Age and Ageing 2015; 44: 511–514 doi: 10.1093/ageing/afu203 Published electronically 19 January 2015 © The Author 2015. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: [email protected] Visualising the distribution of individuals of advanced age in Canada: linking census data to maps JULIA ROMANSKI1,2, WEI WU1, PETER J. ANDERSON1, PETER C. AUSTIN3,4, PAULA A. ROCHON1,3,5 1 Women’s College Research Institute, Women’s College Hospital, Toronto, Ontario, Canada Brown University, Providence, RI, USA 3 Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada 4 Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada 5 Department of Medicine and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada 2 Address correspondence to: P. A. Rochon. Tel: (+1) 4163513732; Fax: (+1) 4163513746. Email: [email protected] Abstract Objective: to link publically available aggregate census data to maps to visually convey information about the geographic distribution of those of advanced age in Canada. Method: we obtained aggregate statistics derived from the most recent 2011 Canadian census data. We calculated the Percentage of People 90 Years of Age or Older and the Longevity Index in each of the 292 census divisions. The data and the Canadian census division map were merged to create thematic maps using Google Fusion Tables. Results: overall, there were 217,930 women and men who were 90 years of age or older in Canada in 2011. The regions with the highest proportion of elderly residents are in the south, rather than in the north of Canada. Southern Saskatchewan and southern Manitoba emerged as high longevity areas based on both indices. Conclusions: publically available data and free online tools can be used to create maps that visually display the geographic distribution of the oldest population across Canada. This approach provides an efficient way to observe patterns, identify adjacencies and perceive information that may not have been anticipated. This approach can be replicated in other jurisdictions using publically available data. Keywords: census, map, longevity, geographic distribution, older people Introduction According to a UN report, ‘the proportion of older persons (60 years or older) is projected to reach 21 per cent in 2050’ [1]. This has made planning for the ageing population a global priority [2]. The distribution of individuals of advanced age is not homogeneous. Within countries, there are communities that have high concentrations of older people. This phenomenon is partially caused by migration. Geographical factors influencing longevity may also play a role. Identifying geographic areas with a high concentration of older people is important, because it can inform planning of required resources and health services. Additionally, identifying geographic regions with high population-based longevity, sometimes called ‘Blue Zones’, is of interest to researchers as they explore factors associated with exceptional longevity [3]. Conveying messages using complex data can be challenging. Census data are a valuable resource that can be explored using tables and figures. While they convey important information, these traditional methods of data presentation may make it difficult to identify patterns, trends or adjacencies, limiting the potential value of the data. Overlaying existing census data on maps facilitates the visualisation of geographic-specific data and provides an opportunity to perceive information that may not have been anticipated. Visualising data can assist with decision making by communicating complex information in 511 J. Romanski et al. an accessible format [4]. While census data and maps are publically available, they are not routinely linked. Our goal was to link publically available aggregate census data to maps to visually convey information about the geographic distribution of those of advanced age in Canada. Methods Data sources In Canada, publically available aggregate census data are released every 5 years. These data are organised by geographically based census divisions. The 2011 Canadian census provides the most current data. There are 292 census divisions in Canada. The number of people by age group (all ages, 65 years and older, 90 years and older) in each of the 292 Canadian census divisions was obtained from data tables available on the Statistics Canada website [5]. Advanced age measures We used two measures to identify regions with a large number of people of advanced age. The ‘Percentage 90 Years of Age or Older’ measures the percentage of the population that is 90 years of age or older in each census division. The ‘Longevity Index’ was calculated as the percentage of people over 65 who are over 90 years of age [6] in each census division. The Longevity Index provides a measure of longevity that is less influenced by migration and birth rates [6]. Accordingly, this index allows researchers to explore the link between longevity and geography. Linking census data to maps A four-step process was followed. First, the census-level division map was obtained from digital boundary files available on the Statistics Canada website [7]. To create maps that can accept data, the Canadian census division map was converted into Keyhole Markup Language (.kml) format, which expresses geospatial information. Second, the Excel file containing census division data (for the Percentage 90 Years of Age and Older and the Longevity Index) and the .kml format of the related maps was uploaded into Google Fusion Tables (https://support.google.com/ fusiontables/answer/2571232), a web-based application that allows users to link data to maps. These two files were linked using their shared census division identifier. Third, the values obtained from each of the two advanced age measures (the Percentage 90 Years and Older and the Longevity Index) were divided into five equal intervals using the Google Fusion Table application, where the range of the metric was the same in each interval. Fourth, each of the five equal interval groups was assigned a colour. The five colours ranged from light blue for the areas with the lowest values to dark blue representing 512 the areas with the highest values. The same procedure was used to assign colours for both thematic maps. Analyses Descriptive statistics were used. The ‘Percentage 90 Years of Age or Older’ and the Longevity Index were both calculated using an Excel formula. Results Overall, there were 217,930 women and men aged 90 or older in Canada in 2011. In Figure 1, the northern regions of the map were truncated, but no full census divisions were removed. The percentage of individuals aged 90 and older within each census division ranged from 0 to 1.78% across the country. In general, census divisions in the south had darker colours compared with census divisions in the northern areas of Canada. The darkest colour areas, indicating the highest percentage of people aged 90 or older, were in southern Saskatchewan and southern Manitoba. The Longevity Index within each census division ranged from 0 to 8.6% across the country (Figure 2). In general, southern areas had a higher Longevity Index than northern areas. The darkest colour areas, indicating the highest Longevity Index, were in southern Saskatchewan and southern Manitoba. Because both longevity measures were highest in Manitoba and Saskatchewan, we illustrate the percentage of people who are 90 years of age and older and the Longevity Index for each of the census divisions within Manitoba and Saskatchewan in Supplementary data, Appendix 1 available in Age and Ageing online. When the distribution of the percentage of adults aged 90 and older was compared with the distribution of the Longevity Indices in Manitoba and Saskatchewan, there was considerable agreement. The Spearman correlation coefficient was 0.842, P < 0.0001. Discussion We have linked publically available data from the most recent Canadian census to corresponding maps, to visually illustrate the distribution of adults of advanced age across the country using free online tools. Accordingly, this approach could be replicated. Our data, using two measures of advanced age, demonstrate that the distribution of adults of advanced age in Canada is not homogeneous. Our maps identify the southern areas of Saskatchewan and Manitoba as the areas of Canada with the highest concentration of those of advanced age. These findings are consistent with several studies that internationally have found that the geographic distribution of those living to advanced age is not homogeneous [8, 9]. Visualising the geographic distribution of the older population allows the ability to identify patterns that can be useful Distribution of individuals of advanced age in Canada Figure 1. Percentage 90 Years of Age or Older. Adapted from Statistics Canada, 98-311-X2011023, 25 June 2013. This does not constitute an endorsement by Statistics Canada of this product. This figure displays the Percentage 90 Years of Age or Older by census division across Canada. The areas with the darkest colour are those with the highest concentration of people aged 90 or older. Figure 2. Longevity Index. Adapted from Statistics Canada, 98-311-X2011023, 25 June 2013. This does not constitute an endorsement by Statistics Canada of this product. This figure displays the Longevity Index by census division across Canada. The areas with the darkest colour are those with the highest Longevity Index. The Longevity Index is the percentage of people over 65 who are over 90 years of age. for a variety of purposes. For example, these maps can be used at the local level to inform the need for community services to support the older population. These maps can also be used at the provincial level to inform the provision of health care services both in the community and the acute care sector. Visualising data using maps may be an important step in the process of identifying areas of the world with exceptional longevity. The Longevity Index is a reasonable metric for this purpose as it is designed to minimise the effect of migration. This type of information may help to inform discussions that link geography to longevity. Certain areas of the world have been identified as areas where there is extreme longevity [3, 6, 8–10], leading to hypotheses about why people live longer. Some of these areas have been called Blue Zones [3]. At present, no Blue Zone has been identified in Canada. Our maps provide consistent information about the geographic areas in Canada with the highest concentrations of those of advanced age using two comprehensive measures. Both maps identified southern Manitoba and southern Saskatchewan as the areas with higher concentrations of those of advanced age. This is consistent with data indicating that Saskatchewan had the highest life expectancy of all provinces and territories during the 20th century [11]. In contrast to our study, which found high population-based longevity in a flat area, research from Italy [9] and China [8] found that the percentage of people of advanced age tended to increase with altitude. Limitations We considered including the Centenarity Index in our study as a measure of longevity ( percentage of people over 90 who are over 100) [6]. This index could not be reliably calculated as the random rounding by Statistics Canada rendered the values for extremely old age groups unreliable for our purposes [12]. We focused on individuals aged 90 and older, 513 J. Romanski et al. which are a relatively larger number, and therefore, the effects of rounding had little impact on the actual data from Statistics Canada. 2. 3. Conclusion Publically available data and free online tools can be used to create maps that visually display the geographic distribution of the oldest population across Canada. This approach provides an efficient way to observe patterns, identify adjacencies and perceive information that may not have been anticipated. This approach can be replicated in other jurisdictions using publically available data. 4. 5. Key points • We link publically available aggregate Canadian census data to maps. • We visually display the geographic distribution of the oldest population in Canada. • Southern Saskatchewan and southern Manitoba emerged as high longevity areas. 6. 7. 8. Conflicts of interest None declared. 9. Funding 10. P.C.A. was supported in part by a Career Investigator Award from the Heart and Stroke Foundation, Ontario Office. 11. Supplementary data Supplementary data mentioned in the text are available to subscribers in Age and Ageing online. References 1. United Nations. World Population Ageing: 1950–2050. 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