 to 40 0 per cent in 2005 5-2010. The main cause e of the incrrease was th he preva alence of HIV V/AIDS. 6. Altthough old--age death hs reached half of all death hs worldwid de, their esttimates are e less accu urate than th he estimate es of deathss at other ages . More specifically y, reliable o old-age dea ath rates are e ally availablle only for m more develo oped nations s annua and s some develo oping counttries with ac ccurate vita al registtration and d census. For some e developing g countrries, old-age e death rates may be obtained in n scatte ered years when re eliable censsuses were e condu ucted. For th he rest of th he world, on nly infant and d child d death rates, and sometim mes adult de eath rates as s well, ccould be estiimated from sample survveys; and oldage d death rates are then in nferred using model life e tabless. ____________________ 1 NOTES Source e of data: Unite ed Nations (201 13). World Popu ulation Prospectts 2012 re evision (available e from www.unpo opulation.org). Figure 4. Perrcentage of old d‐age deaths b by country, 20005‐2010 Note: TThe boundaries on n this map do not iimply official endo orsement or accepttance by the Uniteed Nations. 2 POPFACTS S, No. 2014/5 Septem mber 2014
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