Register      Login
Journal of Primary Health Care Journal of Primary Health Care Society
Journal of The Royal New Zealand College of General Practitioners
RESEARCH ARTICLE (Open Access)

Ageing badly: indicators of old-age structure in Australia and New Zealand

Yoram Barak 1 2 , Shona Neehoff 1 , Paul Glue 1
+ Author Affiliations
- Author Affiliations

1 Department of Psychological Medicine, Dunedin School of Medicine, Otago University Dunedin, New Zealand

2 Corresponding author. Email: yoram.barak@otago.ac.nz

Journal of Primary Health Care 12(3) 272-276 https://doi.org/10.1071/HC19095
Published: 3 August 2020

Journal Compilation © Royal New Zealand College of General Practitioners 2020 This is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License

Abstract

INTRODUCTION: Until 2050, Australia and New Zealand will experience continuing increase in the population aged >65 years. Studying differences in indicators of old-age structure between these countries can inform policymakers.

AIM: To calculate and analyse indicators of old-age structure for Australia and New Zealand.

METHODS: Five indicators of old-age structure were calculated: centenarian ratio (number of centenarians per 100,000 people), longevity index (proportion of people aged ≥90 and ≥65 years in the population), longevity level (proportion of 80+/60+ years population), ageing tendency (proportion of people aged ≥60 years in the population) and centenarity index (ratio between the centenarians and the total population ≥90 years).

RESULTS: All indicators of old-age structure demonstrated an advantageous ageing structure in Australia compared with New Zealand. In addition, the New Zealand Māori and Australian Aboriginal indicators of old-age structure demonstrated a significant disadvantage to these ethnic groups compared with the general population.

DISCUSSION: Public health policy needs to target ageing in New Zealand as a major goal in advancing the ‘Ageing Well’ policy advocated by the government.

KEYwords: Indicators of old-age structure; Māori; Aboriginal; centenarians


References

[1]  Wilkinson TJ, Sainsbury R. A census-based comparison of centenarians in New Zealand with those in the United States. J Am Geriatr Soc. 1998; 46 488–91.
A census-based comparison of centenarians in New Zealand with those in the United States.Crossref | GoogleScholarGoogle Scholar | 9560074PubMed |

[2]  Magnolfi SU, Petruzzi E, Pinzani P, et al. Longevity index (LI%) and centenarity index (CI%): new indicators to evaluate the characteristics of aging process in the Italian population. Arch Gerontol Geriatr. 2007; 44 271–6.
Longevity index (LI%) and centenarity index (CI%): new indicators to evaluate the characteristics of aging process in the Italian population.Crossref | GoogleScholarGoogle Scholar | 16905202PubMed |

[3]  Newman AB, Murabito JM. The epidemiology of longevity and exceptional survival. Epidemiol Rev. 2013; 35 181–97.
The epidemiology of longevity and exceptional survival.Crossref | GoogleScholarGoogle Scholar | 23372024PubMed |

[4]  Global Burden of Disease Study Collaborators 2013 Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015; 386 743–800.
Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013.Crossref | GoogleScholarGoogle Scholar | 26063472PubMed |

[5]  Balachandran A, James KS. 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 Popul Health. 2019; 7 100330
A multi-dimensional measure of population ageing accounting for quantum and quality in life years: an application of selected countries in Europe and Asia.Crossref | GoogleScholarGoogle Scholar | 30581965PubMed |

[6]  Scherbov S, Sanderson WC. New approaches to the conceptualization and measurement of age and aging. J Aging Health. 2016; 28 1159–77.
New approaches to the conceptualization and measurement of age and aging.Crossref | GoogleScholarGoogle Scholar | 27590796PubMed |

[7]  Kowal P, Towers A, Byles J. Ageing across the Tasman Sea: the demographics and health of older adults in Australia and New Zealand. Aust N Z J Public Health. 2014; 38 377–83.
Ageing across the Tasman Sea: the demographics and health of older adults in Australia and New Zealand.Crossref | GoogleScholarGoogle Scholar | 24750537PubMed |

[8]  Gerland P, Raftery AE, Ševčíková H, et al. World population stabilization unlikely this century. Science. 2014; 346 234–7.
World population stabilization unlikely this century.Crossref | GoogleScholarGoogle Scholar | 25301627PubMed |

[9]  Snowdon W. Indigenous Health [Internet]. 16 September 2013 edn. Canberra, ACT: Australian Institute of Health and Welfare; 2013. [cited 2020 January 21]. Available from: https://www1.health.gov.au/internet/main/publishing.nsf/content/B92E980680486C3BCA257BF0001BAF01/$File/health-plan.pdf

[10]  Cho B. Experimental Life Tables for Aboriginal and Torres Strait Islander Australians. Canberra, ACT: Australian Bureau of Statistics; 2009.

[11]  Ministry of Health. The Health of New Zealand Adults 2011/12: Key Findings of the New Zealand Health Survey. Wellington: Government of New Zealand; 2012.

[12]  Collins P, Kalisch D. The Health and welfare of Australia’s Aboriginal and Torres Strait Islander peoples. Canberra, ACT: Australian Bureau of Statistics; 2010.

[13]  Bascand G. New Zealand Life Tables. 2005–07. Wellington: Government of New Zealand; 2009.

[14]  Deng Q, Wei Y, Zhao Y, et al. Understanding the natural and socioeconomic factors behind regional longevity in Guangxi, China: is the centenarian ratio a good enough indicator for assessing the longevity phenomenon? Int J Environ Res Public Health. 2018; 15 938
Understanding the natural and socioeconomic factors behind regional longevity in Guangxi, China: is the centenarian ratio a good enough indicator for assessing the longevity phenomenon?Crossref | GoogleScholarGoogle Scholar |

[15]  Chen R, Xu P, Song P, et al. China has faster pace than Japan in population aging in next 25 years. Biosci Trends. 2019; 13 287–91.
China has faster pace than Japan in population aging in next 25 years.Crossref | GoogleScholarGoogle Scholar | 31434814PubMed |

[16]  Phillips B, Daniels J, Woodward A, et al. Mortality trends in Australian Aboriginal peoples and New Zealand Māori. Popul Health Metr. 2017; 15 25
Mortality trends in Australian Aboriginal peoples and New Zealand Māori.Crossref | GoogleScholarGoogle Scholar | 28680369PubMed |

[17]  Pillay D, Wham C, Moyes S, et al. Intakes, adequacy, and biomarker status of iron, folate, and vitamin B12 in Māori and non-Māori octogenarians: life and living in advanced age: a cohort study in New Zealand (LiLACS NZ). Nutrients. 2018; 10 1090
Intakes, adequacy, and biomarker status of iron, folate, and vitamin B12 in Māori and non-Māori octogenarians: life and living in advanced age: a cohort study in New Zealand (LiLACS NZ).Crossref | GoogleScholarGoogle Scholar |

[18]  Teh R, Kerse N, Kepa M, et al. Self-rated health, health-related behaviours and medical conditions of Māori and non-Māori in advanced age: LiLACS NZ. N Z Med J. 2014; 127 13–29.
| 24997698PubMed |

[19]  Radford K, Mack HA, Robertson H, et al. The Koori Growing Old Well Study: investigating aging and dementia in urban Aboriginal Australians. Int J Psychogeriatr. 2014; 26 1033–43.
The Koori Growing Old Well Study: investigating aging and dementia in urban Aboriginal Australians.Crossref | GoogleScholarGoogle Scholar |

[20]  Hyde Z, Smith K, Flicker L, et al. Mortality in a cohort of remote-living Aboriginal Australians and associated factors. PLoS One. 2018; 13 e0195030
Mortality in a cohort of remote-living Aboriginal Australians and associated factors.Crossref | GoogleScholarGoogle Scholar | 29621272PubMed |

[21]  Hyde Z, Flicker L, Smith K, et al. Prevalence and incidence of frailty in Aboriginal Australians, and associations with mortality and disability. Maturitas. 2016; 87 89–94.
Prevalence and incidence of frailty in Aboriginal Australians, and associations with mortality and disability.Crossref | GoogleScholarGoogle Scholar | 27013294PubMed |

[22]  Jatrana S, Blakely T. Ethnic inequalities in mortality among the elderly in New Zealand. Aust N Z J Public Health. 2008; 32 437–43.
Ethnic inequalities in mortality among the elderly in New Zealand.Crossref | GoogleScholarGoogle Scholar | 18959547PubMed |

[23]  Stewart RA, North FM, Sharples KJ, et al. Differences in cardiovascular mortality between Australia and New Zealand according to socioeconomic status: findings from the Long-Term Intervention with Pravastatin in Ischaemic Disease (LIPID) study. N Z Med J. 2008; 121 11–23.
| 18278078PubMed |

[24]  Beaglehole R, Bonita R, Jackson R, Stewart A. Cardiovascular mortality in New Zealand and Australia 1968–1983: how can the diverging trends be explained? N Z Med J. 1986; 99 1–3.
| 3456096PubMed |

[25]  Sarfati D, Dyer R, Vivili P, et al. Cancer control in small island nations: from local challenges to global action. Lancet Oncol. 2019; 20 e535–48.
Cancer control in small island nations: from local challenges to global action.Crossref | GoogleScholarGoogle Scholar | 31395475PubMed |

[26]  Alafeishat L, Elwood M, Ioannides S. Cancer mortality and incidence trends comparing New Zealand and Australia for the period 2000–2007. N Z Med J. 2014; 127 9–19.
| 25145363PubMed |

[27]  Elwood JM, Aye PS, Tin Tin S. Increasing disadvantages in cancer survival in New Zealand compared to Australia, between 2000–05 and 2006–10. PLoS One. 2016; 11 e0150734
Increasing disadvantages in cancer survival in New Zealand compared to Australia, between 2000–05 and 2006–10.Crossref | GoogleScholarGoogle Scholar | 27054698PubMed |

[28]  Lay-Yee R, Pearson J, Davis P, et al. Changing the balance of social care for older people: simulating scenarios under demographic ageing in New Zealand. Health Soc Care Community. 2017; 25 962–74.
Changing the balance of social care for older people: simulating scenarios under demographic ageing in New Zealand.Crossref | GoogleScholarGoogle Scholar | 27709717PubMed |

[29]  Menzies O, Kerse N, Kēpa M. Australian and New Zealand Society for Geriatric Medicine Position Statement [Abstract]: Ageing and indigenous health in Aotearoa New Zealand. Australas J Ageing. 2017; 36 134
Australian and New Zealand Society for Geriatric Medicine Position Statement [Abstract]: Ageing and indigenous health in Aotearoa New Zealand.Crossref | GoogleScholarGoogle Scholar |