Hostname: page-component-7479d7b7d-m9pkr Total loading time: 0 Render date: 2024-07-10T09:13:53.310Z Has data issue: false hasContentIssue false

Applications of new measures of population ageing using quantity and quality of remaining life years to India and selected states

Published online by Cambridge University Press:  12 October 2022

Sampurna Kundu
Affiliation:
PhD scholar, Centre of Social Medicine and Community Health, Jawaharlal Nehru University, New Delhi, India
Preeti Dhillon*
Affiliation:
Assistant Professor, Department of Survey Research & Data Analytics, International Institute for Population Sciences, Mumbai, India
*
*Corresponding author. Email: pdhillon.iips@gmail.com

Abstract

In the latter part of the third stage, India is in demographic transition with declining fertility and mortality. This marked decline in death rates is driven by improvements in health conditions due to medical progress and better living conditions. The conventional measures of ageing do not account for the significant improvements in health and life expectancy, thus leading to a tendency to overestimate the impact of population ageing when these indicators are used. The old-age threshold in the conventional measures of ageing depends on chronological age. The present study estimated the multi-dimensional old-age thresholds (MOAT) based on the remaining life expectancy (RLE), self-rated health, activities of daily living (ADL), handgrip strength, and cognition in India and selected states. The standard population was derived for each dimension for 50 and over in states using the WHO Study on Global AGEing and Adult Health data. Keeping the dimensional characteristics as of the standard population, the estimated MOAT for India was 67 years where Maharashtra stands at the top (68.6), followed by, West Bengal (66.5) and Karnataka (66). A 64 year old woman was similar to 68.8 year old man, and a 66 year old rural person was equivalent to 68 year old urban person. The study suggests implications of MOATs on reducing the burden of ageing and increment in retirement age.

Type
Research Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Akila, GV, Arvind, BA and Isaac, A (2019) Comparative assessment of psychosocial status of elderly in urban and rural areas, Karnataka, India. Journal of Family Medicine and Primary Care, 8(9), 2870. https://doi.org/10.4103/jfmpc.jfmpc_536_19 Google Scholar
Arber, S and Cooper, H (1999) Gender differences in health in later life: The new paradox? Social Science & Medicine, 48(1), 6176. https://doi.org/10.1016/S0277-9536(98)00289-5 CrossRefGoogle ScholarPubMed
Arokiasamy, P, Parasuraman, S, Sekher, TV, Lhungdim, H and Kowal, P (2015) India: Study on global AGEing and adult health (SAGE) Wave 1 National Report. https://doi.org/10.13140/RG.2.1.2041.1045 (accessed 15th September 2019)CrossRefGoogle Scholar
Balachandran, A, de Beer, J, James, KS, van Wissen, L and Janssen, F (2017) Comparison of ageing in Europe and Asia: Refining the prospective age approach with a cross-country perspective. University of Groningen.Google Scholar
Balachandran, A and James, KS (2019) A multi-dimensional measure of population ageing accounting for Quantum and Quality in life years: An application of selected countries in Europe and Asia. SSM - Population Health 7, 100330. https://doi.org/10.1016/j.ssmph.2018.100330 CrossRefGoogle ScholarPubMed
Balarajan, Y, Selvaraj, S and Subramanian, SV (2011) Health care and equity in India. Lancet (London, England) 377(9764), 505515. https://doi.org/10.1016/S0140-6736(10)61894-6 CrossRefGoogle ScholarPubMed
Bhagat, RB and Unisa, S (2006) Ageing and Dependency in India. Asian Population Studies 2(2), 201214. https://doi.org/10.1080/17441730600923133 CrossRefGoogle Scholar
Bora, JK and Saikia, N (2015) Gender Differentials in Self-Rated Health and Self-Reported Disability among Adults in India. PLOS ONE 10(11), e0141953. https://doi.org/10.1371/journal.pone.0141953 CrossRefGoogle ScholarPubMed
Butler, RN (2009) The Longevity Revolution: The Benefits and Challenges of Living a Long Life. Hachette UK.Google Scholar
Christensen, K, Doblhammer, G, Rau, R and Vaupel, JW (2009) Ageing populations: The challenges ahead. The Lancet 374(9696), 11961208. https://doi.org/10.1016/S0140-6736(09)61460-4 CrossRefGoogle ScholarPubMed
Chu, CYC (1997) Age-distribution dynamics and aging indexes. Demography 34(4), 551563. https://doi.org/10.2307/3038309 CrossRefGoogle ScholarPubMed
d’Albis, H and Collard, F (2013) Age groups and the measure of population aging. Demographic Research 29, 617640.CrossRefGoogle Scholar
Davis, K (1951) The Population of India and Pakistan. Economic and Political Weekly 113(2943), 611.Google Scholar
Demuru, E and Egidi, V (2016) Adjusting prospective old-age thresholds by health status: Empirical findings and implications. A case study of Italy. Vienna Yearbook of Population Research 14, 131154.Google Scholar
Dhillon, P and Ladusingh, L (2013) Working life gain from gain in old age life expectancy in India. Demographic Research 28, 733762.CrossRefGoogle Scholar
Duchowny, KA, Clarke, P J and Peterson, MD (2018) Muscle Weakness and Physical Disability in Older Americans: Longitudinal Findings from the U.S. Health and Retirement Study. The Journal of Nutrition, Health & Aging 22(4), 501507. https://doi.org/10.1007/s12603-017-0951-y CrossRefGoogle ScholarPubMed
Friedman, HS, Tucker, JS, Schwartz, JE, Tomlinson-Keasey, C, Martin, LR, Wingard, DL and Criqui, MH (1995) Psychosocial and behavioral predictors of longevity: The aging and death of the “Termites.” American Psychologist 50(2), 6978. https://doi.org/10.1037/0003-066X.50.2.69 CrossRefGoogle ScholarPubMed
Ganguli, M, Ratcliff, G, Huff, J, Belle, S, Kancel, MJ, Fischer, L, Seaberg, EC and Kuller, LH (1991) Effects of Age, Gender, and Education on Cognitive Tests in a Rural Elderly Community Sample: Norms from the Monongahela Valley Independent Elders Survey. Neuroepidemiology 10(1), 4252. https://doi.org/10.1159/000110246 CrossRefGoogle Scholar
Giridhar, G, Sathyanarayana, K, Kumar, S, James, KS and Alam, M (2014) Population ageing in India. Cambridge University Press.CrossRefGoogle Scholar
Jylhä, M (2009) What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science & Medicine 69(3), 307316. https://doi.org/10.1016/j.socscimed.2009.05.013 CrossRefGoogle ScholarPubMed
Kandrack, MA, Grant, KR and Segall, A (1991) Gender differences in health related behaviour: Some unanswered questions. Social Science & Medicine 32(5), 579590. https://doi.org/10.1016/0277-9536(91)90293-L CrossRefGoogle ScholarPubMed
Lauretani, F, Russo, CR, Bandinelli, S, Bartali, B, Cavazzini, C, Di Iorio, A, Corsi, AM, Rantanen, T, Guralnik, JM and Ferrucci, L (2003) Age-associated changes in skeletal muscles and their effect on mobility: An operational diagnosis of sarcopenia. Journal of Applied Physiology 95(5), 18511860. https://doi.org/10.1152/japplphysiol.00246.2003 CrossRefGoogle ScholarPubMed
Lee, J, Shih, R, Feeney, K and Langa, KM (2014) Gender Disparity in Late-life Cognitive Functioning in India: Findings From the Longitudinal Aging Study in India. The Journals of Gerontology: Series B 69(4), 603611. https://doi.org/10.1093/geronb/gbu017 CrossRefGoogle ScholarPubMed
Lutz, W, Sanderson, W and Scherbov, S (2008) The coming acceleration of global population ageing. Nature 451(7179), 716719. https://doi.org/10.1038/nature06516 CrossRefGoogle ScholarPubMed
Magnavita, N (2017) Productive aging, work engagement and participation of older workers. A triadic approach to health and safety in the workplace. Epidemiology, Biostatistics, and Public Health 14(2), Article 2. https://doi.org/10.2427/12436 Google Scholar
Manton, KG, Gu, X and Lowrimore, GR (2008) Cohort Changes in Active Life Expectancy in the U.S. Elderly Population: Experience From the 1982–2004 National Long-Term Care Survey. The Journals of Gerontology: Series B 63(5), S269S281. https://doi.org/10.1093/geronb/63.5.S269 CrossRefGoogle ScholarPubMed
McGrath, RP, Kraemer, WJ, Snih, SA and Peterson, MD (2018) Handgrip Strength and Health in Aging Adults. Sports Medicine 48(9), 19932000. https://doi.org/10.1007/s40279-018-0952-y CrossRefGoogle ScholarPubMed
Miilunpalo, S, Vuori, I, Oja, P, Pasanen, M and Urponen, H (1997) Self-rated health status as a health measure: The predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. Journal of Clinical Epidemiology 50(5), 517528. https://doi.org/10.1016/S0895-4356(97)00045-0 CrossRefGoogle ScholarPubMed
Ministry of Finance (2019) Key Highlights of Economic Survey 2018-19. https://pib.gov.in/newsite/printrelease.aspx?relid=191213 (accessed 27th April 2020)Google Scholar
Murtagh, KN and Hubert, HB (2004) Gender Differences in Physical Disability Among an Elderly Cohort. American Journal of Public Health 94(8), 14061411. https://doi.org/10.2105/AJPH.94.8.1406 CrossRefGoogle ScholarPubMed
Muszyńska, MM and Rau, R (2012) The Old-Age Healthy Dependency Ratio in Europe. Journal of Population Ageing 5(3), 151162. https://doi.org/10.1007/s12062-012-9068-6 CrossRefGoogle ScholarPubMed
Nathanson, CA (1984) Sex Differences in Mortality. Annual Review of Sociology 10(1), 191213. https://doi.org/10.1146/annurev.so.10.080184.001203 CrossRefGoogle ScholarPubMed
NSSO (2011) Employment and unemployment in India, 2009–10. NSS 66th Round—Key Indicators of employment–unemployment in India 2009–2010. Google Scholar
Okunade, AA, You, X and Koleyni, K (2018) Cross-country Medical Expenditure Modeling Using OECD Panel Data and ARDL Approach: Investigating GDP, Technology, and Aging Effects. In Health Econometrics (Vol. 294, pp. 327–358). Emerald Publishing Limited. https://doi.org/10.1108/S0573-855520180000294018 CrossRefGoogle Scholar
Philipov, D, Goujon, A and Di Giulio, P (2014) Ageing dynamics of a human-capital-specific population: A demographic perspective. Demographic Research 31, 13111336.CrossRefGoogle Scholar
Preston, SH and Wang, H (2006) Sex mortality differences in The United States: The role of cohort smoking patterns. Demography 43(4), 631646. https://doi.org/10.1353/dem.2006.0037 CrossRefGoogle ScholarPubMed
Rajan, SI, Mishra, US and Sarma, PS (2001) Health Concerns among India’s Elderly. The International Journal of Aging and Human Development 53(3), 181194. https://doi.org/10.2190/19WH-50YR-QAKG-C8VR CrossRefGoogle ScholarPubMed
Rashid, H (2020) Human Development across Indian States and Inclusive Growth. Sustainable Humanosphere 16, 13811386.Google Scholar
Registrar General of India (2013) SRS Based Abridged Life Tables, 2007-2011. New Delhi: Office of the Registrar General of India, Ministry of Home Affairs, Government of India. Office of the Registrar General of India, Ministry of Home Affairs, Government of India. https://censusindia.gov.in/vital_statistics/Appendix_SRS_Based_Life_Table.html (accessed 20th April 2020)Google Scholar
Rogers, RG, Everett, B G, Onge, JMS and Krueger, PM (2010) Social, behavioral, and biological factors, and sex differences in mortality. Demography 47(3), 555578. https://doi.org/10.1353/dem.0.0119 CrossRefGoogle ScholarPubMed
Rostamzadeh, S, Saremi, M and Fereshteh, T (2020) Maximum handgrip strength as a function of type of work and hand-forearm dimensions. Work, 65(3), 679687. https://doi.org/10.3233/WOR-203100 CrossRefGoogle ScholarPubMed
Ryder, NB (1975). Notes on Stationary Populations. Population Index 41(1), 328. https://doi.org/10.2307/2734140 CrossRefGoogle Scholar
Sanderson, W and Scherbov, S (2005) Average remaining lifetimes can increase as human populations age. Nature 435(7043), 811813. https://doi.org/10.1038/nature03593 CrossRefGoogle ScholarPubMed
Sanderson, W and Scherbov, S (2007) A new perspective on population aging. Demographic Research 16(2), 2758. https://doi.org/10.4054/DemRes.2007.16.2 CrossRefGoogle Scholar
Sanderson, W and Scherbov, S (2008) Rethinking Age and Aging 63(4), 20.Google Scholar
Sanderson, W and Scherbov, S (2010) Remeasuring Aging. Science 329(5997), 12871288. https://doi.org/10.1126/science.1193647 CrossRefGoogle ScholarPubMed
Sanderson, W and Scherbov, S (2013) The Characteristics Approach to the Measurement of Population Aging. Population and Development Review 39(4), 673685. https://doi.org/10.1111/j.1728-4457.2013.00633.x CrossRefGoogle Scholar
Sanderson, W and Scherbov, S (2014) Measuring the Speed of Aging across Population Subgroups. PLOS ONE 9(5), e96289. https://doi.org/10.1371/journal.pone.0096289 CrossRefGoogle ScholarPubMed
Sanderson, W and Scherbov, S (2015) Are We Overly Dependent on Conventional Dependency Ratios? Population and Development Review 41(4), 687708. https://doi.org/10.1111/j.1728-4457.2015.00091.x CrossRefGoogle Scholar
Sanderson, W and Scherbov, S (2016) A New Perspective on Patterns of Aging in Europe by Education and Gender. Journal of Population Ageing 9(3), 207225. https://doi.org/10.1007/s12062-015-9125-z CrossRefGoogle Scholar
Sanderson, W, Scherbov, S and Gerland, P (2017) Probabilistic population aging. PLOS ONE 12(6), e0179171. https://doi.org/10.1371/journal.pone.0179171 CrossRefGoogle ScholarPubMed
Sanderson, W, Scherbov, S, Weber, D and Bordone, V (2016) Combined Measures of Upper and Lower Body Strength and Subgroup Differences in Subsequent Survival Among the Older Population of England. Journal of Aging and Health 28(7), 11781193. https://doi.org/10.1177/0898264316656515 CrossRefGoogle ScholarPubMed
Singh, P K, Jasilionis, D and Oksuzyan, A (2018) Gender difference in cognitive health among older Indian adults: A cross-sectional multilevel analysis. SSM - Population Health 5, 180187. https://doi.org/10.1016/j.ssmph.2018.06.008 CrossRefGoogle ScholarPubMed
Skirbekk, V, Loichinger, E and Weber, D (2012) Variation in cognitive functioning as a refined approach to comparing aging across countries. Proceedings of the National Academy of Sciences 109(3), 770774. https://doi.org/10.1073/pnas.1112173109 CrossRefGoogle ScholarPubMed
Snih, SA, Markides, KS, Ottenbacher, KJ and Raji, MA (2004) Hand grip strength and incident ADL disability in elderly Mexican Americans over a seven-year period. Aging Clinical and Experimental Research 16(6), 481486. https://doi.org/10.1007/BF03327406 CrossRefGoogle Scholar
Spijker, J (2015) Alternative indicators of population ageing: An inventory (Working Paper No. 4/2015). Vienna Institute of Demography Working Papers. https://www.econstor.eu/handle/10419/110984 Google Scholar
Spijker, J and MacInnes, J (2013) Population ageing: The timebomb that isn’t? BMJ 347, f6598. https://doi.org/10.1136/bmj.f6598 CrossRefGoogle ScholarPubMed
Subramanian, N (2019, July 13) In Charts: Is Raising the Retirement Age the Only Way to Provide for India’s Ageing Population? Scroll. In. scroll.in/article/929666/in-charts-is-raising-the-retirement-age-the-only-way-to-provide-for-indias-ageing-population (accessed 27th April 2020)Google Scholar
Usha, V and Lalitha, K (2016) Quality of life of senior citizens: A Rural-Urban comparison. Indian Journal of Social Psychiatry 32(2), 158 https://www.indjsp.org/article.asp?issn=0971- CrossRefGoogle Scholar
Weber, D, Dekhtyar, S and Herlitz, A (2017) The Flynn effect in Europe – Effects of sex and region. Intelligence 60, 3945. https://doi.org/10.1016/j.intell.2016.11.003 CrossRefGoogle Scholar
Williams, RL (2013) Overview of the Flynn effect. Intelligence 41(6), 753764. https://doi.org/10.1016/j.intell.2013.04.010 CrossRefGoogle Scholar
Wray, LA and Blaum, CS (2001) Explaining the Role of Sex on Disability: A Population-Based Study. The Gerontologist 41(4), 499510. https://doi.org/10.1093/geront/41.4.499 CrossRefGoogle ScholarPubMed