POPULATION AGEING: WHAT REALLY MATTERS HALIMAH AWANG 10 MAY 2016 OUTLINE OF PRESENTATION • INTRODUCTION • POPULATION AGEING: GLOBAL PERSPECTIVE • POPULATION AGEING IN ASIAN COUNTRIES • WHY POPULATION AGEING MATTERS • AGEING & RETIREMENT IN MALAYSIA: A CASE STUDY 2 INTRODUCTION WHAT IS POPULATION AGEING? • Increase in median age of a population OR a change in the age structure of a population, so that elderly persons are increasingly represented within a country’s overall age structure. • Population ageing is mainly the result of rising life expectancy and declining fertility. • Elderly person = age 60 and above? OR age 65 and above? 3 DEMOGRAPHIC TRANSITION • Demographic transition from high to low mortality and fertility has resulted in the reduction of the proportionate share of population aged below 15, and increase of the population aged 60 and over. • In 2009, the global number of older people passed 700 million. This is projected to be 2 billion by 2050. • In the “more developed” regions over 20% of the population is 60+. By 2050, nearly 33% of the population is projected to be in that age group. • In the “less developed” regions, older people account for 8% of the population; by 2050 they are expected to account for over 20%. Author’s name | November 17, 2008 PROPORTIONS AGED 65+ AND UNDER FIVE: 1950-2050 5 OLDEST AND YOUNGEST COUNTRIES: (MEDIAN AGE) NATION JAPAN ITALY GERMANY WORLD MALI NIGERIA UGANDA 2005 43 42 42 28 16 16 15 2050 55 51 49 38 25 21 23 USA CHINA 36 33 41 45 INDIA 24 39 6 Percent 65 Years or Older for World and Italy: 1950, 2000 and 2050 40 36 Percent 65 years or older 35 30 25 18 20 16 15 8 10 5 7 5 0 1950 2000 Year 2050 World Italy 7 Percent 80 Years or Older for World and Italy: 1950, 2000 and 2050 15 16.0 Percent 80 years or older 14.0 12.0 10.0 8.0 5 6.0 4 4.0 2.0 0.5 0.5 1 0.0 1950 2000 Year 2050 World Italy 8 LONGER LIVES EVERYWHERE… 700 ASIA HAS THE LARGEST, FASTEST GROWING OLDER POPULATION 600 500 1950 1990 2025 400 300 200 100 0 Oceania Nth america Sth america Africa Europe Asia POPULATION PYRAMID • The age structural shift can also be observed from the changes in the shape of the population pyramid. • Population pyramid for 6 countries – India, Australia, Thailand, Nepal, Malaysia & Indonesia. • Changes in the shape – from triangular-shaped to constrictive population pyramid (rapid increase in the number and proportion of older population). 11 TOTAL POPULATION IN DIFFERENT COUNTRIES INDIA AUSTRALIA 12 TOTAL POPULATION IN DIFFERENT COUNTRIES THAILAND NEPAL 13 TOTAL POPULATION IN DIFFERENT COUNTRIES MALAYSIA INDONESIA 14 POPULATION PYRAMID MALAYSIA 1970-2030 WHY POPULATION AGEING MATTERS? • AGEING OF POPULATION = > DECREASE IN MOBILITY, INJURY, DISABILITY, CHRONIC DISEASES,… ; RISE IN OLD AGE DEPENDENCY BURDEN ON THE STATE & FAMILIES; RISING PENSION; INADEQUACY OF SOCIAL SECURITY SCHEMES • LONGER LIFE SPANS – LONGER TIME SPENT IN RETIREMENT; MORE HEALTHY YEARS OR ADDED YEARS OF ILLNESS AND 16 DEPENDENCY? AGEING AND HEALTH INEQUALITIES Social exclusion and poverty Erosion of social support systems Traditional family support weakening Chronic disease and disability Health inequalities Shortage and maldistribution of HWF RISK OF POVERTY • THE WEAKENING OF INFORMAL FAMILY-BASED OLD-AGE SUPPORT MECHANISMS SUGGESTS A GREATER ROLE FOR FORMAL PENSIONS BY THE GOVERNMENT IN PROVIDING INCOMES AND REDUCES THE RISK OF POVERTY AMONG THE ELDERLY; • THE PROBLEM WOULD BE MORE PRONOUNCED AMONG THE ELDERLY WOMEN BECAUSE THEY LIVE LONGER AND ARE MORE LIKELY TO BE LIVING ALONE. 18 AGEING & RETIREMENT IN MALAYSIA 19 THE CHANGING AGE STRUCTURE IN MALAYSIA, 1970-2050 YOUNG AND OLD DEPENDENCY RATIO AGEING INDEX AGEING OF THE OLDER POPULATION (% 80+/60+) POTENTIAL SUPPORT RATIO AND PARENT SUPPORT RATIO 64 (NUMBER OF PERSONS AGED 15 TO 64 PER EVERY PERSON AGED 65 OR OLDER; NUMBER OF PERSONS 85+ PER HUNDRED PERSONS 50-64) PERCENTAGE AGE 60 AND OVER BY ETHNICITY AGEING INDEX BY YEAR BY ETHNICITY YOUNG AND OLD DEPENDENCY RATIO BY ETHNIC GROUP 100.0 90.0 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 Young 1970 Old Young Old Young 1980 Bumiputera Old 1991 Chinese Indian Young 2000 Malaysian Old Young 2010 Old PERCENT SURVIVING TO AGE 65 LIFE EXPECTANCY AT BIRTH LIFE EXPECTANCY AT AGE 60, 2010 SINGULATE MEAN AGE AT MARRIAGE 28 Women 27 26 25 Malay 24 Chinese 23 Indian 22 Malaysia 21 20 1970 1980 1991 2000 32 Men 30 28 Malay Chinese 26 Indian 24 Malaysia 22 20 1970 1980 1991 2000 INCIDENCE OF POVERTY 60 50 58.6 49.3 40 Malaysia Rural 30 24.6 Urban 21.1 Hard core 16.5 20 12.4 8.4 7.5 7.1 10 3.9 0 3.4 1.4 3.8 1.7 0 1970 1990 1999 2009 0.7 CURRENT RESEARCH : UNDERSTANDING AGEING & RETIREMENT IN MALAYSIA 33 PRELIMINARY RESPONDENTS – ANALYSIS Frequency Percentage Gender Male Female 194 256 43.10% 56.90% Age 40-49 50-59 60-69 70+ 214 161 50 25 47.60% 35.80% 11.10% 5.60% Ethnicity Malay Chinese India Others 295 91 23 41 65.60% 20.20% 5.10% 9.10% Place of residence Urban Rural 307 143 68.20% 31.80% 450 IN YOUR OPINION, WHAT WOULD BE THE NUMBER OF YEARS MOST PEOPLE IN MALAYSIA WOULD LIKE TO LIVE? Mean age : 81.86 32.4% 14.4% 12.9% 12.7% 12.7% 9.1% 2.6% 3.1% BELOW 70 70-74 YEARS 75-79 YEARS 80-84 YEARS 85-89 YEARS 90-94 YEARS 95-99 YEARS 100 YEARS YEARS OLD OLD OLD OLD OLD OLD OLD OLD AND ABOVE FOR A WOMAN/MAN AGED 60 YEARS LIVING IN MALAYSIA, HOW MANY MORE YEARS DO YOU THINK SHE/HE CAN EXPECT TO LIVE? 23.1% Mean Man : 16.75 21.6% 18.7% 22.9% 19.6% 15.1% 7.8% 4.2% 5.6% 21.8% 13.1% 10.7%9.8% 6.2% Below 5 years 5-9 years 10-14 years 15-19 years 20-24 years Male >25 years Others IDEALLY I WOULD LIKE TO LIVE AT LEAST 80 YEARS 74.7% 72.7% 10.8% 16.8% Disagree 14.4% Agree Male Female 10.5% Don't know WHAT WOULD YOU DO TO ENSURE A COMFORTABLE RETIREMENT? 55.6% 53.1% 40.9% 24.0% 4.4% 6.2% 8.9% Work longer Increase my Plan to Move to Move in with Turn to family Turn to savings by reduce my another a family members for government cutting cost of living location with member financial for old age expenses in retirement a lower cost support support of living 2.9% Others MOST SCARY DISABLING DISEASE IN LATER LIFE GREATEST FEAR REGARDING HAVING A LONG TERM ILLNESS 65.3% 36.4% 23.1% 19.6% 3.3% 10.2% 7.3% 6.4% Being a Ending up burden on in a my family nursing home 9.6% 13.6% 5.1% Dying Using up my savings Others LEVEL OF AGREEMENT ACROSS THE FOLLOWING DIMENSIONS OF AGEING AND RETIREMENT Statement Percentage of agreement I am leading a meaningful purpose in life 88.2% I have a loving family 88.9% I continue to have caring friends 82.7% I am financially independent 77.6% I can still contribute to society 85.6% I believe I will not need long term care at age 65 and beyond 50.7% There should not be any compulsory retirement. I will continue working as long as my mental and physical capability permit I may consider living in an assisted living facility (e.g. Retirement village). 48.7% 71.8% 61.1% CONCLUSION • POPULATION AGEING IS THE INEVITABLE CONSEQUENCE OF DECLINING FERTILITY AND MORTALITY AND LONG LIFE; • POPULATION AGEING IS AN ACHIEVEMENT OF HUMANITY; • POPULATION AGEING HAS ENORMOUS IMPACT ON INDIVIDUALS, SOCIETIES & GOVERNMENT. WHAT REALLY MATTERS: • EMBRACE HEALTHY, ACTIVE & PRODUCTIVE AGEING 41 THANK YOU 42
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