Aging in Asia: a cultural, socio-economical and historical perspective.
Asia has about 60% of the world population and population aging is occurring more rapidly in Asia than in Western countries. The group aged 65 years and above will increase from 207 million in 2000 to 857 million in 2050, a staggering increase of 314%. The diversity in economic, demographic, religious, cultural and geo-political factors in Asia is unparalleled by any other continent, and is, in part, contributory to the rapid rise in population aging. By 2050, those under 15 years old will have shrunk from 30% in 2000 to 19%, while those aged 65 years and above will increase from 6% to 18%. In addition, the gender divide still persists with 100 elderly women to 70 elderly men. These projected demographic changes pose three major challenges: 1) how best to address the rising population of the group aged 65 years and above, 2) how to address the shrinking population of the young as well as the working adults, and 3) how to address the problems arising from the disproportionate increase in older women than men. From now to 2050, it will be expeditious for each country in Asia to look into ways of reversing the decline in total fertility rates (TFRs) and restore to replacement levels. If not, at least introduce measures to halt its free fall. Due to the complexity of factors that have influenced the fall in TFRs in Asia, it will be a daunting task to reverse this fall. There is no "single size fits all" solution to this complex problem. Research work in this short-term strategy in addressing the aging population is urgent. In the longer term, the East-West Centre have suggested four modalities, 1) establish policies and programmes that enhance traditional Asian systems of family support for the elderly; 2) introduce policy reform that encourages the elderly who are still capable of remaining in the work force; 3) create institutions and systems that support high levels of personal saving; and 4) formulate public programmes, including pension schemes and national healthcare systems. We need to work while there is time.
Goh
Victor H H
VH
Department of Obstetrics and Gynaecology, National University of Singapore, National University Hospital, Singapore. obggohhh@nus.edu.sg
D000368:Aged; D000375:Aging / Q000208:ethnology* / Q000523:psychology*; D001208:Asia; D001290:Attitude / Q000208:ethnology*; D003469:Culture; D005260:Female; D005783:Gender Identity; D006291:Health Policy; D006301:Health Services Needs and Demand / Q000639:trends*; D006299:Health Services for the Aged; D006801:Humans; D008297:Male; D011157:Population Dynamics; D017678:Sex Distribution; D012959:Socioeconomic Factors