International Journal of Epidemiology 2002;31:762-771
© International Epidemiological Association 2002
Symposium Theme: Ageing |
Demographic and health conditions of ageing in Latin America and the Caribbean
a Center for Demography and Ecology, University of Wisconsin, 1180 Observatory Drive, Room 4412, Madison, WI 53706, USA. E-mail: pallonia@paho.org
b Pan American Health Organization.
| The first 150 words of the full text of this article appear below. |
Dimensions of ageing
Reference to ‘ageing societies’ conjures imageries that differ sharply. In some cases they revolve around nearly bankrupt pension or social security systems, or about families physically and economically overburdened with responsibilities of simultaneously caring for very young children and the very old. In others, they point to societies overloaded with unsatisfied health care demands of the chronically ill, functionally disabled, and the mentally and physically impaired. In yet others, references to ageing evoke rumblings about stagnant economies, sluggish increases in productivity, heavy taxation burdens, conservative ideologies, and dismal mobility prospects for younger generations. As is plain from reviews of the process in general,1–15 each and every one of these issues, sharing a negative connotation, corresponds to a dimension of the ageing process. In this paper we consider only two dimensions: demographic profile and health status. The demographic dimension consists of conditions related to the relative size, rate of growth, and
Demographic dimension: dynamic characteristics of the ageing process
Indicators of ageing
Demographic regimes and indicators of ageing
Rate of growth of the elderly population in the region
Relative growth of the older population
Trajectory of the rate of increase of the older population, R(t)
A paradoxical implication: health status of elderly is a function of past mortality regimes
Mortality and health status of the elderly
Mortality above age 60
Current health status gauged via self-reported health status and Activities of Daily Living (ADL)/Instrumental Activities of Daily Living (IADL)
Self-reported health status
Prevalence of ADL and IADL
Conclusion: fragile institutional contexts, poverty, inequality and accelerated ageing
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