Papeles de POBLACIÓN No. 50 CIEAP/UAEM Latin America: Toward an old and decreasing population? Juan Chackiel Centro Latinoamericano y Caribeño de Demografía Resumen América Latina: ¿Hacia una población decreciente y envejecida? Así como en el siglo XX América Latina se caracterizó principalmente por la transición de la fecundidad y la mortalidad, el siglo XXI quedará marcado por la desaceleración del crecimiento y los cambios en la estructura por edades de la población, tendentes a una sociedad más envejecida. Se prevé que, a mediados del presente siglo, la región tendrá un crecimiento muy próximo a cero y un cuarto de su población será de adultos mayores. Aquí se analiza este escenario en el marco de la coexistencia de países en distintas etapas de la transición demográfica. Particularmente, se enfatiza en ciertas características del envejecimiento: mayor representación femenina y de la población más anciana, así como en las visiones optimistas y pesimistas de la tendencia de la relación de dependencia demográfica. De todas maneras, en muchos países de transición reciente y acelerada todavía habrá una importante demanda de servicios para la población materno-infantil, a la que se sumará la creciente población de adultos mayores. Abstract As in the 20th century Latin America was characterized mainly by the transition of the fecundity and morbidity, the 21st century will be characterized by growth’s deceleration and the population’s change of age structure, both tending to an older society. It is foreseen that, by the middle of the current century, adult population will have a growth very close to zero and a quarter of its population will be of older people. Here this stage is analyzed in the framework of coexistence of countries in different stages of the demographical transition. Particularly, certain characteristics of the aging are emphasized: larger feminine and older population representation, as well as the optimistic and pessimistic visions of the tendency of the demographical dependence relation. In any way, in many countries of recent and accelerated transition there is still an important demand of maternal-infantile population services, this will be added to the elder growing population. Key words: demographic transition, population’s growth, structure by age, demographic aging, Latin America. Palabras clave: transición demográfica, crecimiento de la población, estructura por edad, envejecimiento demográfico, América Latina Introduction I n the past years, the Latin American demographic dynamic was characterized by an increasing growth of its population and its young age structure as a consequence of the high fecundity and mortality rates. This created a hard discussion since the so-called ‘demographic explosion’ and the high dependency 24 / Latin America: Toward an old and decreasing population? J. Chackiel relation aftermath of an increasing growth of the infant population were considered as negative issues for the yearned boost of the economic development by some sectors. Later, since the end of the 1960’s, the countries from the region began to incorporate themselves to the demographic transition process; as a consequence, the gradual, but sustained decrement of the population growth rate and the emerging aging process has been observed. This has recently brought along a new concern, perhaps nourished by the condition of the European countries which are in a more advanced stage of the transition. Now, there are some who are nervous about the image of the decreasing and aging population, with a strong older adult social burden. One of the demographic transitions’ expressions is the population’s aging process, as a result of the descent in the mortality and fecundity rates. This phenomenon is presented in two forms: on one hand, people live, in average, more than before, and on the other hand, there is a change in the age structure mainly characterized by the decrease in the proportion of children and the number of people in advance ages. Although both approaches are linked one to another, they present very different concepts. The first case refers to the extension of the people’s life, which is related to their extended life expectancy, and the second case corresponds to the changes affecting the population’s relative distribution by age as a result of the mortality, fecundity and migrations trends. Based on what has been expressed, the objective of this work is to analyze the population’s growth trend and the age structure, particularly the one of the aging process that, in a higher or lesser extent, the countries from the region are experiencing. Latin America: an accelerated demographic transition The demographic trend experienced since the middle of the XVIII century by now developed countries, was connected to the economic transformations linked to the industrialization and the changes in the population’s life style. This process, called demographic transition, was characterized by the change from high to low levels, first on fecundity and then on mortality, so that a new phase with levels in both variables. There is a wide literature regarding this concept, led in Europe by Landry (1934), and by Notestein (1945) in the United States, followed by Coale (1977) and Chesnais (1986), among many others. 25 October/December 2006 Papeles de POBLACIÓN No. 50 CIEAP/UAEM In the pre-transitional stage, of both fecundity and mortality, the population growth rates were relatively low, and at a second stage there was an increment of the latter due to the decrement of the mortality and the persistence of a high fecundity. Later, after the descent of the mortality, there is a steeper drop in the fecundity and, as a consequence, a reduction in the population’s growth rate. Finally, a new equilibrium is reached, now with low mortality and fecundity and also with a low population growth rate. Even if it is possible to find some exceptions in this demographic behavior,1 that sometimes occur with some peculiarities, it is a practical concept for the analysis of the recent demographic trends of the countries from the Latin American region (Benítez, 1993; Chackiel and Martínez, 1993; Zavala de Cosío, 1992). During the last century, the Latin American countries also experienced, in a higher or lesser extent, this demographic transition process. However, there are important differences regarding what is happening in the region in contrast with what happened in developed countries. Among these differences can be mentioned that in the Latin American countries in an advanced phase of this transition, and those that are in the middle of the process, present changes in a faster way whereas the developed countries took about two centuries to complete this process, in the region this is taking just a few decades. Another characteristic that makes them different is the fact that in the developed countries the demographic transition was a product of the industrialization, of the advancements in medicine and the change in the population’s life style. Conversely, the process first linked to the increasing economic growth and to the social transformations of the 1960’s and 1970’s in our region can happen with certain independence from the recent economic crises and even in population where poverty is steady, or even where it is even increasing. In a way, the developing countries can incorporate available technology which can be appropriate and low cost for the mortality and birth control. By the way, developed countries took long to generate this technology. Besides, the current changes in Latin America take place in total different historic contexts, and the factors that produce the drops of fecundity and mortality can be different to those that occurred in, for example, Europe (Livi, 1993). 1 Many authors have questioned the fact that the demographic transition process is considered as a theory and in several works there have been exceptions to this respect (Coale, 1977; Benítez, 1993). 26 / Latin America: Toward an old and decreasing population? J. Chackiel Recently there has been a ‘second demographic transition’ since in the developed countries changes, mainly on fecundity, are going further than it was expected in the classic concept of demographic transition (García and Rojas, 2004; Van de Kaa, 1997). The concept of ‘second demographic transition’ has been formulated taking into account modifications occurred in recent decades in the families and nuptiality formation patterns, which has as a consequence the decrease of fecundity to unforeseen levels (global fecundity rate lower than 1.5 children per woman). The changes experienced in these countries refer to the increment of the age when people get married and the marriage dissolutions, followed by the increment in the consensual unions and the procreation out of the wedlock. These would be the causes for which fecundity dropped under the replacement level (global fecundity rate of 2.1 children per woman)2 and the negative natural growth rates already experienced by some European countries. In Latin America there is not enough evidence of the existence of this latter transition as proposed (García and Rojas, 2004). In this sense, for the analysis of the demographic trends of the XX century is still appropriate to use as a reference framework that provided by the traditional concept of transition. The international awareness, which has been spread at international conferences since 1974, about the population issues is something that has to be taken into account to the context of the demographic trends of the developing countries. In such requests the availability of common resources and aims is approved, related to health, mortality and the reproductive rights that affect the decision on the number of children the couples wish to have and, above all, the creation of conditions for an easier access to the fecundity controlling means. In the demographic transition process framework, throughout the XX century3 the region moved from having a life expectancy rate at birth of 52 to 71 years and from a GFR of six to 2.7 children per woman, which led to a descent in the annual average growth from 27 to 15 per thousand. In this way, the prevailing high rates, mainly in the 1950’s and 1960’s, are those that led to the fact that the population tripled, from 161 millions in 1950 to 513 in 2000. However, these average figures are the result of very heterogeneous situations, which are expressed in life expectancies at birth that at the end of the century (1995-2000) varied between 57.2 (Haiti) and 77.3 (Costa Rica), GFRs between 1.6 (Cuba) 2 The global rate of 2.1 is considered symbolic because it constitutes the fecundity level that, if maintained, only ensures the replacement of the population; in consequence, after certain time it will produce a zero growth rate. 3 The demographic behavior is described after 1950 since that is the date from which there is data available and systematic estimations for the countries, elaborated by the United Nations. 27 October/December 2006 Papeles de POBLACIÓN No. 50 CIEAP/UAEM and 5.0 (Guatemala) children per woman, and annual average growth rates between 4.5 (Cuba) and 27.5 (Honduras) per thousand (Cepal/Celade, 2005). At the beginning of the 1990’s, and as a part of the preparation of the 1994 International Conference on Population and Development (ICPD) of El Cairo, the Economic Commission for Latin America and the Caribbean (Ecla) presented in several documents the typology of the countries from the region according to the stage of the demographic transition there were at in the 1995-2000 quinquennium (Cepal/Celade, 1995a; 1995b). Next, the countries are located in the four stages that can be identified in this process4, for three times of the last century’s second half: 1950-1955 quinquennium Incipient transition: Bolivia, Brazil, Chile, Colombia, Costa Rica, Ecuador, El Salvador, Guatemala, Haiti, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Dominican Republic and Venezuela (135.8 million of people in total, 84.3 percent of the total population of the region). Moderate transition: none. Full transition: Argentina and Cuba (23 millions, 14.3 percent of the total population of the region). Advanced transition: Uruguay (2.2 millions, 1.4 percent of the total population of the region). 1985-1990 quinquennium Incipient transition: Bolivia and Haiti (13.6 millions, 3.1 percent of the total population of the region). Moderate transition: Guatemala, Honduras, Nicaragua and Paraguay (20.8 millions, 4.8 percent of the total population of the region). Full transition: Brazil, Colombia, Costa Rica, Ecuador, El Salvador, Mexico, Panama, Peru, Dominican Republic and Venezuela (338.5 millions, 78.4 percent of the total population of the region). 4 The location of each country is based on the values of the birth and mortality rates, according to the following criterion: incipient transition, high birth rate (32 to 45 per thousand) and high mortality rate (more than 11 per thousand); moderate transition and moderate mortality rate (seven to 11 per thousand); full transition, moderate birth rate (24 to 32 per thousand) and moderate and low mortality rate (four to seven per thousand); advanced transition, low birth rate (10 to 24 per thousand) and moderate and low mortality rate. 28 / Latin America: Toward an old and decreasing population? J. Chackiel Advanced transition: Argentina, Chile, Cuba and Uruguay (59.4 millions, 13.7 percent of the total population of the region). 1995-2000 quinquennium Incipient transition: Haiti (8.4 millions, 1.6 percent of the total population of the region). Moderate transition: Bolivia, Guatemala, Honduras and Nicaragua (31.1 millions, 6.1 percent of the total population of the region). Full transition: Colombia, Ecuador, El Salvador, Mexico, Panama, Paraguay, Peru, Dominican Republic and Venezuela (226.8 millions, 44.3 percent of the total population of the region). Advanced transition: Argentina, Brazil, Costa Rica, Chile, Cuba and Uruguay (245.7 millions, 48 percent of the total population of the region). In 1985-1990 an important modification in the demographic panorama of the region is already visible, since with the exception of Uruguay, Argentina, and to a certain extent, Cuba, in 1950 all the other countries were at an initial stage of the transition. Conversely, at the end of the 1980’s, most of the countries were in full demographic transition. Later, in just one decade, from 1995-1990 to 19952000, there are important changes, considering that the evolutions of the demographic variables are long-term phenomena in general. In this period, among other changes, there are two countries that have already passed from the full transition stage to the advanced transition stage; Costa Rica and Brazil,5 which represents one third of the region’s inhabitants. This indicated that, in terms of population, the modification of the panorama is still larger. Whereas in 1990 the population of the region belonging to the countries in advanced transition was of 59 millions (14 percent), in 2000 it is of 246 millions (48 percent), which means that it was four-folded in a 10-year period.6 Given the own delimitation of every typology, the changes that occur in the interior of each group are hidden, changes that, for example stop at the threshold of moving from the advanced transition to countries of full transition. These are the cases of Panama, Mexico, Colombia, Venezuela and Dominican Republic, which have birth rates close to the limit of both categories (Cepal/Celade, 2005). 5 Brazil would have an advanced transition, mainly due to the changes in its fecundity because its mortality is relatively higher. 6 It is fourfold, mainly because Brazil’s change from full to advanced transition. 29 October/December 2006 Papeles de POBLACIÓN No. 50 CIEAP/UAEM Within each category there is a certain degree of heterogeneity that is evident in the values of the countries’ demographic parameters (Chackiel, 2004). These differences would be more significant in the advanced transition group, the one that includes countries which their recent population growth rates, for example, are between five and 24 per thousand.7 Besides, in the same group are, for example Uruguay and Argentina, whose demographic transition begins in the beginning of the XX century, and some other that have had changes concentrated in the last 30 or 40 years. The international migrations are also a component of the demographic change, but their volumes and trends are less predictable and do not follow an easily to determine pattern. That it is why this component is not generally taken into account in the demographic transition proposals, but without a doubt it has to be considered for the analysis of the demographic trends of the Latin American countries. For example, the migratory movements could explain some irregularities in the population’s growth rate and the age structure, mainly in the small countries where they acquire a relatively higher importance. Moreover, they can also present an indirect impact through the influence they have on what is happening with the fecundity and mortality trends (Livi, 1993). In Table 1 are shown some of the demographic indicators of countries chosen according to the different stage in the demographic transition process. Without a doubt, regarding the future are hypotheses that are constantly revised whenever there is new information (Cepal/Celade, 2005, United Nations, 2005). Also in the Table 1 the mortality and fecundity rates can be observed and, with certain gap, also the consequences about the population’s growth and its structure by ages. As the countries advance in the transition, there is a contraction of the percentage of children and a gradual increment in the percentage of old adults. 7 The growth rate of five per thousand corresponds to Cuba and the 24 per thousand to Costa Rica. The latter is relatively high because the very low mortality this country has reached and the high crude birth rate, a as product of its young structure by ages. 30 / Latin America: Toward an old and decreasing population? J. Chackiel TABLE 1 GLOBAL FECUNDITY RATE, LIFE EXPECTANCY AT BIRTH, ANNUAL GROWTH RATE MEAN AND PERCENTAGES OF POPULATION FROM 0 TO 14 YEARS OF AGE, AND 60 AND MORE, FOR SELECTED YEARS AND COUNTRIES 1950 Demographic indicators Latin America and the Caribbean Global fecundity rate 1970 2000 2010 2025 2050 5.9 5.3 2.7 2.3 2.0 1.9 Life expectancy at birth 51.8 60.2 71.5 74.0 76.9 79.6 Annual growth rate mean (per thousand) 27.0 25.5 15.3 12.7 8.6 2.8 Percentage of population from 0 to 14 years of age 40.0 42.4 32.1 28.2 23.4 18.2 6.0 6.4 8.1 9.7 13.6 20.3 Percentage of population from 60 and more years of age Guatemala (moderate demographic transition) Global fecundity rate 7.0 6.3 4.8 3.9 2.8 1.9 Life expectancy at birth 42.0 52.0 67.6 70.8 74.1 77.9 Annual growth rate mean (per thousand) 28.0 27.0 23.9 24.2 18.9 9.5 Percentage of population from 0 to 14 years of age 44.6 44.6 44.1 41.6 34.4 22.6 4.2 4.4 5.9 6.5 7.2 13.0 Percentage of population from 60 and more years of age Ecuador (full demographic transition) Global fecundity rate 6.7 6.3 3.0 2.5 2.1 1.9 Life expectancy at birth 48.4 57.8 73.3 75.4 77.6 80.0 Annual growth rate mean (per thousand) 26.2 29.5 14.8 13.9 10.3 4.1 Percentage of population from 0 to 14 years of age 39.5 44.4 34.5 30.3 24.5 18.5 8.1 6.3 7.4 9.2 13.2 21.9 Percentage of population from 60 and more years of age Mexico (demographic transition between full and advanced) Global fecundity rate 6.9 6.7 2.6 2.1 1.9 1.9 Life expectancy at birth 50.7 61.5 74.2 76.7 79.2 81.1 Annual growth rate mean (per thousand) 26.9 31.8 14.5 10.6 6.8 0.4 Percentage of population from 0 to 14 years of age 42.0 46.5 33.7 28.0 22.0 17.0 7.1 6.1 6.9 8.9 14.2 27.4 Percentage of population from 60 and more years of age Continues 31 October/December 2006 Papeles de POBLACIÓN No. 50 CIEAP/UAEM TABLE 1 GLOBAL FECUNDITY RATE, LIFE EXPECTANCY AT BIRTH, ANNUAL GROWTH RATE MEAN AND PERCENTAGES OF POPULATION FROM 0 TO 14 YEARS OF AGE, AND 60 AND MORE, FOR SELECTED YEARS AND COUNTRIES (CONTINUE) Demographic indicators 1950 1970 2000 2010 2025 2050 Latin America and the Caribbean Argentina (Advanced old demographic transition) Global fecundity rate 3.2 3.1 2.5 2.2 2.0 1.9 Life expectancy at birth 62.7 66.7 73.8 75.7 78.1 80.7 Annual growth rate mean (per thousand) 19.7 15.6 10.4 9.4 6.4 2.5 Percentage of population from 0 to 14 years of age 30.5 29.4 28.0 25.1 22.0 17.8 7.0 10.7 13.3 14.5 16.7 24.3 Percentage of population of 60 and more years of age Cuba (very advanced demographic transition) Global fecundity rate 4.1 3.9 1.6 1.6 1.7 1.8 Life expectancy at birth 59.5 69.8 76.7 79.0 81.0 82.4 Annual growth rate mean (per thousand) 18.5 17.9 3.6 1.6 -0.1 -6.0 Percentage of population from 0 to 14 years of age 35.8 37.0 21.2 17.6 15.3 14.2 7.3 9.5 13.7 17.4 25.0 33.6 Percentage of population of 60 and more years of age Source: Cepal/Celade, 2005, and United Nations, 2005. The population’s growth trend Latin America, in average, has a decreasing trend in its population’s annual average growth rate, which is the result of the changes in the mortality and fundamentally in the fecundity since the mid 1960’s. In the five-year period from 1960-1965, it would have reached its maximum value (20 per thousand), as product of the low mortality stressed in the post-war period and of an elevated, and sustained, fecundity. Later, from that moment on, a drop in the fecundity starts, which will lead to a growth rate of 16 per thousand at the end of the 1990’s (Cepal/Celade, 2005). 32 / Latin America: Toward an old and decreasing population? J. Chackiel Whereas the global fecundity rate of the region in the last 40 years of the last century is reduced in 55 percent, the growth rate does it less than proportionally, in 42 percent. This is related to the called growth potential of the population’s structure by ages, that, since they are relatively young, it has an important contingent of women in childbearing ages.8 The Latin America’s growth rate in the 1960’s was the highest of the world; however, at the end of the last century it was already in the average of the developing regions, being overcome by the African continent (United Nations, 2005). Anyway, due to its higher fecundity and the mentioned high potential of its structure by age, Latin America’s population growth is still high if compared to developed countries, mainly European countries, which have already zero, even negative rates. The developed countries, mainly those from Europe, in the 1970’s already presented replacement fecundity, and it took 30 years for that to become a zero population’s growth rate. For Latin America, in average, it is foreseen a replacement fecundity for the 2020-2025 quinquennium, and there will not have zero population growth rates yet in 2050, final year of the available projections (Cepal/Celade, 2005). In Graphic 1 is presented the trajectory of the growth rate for selected countries of the region in order to appreciate the different change patterns. Before the decrement of the growth rate, in several countries, among them Mexico, can be seen an increment of it, which is the result of the drop in mortality and of a still high fecundity, and in some cases with slight increments (Cepal/ Celade, 2005). Haiti, is the only country that is currently in an incipient stage of its demographic transition due to its high mortality rate and also because of the large number of emigrants it presents a lower growth rate (18 per thousand in 19952000) in comparison to other countries that have a similar global fecundity rate (Cepal/Celade, 2005). The countries with moderate transition, represented in the Graphic by Honduras, still do not present a relevant decrement in their population’s growth rates because they, in general, maintain values close to 30 per thousand in recent years. In the countries in full demographic transition, the descent in the population’s growth is more marked. Many of these countries, that in the 1960’s had growth 8 The elevated number of women in childbearing ages is product of the high levels of fecundity of the region in previous decades. 33 October/December 2006 Papeles de POBLACIÓN No. 50 CIEAP/UAEM rates of or close to 30 per thousand, in recent years they reach rates of around 20 per thousand annually (between 16 and 26 per thousand). This is the case of Mexico and Ecuador in Graphic 1. In the group of countries in advanced transition there is great heterogeneity of behaviors. On one hand there are Costa Rica (24 per thousand in 1995-2000) and Panama (20 per thousand) with high rates of population increment because their high growth potential, their low mortality and, in the case of Costa Rica, its positive migratory balance.9 Brazil (13 per thousand) which trajectory is similar to the previous cases is different from them because its inferior fecundity global rate, as well as its elevated mortality rate. Argentina and Chile, with a close growth rate in 1995-2000 (13 per thousand), follow a very similar trajectory since 1970-1975. The former has a lower growth in the previous quinquenniums, this is because its well-known low fecundity since the beginning of the XX century. Finally, in a very advanced transition we find Cuba and Uruguay, which currently have growth rates inferior to one percent. Uruguay, with low growth rates, as well as Argentina because of the early descent of the fecundity, is also affected by the large emigration for the last three decades. GRAPHIC 1 LATIN AMERICA: ANNUAL POPULATION GROWTH RATE MEAN 40 Argentina 35 Cuba México Rates per thousand 30 Ecuador 25 Honduras 20 15 10 5 0 1950- -51955 19601965 19701975 19801985 19901995 20002005 20102015 20202025 20302035 -10 Source: Cepal/Celade, 2005. 9 It refers to the migration of Nicaraguan people to Costa Rica from the 1970’s. 34 20402045 / Latin America: Toward an old and decreasing population? J. Chackiel Cuba has had for more than two decades a fecundity rate under the replacement level, and it is also affected by a negative migratory balance. Nonetheless, due its growth potential, it has not reached a zero growth rate; this is expected to be reached in the next 20 or 35 years (Graphic 1). The future population growth perspectives are fundamentally predetermined by the hypotheses formulated for the behavior of the fecundity global rate. As the recent projections from the United Nations (2005) are already considering a trend toward a fecundity rate under replacement level (GFR of 1.85 children), this entails that, sooner or later, negative growth rates will be reached. In Graphic 1 it can be seen that, with the exception of Cuba, that has a fecundity rate under replacement levels, the rest of the countries will reach a negative growth after year 2050. The population’s growth by ages If the trend of the population’s growth rate national mean is observed in isolation, the important differences produced by the growth rates by age groups would be out of sight. From the low fecundity, generally produced in the middle of the 1960’s, there are strong differences in the increment of the number of children, of the population in active ages and of the people in advanced age. In Graphic 2 this fact can be exemplified with three countries: Honduras, Mexico and Brazil. In Brazil, where the changes in fecundity began before than in Honduras, there was a convergence of the population’s growth rate of the three age groups considered in the 1965-1970 quinquennium, in an approximate value of 30 per thousand annually. From that point a steep decrement of the children’s growth rate began, which became negative before 2000. Conversely, the old adult population group’s growth rate increased even more; according to the projections it will reach a maximum of 40 per thousand, then it will begin its descent. The population’s growth rate of the group between 15 and 59 years of age presents a behavior between that of the children’s group and the group of the old adults, and it will become negative between 2035 and 2040. For Honduras, that begins this process late (the convergence is produced in the 1975-1980 quinquennium), and it is expected that the children’s growth rate will be negative close to year 2030, whereas by that time, the old adult population will exceed 40 per thousand of annual average growth rate. In the case of Mexico, even if it presents a similar trend as the other countries, a very particular behavior in the descent of the old adult growth rate curve 35 October/December 2006 Papeles de POBLACIÓN No. 50 CIEAP/UAEM between 1950 and 1975 can be noticed (Graphic 2c). This descent, that implies certain delay in the intensity of aging, would probably be due to the effects the mortality increment of 1910 would have had on the population’s dynamic, caused by the Mexican Revolution, as well as the presence of some contagious diseases (Secretaría de Gobernación/Consejo Nacional de Población, 1993). These dissimilar growth rates between the analyzed age intervals will bring as a consequence a strong impact in the structure by ages, which is in the root of the aging process analyzed in the following section. The evolution of the structure by age: the population’s aging The relative distribution of the population by age, because it is the main consequence of the levels and trends of the fecundity and the mortality, cannot be separated from the transition stage the countries are in. As the descents of mortality and mainly of the fecundity continue, there is a gradual aging process. The aging process is corroborated when considering the different growth rates by the groups of age analyzed in the previous section (Graphic 2). Due to this fact, the total of the population of 60 years and more in Latin America increased in the 1990’s to 10 million people, whereas the population under 15 years of age increased in approximately six millions. This is diametrically opposed to what happened in 1960 when the children’s population increased in 28 millions and the population of old adults increased in less than five millions (Chackiel, 2000). This means that the structure of the society demands is changing; now increasing more than related to the old adult and less than correspondent to the children. This implies the need of restructuring, for example, the health services in function of the presence of more requirements from the old adults. As it happens with the other aspects, in the region there is an important heterogeneity regarding the distribution of the population by age. The countries with an incipient and moderate demographic transition have, in general, a young population, represented by a wide-based population pyramid for to the high percentage of the infant population (42 percent of children under 15 years of age). This is the case of most Latin American countries in the 1950’s and 1960’s, and still in our days, of those countries that are in the mentioned transition stagesthis can be seen in the Graphic 3, for the selected countries of the region. 36 / Latin America: Toward an old and decreasing population? J. Chackiel GRAPHIC 2A BRAZIL. GROWTH RATE BY AGE GROUPS 50 Growth rate (by thousand) 40 30 0 - 14 20 15 - 59 10 60 and older 2045 2040 2035 2030 2025 2020 2015 2010 2005 2000 1995 1990 1985 1980 1975 1970 1965 1960 1955 1950 0 -10 GRAPHIC 2B HONDURAS. GROWTH RATE BY AGE GROUPS 50 30 0 - 14 20 15 - 59 60 and older 10 37 2040 2045 2030 2035 2020 2025 2015 2005 2010 1990 1995 2000 1985 1970 1975 1980 1960 1965 -10 1955 0 1950 Growth rate by thousand 40 October/December 2006 Papeles de POBLACIÓN No. 50 CIEAP/UAEM GRAPHIC 2C MEXICO. GROWTH RATE BY AGE GROUPS 50 30 20 0 - 14 15 - 59 60 and older 10 40 20 20 30 20 20 10 20 00 20 19 90 60 80 19 -10 19 70 19 50 0 19 Growth rate by thousand 40 -20 Source: Cepal/Celade, and current estimations and projections. At the fist stages of the demographic transition process there is even a slight or moderate rejuvenation of the population, product of a more marked drop of mortality, mainly the drop of the infant mortality rate (Chesnais, 1990). This fact has as a consequence a higher survival of children, which produces an effect similar to the increment of the fecundity rates, this is, a higher proportion of the group from zero to four years of age. Besides, added to this drop of the infant mortality there is a moderate increment of the fecundity that took place in the 1950’s and 1960’s as a consequence of the improvements in the population’s health condition, of the very general mortality and of the increments in the nuptiality rates10 (Chackiel, 2004). The rejuvenation of the population took place in all the countries of the region —with the exception of Uruguay and Argentina—. For example, in Mexico, between 1950 and 1965, the percentage of children of less than 15 years of age changes from 42 to 46 percent (Chackiel, 2004). 10 This would be coherent with the increments in the population’s growth rate in those years, which was analyzed in the previous section. 38 / Latin America: Toward an old and decreasing population? J. Chackiel From the beginning of the decrement of the fecundity rates, generally in the middle of the 1960’s, the gradual aging process begins. As it was already mentioned, this process is produced by the growth rate differenced by age, which shows a marked drop in the children’s rates and an increment of the old adults growth rate (Graphic 2). The countries in full demographic transition already show a lower percentage of people under 15 years of age, although it is still around 35 percent due to the high proportion of women in reproductive ages (the case of Mexico in Graphic 3). Because of the concentration in the percentage of children, in this stage there is a change in the population pyramid, called ‘‘aging by the base’’ (Chesnais, 1990). At an advanced stage of the demographic transition, mainly on those countries that have had important decrements in the fecundity rates in a short period of time, there is a bulge in the central ages of the population’s pyramid, where the active population is located. In these countries, for example, Brazil, the proportion of people under 15 years of age in recent years is close or inferior to 30 percent, and the population of 15 to 59 years of age, around 60 percent (Chackiel, 2004). These changes have an important incidence in the dependence relation and in the challenges of the labor market, as it will be commented further ahead. Chesnais (1990) calls this phase of the change process in the age structure ‘‘aging by the centre’’. The countries that have population in the eldest ages are Uruguay (17 percent of people over 60 years of age), Argentina, (13 percent) and Cuba (14 percent). This happens in the first two because they were exposed to a low fecundity and mortality for a long period. For Cuba, to set an example, its extremely low fecundity rate, which has been sustained for 25 years, as well as its high life expectancy at birth, is having great influence. Even when this is happening, there is a large distance between what is taking place in the developed countries, that for year 2000 already have more than 20 percent of the population of 60 years of age and more.11 These developed countries would be, in what Chesnais (1990) calls ‘‘aging by the cusp’’ stage. 11 For example, 21 percent of France’s population is 60 years of age and older; 22 percent of Sweden’s, and 23 percent in Japan. These countries are characterized by a global fecundity rate far below the replacement level (around 1.5) and a life expectancy at birth of approximately 80 years of age (United Nations, 2005). 39 October/December 2006 40 Guatemala México Cuba 1950 2000 2050 1950 2000 2050 1950 2000 2050 1950 2000 2050 0 4.2 7.0 7.3 7.1 6.9 5.9 10 15.2 13.3 13.7 13.0 20 17.9 17.5 21.2 25.1 24.3 22.6 30 27.7 33.6 33.1 35.8 per hundr ed 30.5 Source: Cepal/Celade, and current estimations and projections. Argentina 40 42.0 44.6 44.1 50 51.3 50.9 51.2 50.0 59.9 60 59.0 57.9 56.9 57.4 62.4 65.1 64.5 70 GRAPHIC 3 LATIN AMERICA: STRUCTURE BY LARGE AGE GROUPS. SELECTED COUNTRIES. 1950 TO 2000 0-14 15-59 60and older Papeles de POBLACIÓN No. 50 CIEAP/UAEM / Latin America: Toward an old and decreasing population? J. Chackiel Even if the aging process can be perceived analyzing the percentages of the population at different ages, a more sensitive indicator is the called aging indicator, which expresses the number of old adults per every 100 children12 (Graphic 4). Without a doubt, Cuba’s is the most spectacular case, where in 1950 there were 20 old adults per every 100 children, then this figure changes to 65 for every 100 children in year 2000, exceeding the figures of Argentina, which continues its aging process at a very sustained, but gradual pace. On the other hand, in Mexico and Ecuador, countries that have a recent full transition, the index moves from 14 old adults per every 100 children in 1965 to 20 adults per every 100 children in year 2000. Old people’s aging The population of 60 years and more includes the old active adults who have a social participation more or less intense and, therefore, they can make important contributions to the society. But also within this group are the elderly people, from which a large number have limited physical or mental capabilities and, therefore, they require special attention in regards to their health, as well as a dignifying life and death. This has led to consider the existence of a ‘third age’, from 60 to 74 years of age, and a ‘fourth age’, from 75 and more. Due to the important increments in the life expectancy to 60 years, there is also a variation in the production of the third and fourth ages. It can be said that there is an aging in the interior of the old adult’s population. The 75 and more years of age group, who in 1970 represented approximately 17 percent of the people in advanced ages in Latin America, in year 2000 it constitutes almost one fourth of that population. Now, in the countries that are in the first stages of the demographic transition, such as Guatemala, this percentage is of 20 percent, whereas in the countries with older population, such as Argentina and Cuba, this sector is close to the 30 percent (Table 2). The increasing proportion of old people is of a great importance for the social policies destined to the population in advanced ages. Whereas it is foreseen a series of measurements to meet the demands of the old adults regarding the work conditions and the social participation, the needs from the most aged population should not be forgotten. 12 The older adult population (60 years of age and older) and the children (0 to 14 years of age) quotient are estimated by one hundred. 41 October/December 2006 42 50 19 0 50 100 150 200 60 19 70 19 80 19 90 19 00 20 10 20 Source: Cepal/Celade, and current estimations and projections. Index (by hundred) 250 20 20 30 20 40 20 50 20 GRAPHIC 4 AGING INDEX IN SELECTED COUNTRIES OF LATIN AMERICA H onduras Ecuador México Argentina C uba Papeles de POBLACIÓN No. 50 CIEAP/UAEM / Latin America: Toward an old and decreasing population? J. Chackiel In particular, to satisfy the adequate housing arrangements, health conditions, caregiving and affective support. Even if a number of these necessities can be complied by the families; this is made difficult by the smaller number of children or grandchildren due to the drop in the fecundity, and also because of the economic resources problems to face the caregiving of the grandparents and great-grandparents. The lack of appropriate attention to these demands leads to the fact that these people live longer, but with a poor quality of life. Feminization of aging The more extended life expectancy of women in comparison to men has as a consequence a higher proportion of feminine population in advanced ages. Besides, given the differences favoring women in the life expectancy are increasing, the trend of aging presents an increasing number of women. In average, Latin American women lived 3.5 years more than men in the last century, and this difference was practically doubled in 50 years (6.5 years for the 1995-2000 quinquennium). If the life expectancy at 60 years is considered, the over-life of the feminine population is of between three and four years, which is not little if it is considered that at that age the average of life is of 18 years (Chackiel, 2000 and Chackiel, 2004). In Table 3 are presented, for the 1950-2000 period, the data correspondent to the masculinity index of the total population and of advanced ages in the selected countries. In every case, and in the years analyzed, it can be observed a low masculinity index which confirms the higher presence of women and, besides that; this masculinity decreases as a more advanced age is considered. For example, in Brazil, whereas for the 60 to 74 years of age group the index is 84 men per every 100 women in year 2000, for the following group the indicator for the same year is 70 men per every 100 men. On the other hand, the general trend is of a lower masculinity rate as more advanced in their demographic transition countries are taken into account or even within the same country as the process advances. According to Villa and Rivadeneira (2000), the exceptions to this behavior are linked to the migratory movements that, in some cases, alter the expected behavior. This could explain the high masculinity indexes observed in Argentina in 1950. Women live longer than men, but in general their quality of life is seriously compromised because most of the cases are widows who have to face on their own their last years on the planet. 43 October/December 2006 Papeles de POBLACIÓN No. 50 CIEAP/UAEM TABLE 2 PERCETAGE DISTRIBUTION OF THE THIRD AND FOURTH AGES IN RESPECT TO THE TOTAL OF OLDER ADULTS. SELECTED COUNTRIES 1950-2000 Country Year 60 and older Distribution 60-74 75 and older Argentina 1950 1975 2000 100.0 100.0 100.0 84.2 79.8 72.1 15.8 20.2 27.9 Cuba 1950 1975 2000 100.0 100.0 100.0 79.7 79.7 70.9 20.3 20.3 29.1 Mexico 1950 1975 2000 100.0 100.0 100.0 82.0 73.0 75.0 18.0 27.0 25.0 Ecuador 1950 1975 2000 100.0 100.0 100.0 82.0 78.1 74.9 18.0 21.9 25.1 Guatemala 1950 1975 2000 100.0 100.0 100.0 84.6 80.7 78.8 15.4 19.3 21.2 Source: Cepal/Celade. Current population estimations. This situation is aggravated because in many cases they do not have the necessary income to afford the essential expenses of health services and personal attention. To this is added the lack of affective attention since they do not have a couple to accompany them, this fact is less frequent among men, for whom, due to cultural reasons, is easier to keep on their lives with a much younger woman. 44 / Latin America: Toward an old and decreasing population? J. Chackiel The demographic bonus: a favorable dependency relation? The population’s age structure change process has an important effect from the social and economic point of view as it brings along a modification regarding the importance of the ages integrated by the population potentially passive, in relation to the population belonging to ages considered as potentially active or productive. In general, it is considered positive for a society that the called demographic dependency relation13 is low because this means that there are proportionally less people who constitute a burden that has to be relieved by the population in active ages. In the beginning of the demographic transition, the dependency relation is high due to the rising percentage of children. In Graphic 5 it can be observed that its value in Guatemala, throughout the second half of the last century, it is approximately of 100 potentially passive people per every 100 in active ages. Similar and even higher values can be observed for Mexico and Ecuador until 1980 and 1975, respectively. However, Argentina, which has a population with a smaller proportion of children in that period, presents a relation of 70 per every 100 people. But something worth observing in this Graphic is the countries’ trend to the decrement of the dependency relation to values under 60 per 100. This fact would already be occurring in some countries in the most advanced stage of the transition (for example, Cuba) and it is foreseen that the same will happen in the rest of the countries. Mexico stands out because the speed and intensity of the descent of its dependency relation, which would be very close to 60 per every 100. This drop in the dependency relation, which lasts for several decades, has been called «demographic bonus» or «demographic opportunity» as it implies that the society can dispose savings that can be invested in productive accounts or to be reassigned to social benefits that until now are not easily met. As the saving would come from the less pressure of the children’s demands, as its population is practically in stagnation, it is proposed a rationalization of the social expense, mainly to focus on the quality of education and reforms to the health sector to meet the changes in the epidemiologic profile. This is seen as an opportunity to make some reforms and investments that would prepare the countries for the 13 The demographic dependency relation is defined as the quotient between the population in passive age (0 to 14 years of age plus the population of 60 years of age and more), in respect to the population in age considered as active (15-50 years). The numerator components can be split and then there is the dependency relation of children and the dependency relation of the old adults’ population. 45 October/December 2006 Papeles de POBLACIÓN No. 50 CIEAP/UAEM times when the dependency relation turns to high levels, this time with the load of the advanced age population. Even if the presence of descents in the dependency relations marks a positive fact, there are certain doubts that an excessively optimistic posture is taken (Chackiel, 2000). One of the important considerations is that in order to be a dependency relation effectively favorable, the demand for employments for an increasing active population should be met. A country with an important unoccupied population would lead to a real high dependency relation14 and it would be worthless to have a favorable demographic structure. In this sense, regardless it is an important element; it would seem that its use would be depending on the markets capacity to absorb the rising demand for employments. Brazil, for example, in 1996 would have a higher real dependency relation in comparison to the demographic dependency since the former would be of 66 per every 100, whereas the latter would be of 129 per every 10015 (Chackiel, 2000). Another element to be considered is what is happening to the interior of the countries where the demographic bonus is currently benefiting the medium and high class households, which are the ones that have presented a higher decrement in their fecundity rates. Anyhow, the bonus for the poorest sectors will be reached as the new demographic behaviors are incorporated. In the meantime, for those being benefited, redistribution of income policies will have to be imposed, policies that ensure that all the society will benefit from the liberation of resources that implies the low dependency relation. Still with Brazil, the demographic dependency relation in 1996 for the ‘‘non-poor’’ would be of 55.3 per every 100, whereas for the ‘‘poor’’ would reach 90 per every 100. At the same time, the real economic dependency relation would be, for the ‘‘nonpoor’’ of 106 per one hundred and for the ‘‘poor’’ of 185 per hundred (Chackiel, 2000). Also it has to be taken into consideration the role that the change in the internal composition of the demographic dependency relation plays in all this because it is formed by the relation of children and older adults. As the fecundity descends and the children’s growth became stagnant, the correspondent dependency relation to the population from zero to 14 years of age turns lower (Table 4). 14 The quotient of the unemployed plus the non-active over the occupied of all ages is defined as the ‘real economic dependency relation’. Data from Ecla Data Bank from the Pesquisa Nacional (National Inquest) by Amostra de Domicílio (Pnad) 1996. 15 46 / Latin America: Toward an old and decreasing population? J. Chackiel TABLE 3 MASCULINITY INDICES BY AGE GROUPS FOR SELECTED COUNTRIES. 1950-2000 Year and age groups Guatemala 1950 total 60 and over 60-74 75 and over 1975 total 60 and over 60-74 75 and over 2000 total 60 and over 60-74 75 and over Masculinity indices México Brazil Argentina 102.1 96.1 97.4 89.4 99.9 85.4 86.8 79.1 98.4 81.2 82.4 74.7 106.1 103.0 108.5 78.2 102.4 95.7 97.1 89.7 100.0 84.7 87.0 78.7 99.6 89.7 92.5 79.3 99.7 85.5 88.7 73.9 96.5 92.4 94.3 85.9 98.0 84.6 88.2 74.6 97.9 82.5 85.1 74.7 96.3 73.9 81.1 57.8 Source: Cepal/Celade. Current estimations. There are doubts regarding the true existence of the demographic bonus, if it is considered that even being a minor dependency relation would be formed by a larger number of people in advanced ages. In this sense, it is argued that probably the maintenance cost of an old person is a few times higher than that of a child. This is clear in the health services sector as the affections of the elderly are, generally, of a chronic nature, hence the diagnoses, procedures and treatments of this population group are more expensive. To this is added the increasing proportionality of people in the fourth age, for who it is necessary to provide permanent care. The latter leads to affirm that even if the dependent people would be less, it would not necessarily be regarding the costs the society would have to provide to ensure them a good quality of life and their development as an individual. 47 October/December 2006 Papeles de POBLACIÓN No. 50 CIEAP/UAEM GRAPHIC 5 LATIN AMERICA: RELATION OF TOTAL DEPENDENCY. SELECTED COUNTRIES. 1950-2050 120 Relation by hundred 100 80 Argentina Cuba 60 México Ecuador Guatemala 40 20 19 50 19 60 19 70 19 80 19 90 20 00 20 10 20 20 20 30 20 40 20 50 0 Source: Cepal/Celade. Current population estimations and projections. XXI Century, aging in Latin America As the XX century was marked by the demographic transition of Latin America, the XXI century will be marked by the aging of its population. The rhythm of this aging process will be important in the next decades, mainly because to the elderly people population will integrate the numerous contingent of people who were born in the 1950’s and 1960‘s. This fact, added to the increment of the life expectancy, provides a clear explanation for the increment of the growth rates of the population of 60 years and more observed in the section 2 (Graphic 2a and 2b). During the second half of the last century, the number of people of 60 and more years of age in the region was twofold every five lustrums, whereas in the following 25 years it will increase two and a half times, then its growth intensity will decrease. In absolute numbers, the population of old adults from year 2000 48 / Latin America: Toward an old and decreasing population? J. Chackiel to 2025 will change from 41 millions to 98 millions. In percentage terms this means that in the first quarter of the century people of more than 60 years of age and more will be the 14 percent of the total population, and it is foreseen that in year 2050 they will come to close one quarter of the population (23 percent).16 Whereas nowadays Uruguay, the most aged country in Latin America, has 17 percent of people of 60 years of age and more, Cuba, which will be most aged country at the half of this century, will have the double, 34 percent of older adults (Cepal/Celade, 2005). By then, most of the countries in incipient and moderate transition would present a situation similar to that of Uruguay in the present times, and the countries in full and advanced transition would have between 20 and 28 percent of people of 60 years of age and more. In order to measure the importance of the change to come, consider that by year 2000 all the countries, with the exception of Uruguay and Argentina, had between five and 10 percent of people in those ages. This implies that in the next 50 years the old adults will threefold their percentage of the total of the population. However, it is worth mentioning that the most aged countries of the world, for example France, Italy and Japan, currently have a proportion of people of 60 years of age and more close to the 25 percent, figure that Latin America will reach in 50 years. Besides, there is no sign of a trend of the region’s situation toward the approximation of that of the developed countries as the descent in the fecundity rates of the latter is way below the replacement rate and the continuous increment of the life expectancy will also experience a grater aging process. So, the mentioned countries will have a population of old people close to 40 percent of the total population by year 2050 (United Nations, 2005). This situation when there is an inversion of the age pyramid, with a higher proportion of older people than children, is called mushroom-like or macro-cephalic pyramids (Chesnais, 1990). This scenario, already present in some other parts of the world, makes that aging and its consequences become an increasing preoccupation in the whole planet, and particularly in Latin America. In 1982 the first World Assembly on Aging took place in Vienna, where the International Plan of Action on Aging was elaborated, this plan was countersigned by the United Nations General Assembly. This organism approved in 1991 the Principles of the United Nations in favor of the aged people and declared 1999 as the international year of the older people. 16 These projections of population are done under the supposition that the fecundity of all the countries will reach a rate under replacement level before 2050. The goal is a fecundity global rate of 1.85 children per woman, except for some countries delayed in the transition. 49 October/December 2006 Papeles de POBLACIÓN No. 50 CIEAP/UAEM TABLE 4 RELATION OF TOTAL DEPENDENCY, OF CHILDREN AND OLDER ADULTS. SELECTED COUNTRIES. 1950-2000 Country Year Total Dependency relation 0-14 years 60 and older Argentina 1950 1975 2000 60.2 68.4 69.6 48.9 49.2 47.0 11.3 19.2 22.6 Cuba 1950 1975 2000 75.8 89.5 53.6 62.9 70.7 32.6 12.8 18.7 21.0 Mexico 1950 1975 2000 96.3 109.9 68.3 82.4 98.0 56.7 13.9 11.9 11.6 Ecuador 1950 1975 2000 91.0 99.7 71.8 75.5 87.5 59.2 15.5 12.2 12.6 Guatemala 1950 1975 2000 95.4 97.4 99.9 87.1 88.5 88.1 8.3 8.9 11.8 Source: Cepal/Celade. Current population estimations. The Program of Action approved by the Cairo ICPD (United Nations, 1995) acknowledges this anxiety in the diagnosis of the demographic dynamic as well as in the setting of objectives and measurement destined, among other things, to create conditions that improve the quality of life, that enable the population to carry an autonomous way of life, and to establish health attention systems, economic and social security systems and social support systems for the elderly. The evaluation of the Cairo Program of Action + 5 mentions the deficiencies of 50 / Latin America: Toward an old and decreasing population? J. Chackiel services and policies to provide attention to the increasing population of elderly people in the developing countries (United Nations, 1999). In 2002 the World Assembly on Aging II, which approved the Madrid International Plan of Action took place. ‘‘The objective of the Plan of Action consists in guaranteeing that all the population groups can grow older safely and in a dignifying way, and that the elderly people can continue participating in their societies as citizens with full rights.’’ This declaration is considered as a milestone in the treatment of aging throughout the world. In November 2003 in Santiago de Chile took place the Inter-governmental Regional Conference on Aging, when a regional strategy of implementation for Latin America and the Caribbean of the Madrid International Plan of Action was proposed and approved. In the regional strategy the priorities based on the principles of the United Nations and framed on the commitments of the Millennium Declaration (Cepal, 2004). Besides, general orientations that fundament the proposed goals, objectives and actions are established. In particular, among the orientations, it is established that: The incorporation of the aging issue in the integral development and in the public policies, with the consequential resignation of resources among the generations, is part of the necessary adjustments to solve the problems of the demographically more aged populations. However, it is necessary to mention that for most of the region’s countries the concern for the old people population is added to the pressure regarding the maternal-infant attention. This due to the fact that even if the fecundity levels have been decreasing in many countries, there is still an important number of pregnancies and births from a still increasing number of women in childbearing ages. Conclusions In the XX century Latin America has experienced an unprecedented demographic change, fundamentally during the second half; this process still continues in the beginning of the XXI century. To begin with, a reduction in the mortality that began in the first half of the last century, which shows that a Latin American person has in average a life expectancy of 71 years approximately, just about twice the number of years they had 100 years ago, and 18 years more than in 1950. Later, the fecundity started to decrease, which in a few decades was reduced to a half. The global fecundity rate in the 1950’s and 1960’s was of 51 October/December 2006 Papeles de POBLACIÓN No. 50 CIEAP/UAEM approximately six children per woman, whereas in 1995-2000 is somewhat half that (2.7 children). As a consequence of the changes in the fecundity and the mortality there is a descent in the population’s annual average growth rate and a gradual aging of the structure by ages, which will be more acute in the following decades. The region, that 30 or 40 years ago was living what some qualified as demographic explosion because it presented the highest growth rates observed in the world so far (close to 30 per thousand), nowadays it has a more moderate rate; 16 per thousand. According to the location of the countries in the demographic transition process, important differences can be noticed regarding the population’s growth rate. In this way, the countries with an early transition, characterized by the descent of the mortality and a high or moderate fecundity, still present high rates, some of them similar to the regional rates in the 1960’s. The countries with recent descents in their fecundity, due to the high growth potential of their young structure by ages, still have a moderately high growth rate (close to 20 thousand). The countries with advanced transition would present a very heterogeneous situation since there are recent fecundity cases with steep descent, and some other that already present a low fecundity since the first half of the XX century. The case of Cuba must be considered as of very advanced transition because its fecundity has been below replacement levels for 25 years; however, its growth rate is still positive because its growth potential will not be turning negative until 2025. As a consequence that the fecundity projections, performed by Celade and the United Nations Population Division, tend toward values below the replacement level (GFR = 1.85 in general), the growth rates will seriously decrease in the future. However, due to the population’s young structure by ages, with the exception of Cuba, the countries from the region would not have a zero or negative growth in the first half of the XXI century. Due to the reduction of the fecundity and the extension of the people’s life there is a very different trend from that of the population’s growth by age structure. So, meanwhile the population under 15 years of age is drastically reducing its increment and in many countries it is close to zero or it is already negative, the population’s growth of people of 60 years of age and more gains in the following years its historical maximum (close to 40 per thousand). The latter is related to the fact that those who will reach the third age are the people who were born five decades ago, when the fecundity was really high. On the 52 / Latin America: Toward an old and decreasing population? J. Chackiel other hand, the growth of the population in active ages stays in an intermediate value, beginning its descent several decades after the correspondent children’s rates. Such different growth rhythms among the age groups will have as a consequence a strong impact in the structure by age of the population, which is in the base of the aging process that is taking place in most of the region’s countries. In terms of the percentages of population in the large age groups, the situation is heterogeneous among the countries, depending on the situation they are within the demographic transition process. The countries with an incipient and moderate transition currently have a high percentage of children, close to 40 percent, whereas the proportion of the population of 60 years of age and older is of five percent approximately. In the end are the countries with advanced transition, where the population of under 15 years of age is 30 percent or less and the percentage of old people, in general, over 10 percent. Uruguay, the most aged country of Latin America has 17 percent of the population in the range of 60 years and older. The aging process will be more marked in the following decades and by the first half of this century, a fourth of the population will belong to the old adults group. In general, there is a pessimist standing regarding the change that is taking place in the population’s age structure, which considers that with this change the social burden will increase as it will try to provide the elderly with a healthy and dignifying life. Before this standing, there has emerged a more optimistic vision that considers that the demographic burden of a higher proportion of old adults is compensated with the lower pressure of the children’s demographic burden. So, the relation of the total demographic dependency (children plus the elderly) during the next decades will tend to be lower, and later it will increase again. This situation is known as the ‘demographic opportunity’, considering that the lesser expenses in the upbringing and education of a smaller proportion of children will enable reassigning the saved funds for the caregiving of the elderly and for investments that will produce more development, so that the countries are better prepared for the time when the dependency relation increases due to the persistent aging process. However, there is the possibility of obtaining a benefit from this ‘‘opportunity’’: the necessary capacity of the economy to create productive employments, the higher costs of maintaining an old person in comparison to the maintenance of a child, and the high dependency relation lived in the poorest households. 53 October/December 2006 Papeles de POBLACIÓN No. 50 CIEAP/UAEM The truth is that the increment of the older adults’ proportion, and within this group, the old people, with a higher presence of women, is an irreversible fact. Before this, it is inevitable to create policies and programs to ensure a dignifying retirement, a wide social participation and the offer of the necessary nursing and affective cares for a dignifying death. Bibliography BENÍTEZ Zenteno, R., 1993, “Visión latinoamericana de la transición demográfica. Dinámica de la población y práctica política”, in IV Conferencia Latinoamericana de Población. La transición demográfica en América Latina y El Caribe, vol. 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