Healthy Ageing John Beard Department of Ageing and
Healthy Ageing John Beard Department of Ageing and Life Course
Diversity – there is no "typical" older person Inequity Centrality of Health 70 is not yet the new 60 But what is it?
Beyond Demographics Diversity – there is no "typical" older person Inequity Social norms and behaviours are malleable Centrality of Health 70 is not yet the new 60
Beyond Demographics Diversity – there is no "typical" older person
Beyond Demographics Diversity Inequity – diversity is not random
Beyond Demographics Diversity Inequity
Beyond Demographics Diversity Inequity Social norms and behaviours are malleable
Beyond Demographics Diversity Inequity Social norms and behaviours are malleable Centrality of Health
Beyond Demographics Diversity Inequity Social norms and behaviours are malleable Centrality of Health 70 is not yet the new 60 But what is healthy ageing?
Beyond Demographics Diversity Inequity Social norms and behaviours are malleable Centrality of Health 70 is not yet the new 60 But what is healthy ageing?
World Report on Ageing and Health "Healthy Ageing - the process of developing and maintaining the functional ability that enables wellbeing in older age. "
Opportunities to foster Healthy Ageing
New ways to measure what we are doing Structural Equation Modelling of ELSA Sex Age Multimorbidities Physical Activity Intrinsic Capacity Wealth Education Care dependence
Confirmatory Factor Analysis of Theory Based Domains of Intrinsic Capacity Locomotor capacity Cognitive capacity Sensory capacity Psychosocial capacity Wrist-worn device or phone Gait/mobility Cognitive Mood Social Sensory Cardiovascular Respiratory Vitality or underlying body functions
Global Strategy and Action Plan on Ageing and Health Commitment to action on Healthy Ageing Age-friendly environments Health systems aligned to the needs of older populations Systems for long-term care Better measurement, monitoring and research
Disease burden and development assistance 2, 000 m 1, 800 m 1, 600 m 1, 400 m 1, 200 m DALY 2000 DALY 2012 1, 000 m DALY 2030 800 m Spending 2013 600 m 400 m 200 m 0 m 0 -14 years 15 -49 years 50+ years Source: Skirbekk 2017
Disease burden and development assistance 2, 000 m 1, 800 m 1, 600 m 1, 400 m 1, 200 m DALY 2000 DALY 2012 1, 000 m DALY 2030 800 m Spending 2013 600 m 400 m 200 m 0 m 0 -14 years 15 -49 years 50+ years Source: Skirbekk 2017
Changing misconceptions • Older people are a burden • Family care is cost free • Health care increases exponentially with age • 70 is the new 60
Thousands Older people as consumers Per Capita Values, Local Currency (Thousands) 14, 000 12, 000 10, 000 8, 000 6, 000 4, 000 2, 000 0 0 10 20 30 40 Consumption Age 50 60 70 80 90+ Labor Income Source: National Transfer Accounts, South Korea (analysis by Cylus J)
Old age dependency ratio – time for something better Source: Spijker and Mac. Innes, 2013
Healthcare consumption by age and system Source: Mason CN, Miller T Journal of the Economics of Ageing. In press, 2017
Politics of ageing • older people as a homogenous “group of ‘deserving poor’ unable to work” Source: Schultz 2001
Politics of ageing From • older people as a homogenous “group of ‘deserving poor’ unable to work” To • "even more negative image of ‘greedy geezers’ who are unwilling to work” Source: Schultz 2001
How will we know if we have failed? Political discourse is still driven by: • Course demographic projections • MIPAA • > 65 years • "Old-age dependency ratio" (or variant) • Stereotypical health status • Blur of individual and environmental effects • Stereotypical cost projections • Fail to consider inequities
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