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Aging into the 21st Century
Demography
Growth of the elderly population
On the basis of the middle series of the Bureau of the Census population
projections released in 1996, we can anticipate a moderate increase in
the elderly population until about 2010, a rapid increase for the next
20 years to 2030, and then a return to a moderate increase between 2030
and 2050 (Table 1). Similar projections prepared by the Social Security
Administration (SSA) support these figures (SSA, 1995). In the early period,
the elderly population is expected to increase by 17 percent, from 33.5
million in 1995 to 39.4 million in 2010. In the next period, 2010 to 2030,
the population aged 65 and over is expected to grow by 75 percent to over
69 million. During the 2030 to 2050 period, the growth rate is projected
to increase 14 percent, and the number of elderly is expected to increase
to about 79 million. Because the growth of the elderly population in the
early period is not much different from that of the population under age
65, the proportion of elderly in the population will not change significantly
between now and 2010, remaining at approximately 13 percent. However,
from 2010 to 2030, the growth rate of the elderly exceeds that of the
population under age 65, so that the proportion of the elderly in the
overall total increases sharply to 20 percent. Thereafter, at least until
2050, the age segments of the population grow rather evenly and the percentage
of the elderly in the overall population remains unchanged.
Table 1 - Projections of the Population, by Age and
Sex: 1995 to 2050 (Numbers in thousands. Minus sign
denotes a decrease. Middle series of U.S. Bureau of the Census.)
|
BOTH SEXES |
SEX |
AGE
GROUP AND YEAR |
Number |
Percent of all ages |
Percent increase from 1995
|
Male |
Female |
Sex Ratio1
|
ALL AGES |
|
|
|
|
|
|
1995 |
262,820 |
x |
x |
128,311 |
134,509 |
95.4 |
2000
|
274,634 |
x |
4.5 |
134,181 |
140,453 |
95.5 |
2010
|
297,716 |
x |
13.3 |
145,584 |
152,132 |
95.7 |
2030
|
346,899 |
x |
32.0 |
169,950 |
176,949 |
96.0 |
2050
|
393,931 |
x |
49.9 |
193,234 |
200,696 |
96.3 |
55-64 |
|
|
|
|
|
|
1995
|
21,138 |
8.0 |
x |
10,045 |
11,093 |
90.6 |
2000
|
23,961 |
8.7 |
13.4 |
11,433 |
12,528 |
91.3 |
2010
|
35,283 |
11.9 |
66.9 |
16,921 |
18,362 |
92.2 |
2030
|
36,348 |
10.5 |
72.0 |
17,441 |
18,907 |
92.2 |
2050
|
42,368 |
10.8 |
100.4 |
20,403 |
21,965 |
92.9 |
65-74 |
|
|
|
|
|
|
1995
|
18,758 |
7.1 |
x |
8,337 |
10,421 |
80.0 |
2000
|
18,136 |
6.6 |
-3.3 |
8,180 |
9,956 |
82.2 |
2010
|
21,058 |
7.1 |
12.3 |
9,753 |
11,305 |
86.3 |
2030
|
37,407 |
10.8 |
99.4 |
17,878 |
19,529 |
91.5 |
2050
|
34,732 |
8.8 |
85.2 |
16,699 |
18,033 |
92.6 |
75-84 |
|
|
|
|
|
|
1995 |
11,151 |
4.2 |
x |
4,326 |
6,825 |
63.4 |
2000 |
12,316 |
4.5 |
10.4 |
4,938 |
7,378 |
66.9 |
2010 |
12,680 |
4.3 |
13.7 |
5,363 |
7,317 |
73.3 |
2030 |
23,517 |
6.8 |
110.9 |
10,818 |
12,699 |
85.2 |
2050 |
25,905 |
6.6 |
132.3 |
12,342 |
13,563 |
91.0 |
85+ |
|
|
|
|
|
|
1995 |
3,634 |
1.4 |
x |
1,015 |
2,619 |
38.8 |
2000 |
4,259 |
1.6 |
17.2 |
1,228 |
3,031 |
40.5 |
2010 |
5,670 |
1.9 |
56.0 |
1,771 |
3,899 |
45.4 |
2030 |
8,454 |
2.4 |
132.7 |
3,021 |
5,433 |
55.6 |
2050 |
18,224 |
4.6 |
401.5 |
7,036 |
11,188 |
62.9 |
65+ |
|
|
|
|
|
|
1995 |
33,544 |
12.8 |
x |
13,678 |
19,866 |
68.9 |
2000 |
34,710 |
12.6 |
3.5 |
14,346 |
20,364 |
70.4 |
2010 |
39,409 |
13.2 |
17.5 |
16,887 |
22,522 |
75.0 |
2030 |
69,379 |
20.0 |
106.8 |
31,718 |
37,661 |
84.2 |
2050 |
78,859 |
20.0 |
135.1 |
36,076 |
42,783 |
84.3 |
SOURCE: U.S. Bureau of the Census (1996a).
1 Males per 100 females.
x = not applicable
Table compiled by the National Aging Information Center
The growth in the number of the oldest old (aged 85 and over) is of greater
public concern. During 1995 to 2010, this population is expected to grow
by 56 percent, as compared with 13 percent for the population aged 65
to 84. This means that a larger share of the elderly will be over age
85. In subsequent decades, especially between 2030 and 2050, the 85-and-over
age group will grow sharply as the baby-boom cohorts age. The 85-and-over
age group is expected to increase from 3.6 million in 1995 to 5.7 million
in 2010 to 8.5 million in 2030, and to 18.2 million in 2050. Thus, while
the expected increase from 2010 to 2030 is less than 50 percent, the increase
from 2030 to 2050 is 116 percent. The cumulative growth in the 85-and-over
population from 1995 to 2050 is anticipated to be more than 400 percent,
and the proportion of that group in the total population is likely to
increase from 1.4 percent in 1995 to 4.6 percent in 2050.
Alternative higher and lower population projections were also published
by the Bureau of the Census. The basic assumptions in the Bureau of the
Census projections, expressed in terms of ultimate values for fertility,
mortality and immigration in 2050, are as follows:
| |
Year |
| Component: |
1995 |
2050
|
| |
|
|
|
|
| |
|
Low
|
Middle |
High
|
| Fertility (total fertility rate) |
2055 |
1910 |
2245 |
2580 |
| Life expectancy (at birth) |
75.9 |
74.8 |
82.0 |
89.4 |
| Annual net immigration (in
thousands) |
820 |
300 |
820 |
1270 |
The total fertility rate represents the number of children 1,000 women
would have in their lifetimes, assuming that none of the women died before
the end of childbearing. Life expectancy represents the average number
of years of life remaining at birth to a newborn cohort. Annual net immigration
is the yearly total number of immigrants to the United States minus the
number of emigrants. The "lowest" population series (that is,
the series showing the lowest population numbers) is based on a combination
of low fertility, low life expectancy, and low net immigration. The "highest"
series (that is, the series showing the highest population numbers) is
based on a combination of high fertility, high life expectancy, and high
net immigration.
These series present very different outlooks on the growth of the elderly
population. For example, the highest series of population projections
shows a 754 percent increase in the number of persons aged 85 and over
between 1995 and 2050 (Table 2). The middle series shows a 402 percent
increase, and the lowest series an increase of 166 percent for that group.
The proportion of the oldest old in the total population is projected
to be over 4.5 percent in 2050 in the middle series, but 6.0 percent in
the highest series. The number of persons aged 65 and over in the highest
series grows much more rapidly than in the middle series, but the proportion
of elderly in the population is about the same in the two series in all
future years because of the parallel growth of the elderly and the nonelderly
populations.
To understand why the elderly population will grow more slowly between
1995 and 2010 than in earlier periods, we have to consider the trend of
births 65 years or more before each of these two dates. The number of
births from 1910 to 1930 was much greater than the number of births from
1925 to 1945. The Depression Era babies, among the latter cohorts, are
now reaching age 65, hence the number of those 65 to 74 is actually decreasing.
Because of the 1946 to 1964 baby boom, we can anticipate an extremely
large increase in the number of people aged 65 and over, and especially
aged 65 to 74, after 2010. The decline in death rates, especially at the
older ages, is also contributing to the increase in the current number
of elderly, and it is assumed that this trend will continue. Death rates
of people in the older age ranges began to plunge in the late 1960's and
are anticipated to continue to decline, albeit at a slower pace than in
recent decades.
To understand the rapid growth of the oldest-old population between 1995
and 2010, we have to consider demographic events that occurred between
1900 and 1925 and later. The number of births increased rapidly from 1900-1910
(1910 being the year the youngest of those aged 85 and over in 1995 were
born) to 1915-1925. A high immigration rate contributed greatly to the
number of births in this period. However, the number of births from 1915
to 1925 (the years of the birth cohort that will be 85 years or over in
2010) greatly exceeded the number born from 1900 to 1910, as a result
of the rapid growth of the population. Immigration in this and previous
decades contributed substantially to the number of births in 1915 to 1925,
although the volume of immigration had fallen off sharply as compared
with the volume of immigration affecting the 1900 to 1910 cohorts. However,
the later cohorts benefited from lower death rates as they grew older.
Changes in the proportion of elderly in the total population have a different
causal basis. The projections of a very high and increasing proportion
of elderly from 2010 to 2030 are accounted for by three factors: (1) declining
and low fertility in the past and the prospect of continuing low fertility
up to 2030 (and beyond); (2) maturing of the baby-boom cohorts; and (3)
sharp declines in mortality at the adult and older ages in the recent
past and the prospect of continuing low mortality up to 2030 (and beyond).
Once the baby-boom influx is over (i.e., has completely passed age 65)
in 2030, the proportion of elderly in the total population stabilizes.
Table 2 - Projections of the Percentage Increase in Population,
by Age: 1995 to 2010, 1995 to 2030, 1995 to 2050 (Minus
sign denotes a decrease. Projections are based on the lowest, middle, and
highest population series of the U.S. Bureau of the Census.)
AGE AND PERIOD |
LOWEST POPULATION |
MIDDLE POPULATION
|
HIGHEST POPULATION |
ALL AGES |
|
|
|
1995-2010 |
7.1 |
13.3 |
19.7 |
1995-2030 |
10.8 |
32.0 |
54.1 |
1995-2050 |
7.5 |
49.9 |
97.4 |
UNDER 65 |
|
|
|
1995-2010 |
6.6 |
12.7 |
19.0 |
1995-2030 |
1.3 |
21.0 |
42.1 |
1995-2050 |
-1.2 |
37.4 |
81.2 |
65+ |
|
|
|
1995-2010 |
10.8 |
17.5 |
24.2 |
1995-2030 |
75.6 |
106.8 |
136.4 |
1995-2050 |
66.8 |
135.1 |
208.3 |
75+ |
|
|
|
1995-2010 |
14.5 |
24.1 |
35.0 |
1995-2030 |
71.8 |
116.2 |
164.0 |
1995-2050 |
91.1 |
198.5 |
326.8 |
85+ |
|
|
|
1995-2010 |
37.9 |
56.0 |
79.1 |
1995-2030 |
59.1 |
132.7 |
235.1 |
1995-2050 |
165.6 |
401.5 |
754.2 |
SOURCE: U.S. Bureau of the Census (1996a).
Table compiled by the National Aging Information Center
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Race groups and Hispanics
The figures for all race groups combined tend to reflect mainly the changes
in the white elderly population. Blacks, Asian and Pacific Islanders,
and Hispanics will share in the main trends described, but to a more intensive
degree. Between 2010 and 2030, the size of these racial/ethnic groups
will increase dramatically. Similarly, dramatic increases are projected
between 2030 and 2050 for the 85-and-over age group (Tables 3 and 4a).
The rates of growth for Asian and Pacific Islanders (the main component
of the "other races" group) and Hispanics far exceed those for
whites in all periods. In addition to the role of higher fertility rates,
particularly among Hispanics, and lower mortality for both Asian and Pacific
Islanders and Hispanics, immigration is a major factor in the growth of
these groups. For blacks, higher fertility explains the higher growth
rate since net immigration is less important and mortality is higher than
for whites.
As a result of these projected differences in growth rates, the racial
and ethnic composition of the elderly population will change profoundly
in the next 50 years. As shown in Table 4b, Hispanics are expected to
constitute 17.5 percent of the elderly population in 2050, as compared
with the 4.5 percent estimated for 1995. Furthermore, during this time
period, the proportion of elderly within the Hispanic population will
increase from approximately 6 percent to a little more than 14 percent.
The proportions of blacks and "other races" in the elderly population
are also expected to increase. In particular, the proportion of "other
races" will more than triple in this period. Conversely, the proportion
of whites in the elderly population will decrease, from 90 to 82 percent.
If we calculate the percentages for the non-Hispanic white population,
the shift is even greater, from 85 to 66 percent, meaning that in 2050
about one-third of the elderly population would be black, Hispanic, or
in the "other races" category.
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Gender balance
Most elderly, and especially the older aged, are women. Overall, the
elderly population in 1995 included 45 percent more women than men, and
the older the age group, the lower the proportion of men in the group
(Table 1). For example, there are 158 percent more women than men aged
85 years and over in 1995. The projected population imbalance between
the sexes is less than it would otherwise be over the next several decades
because of an assumption of converging mortality rates. Even so, it is
projected that in 2050 women aged 85 and over will outnumber men aged
85 and over by more than 4 million, or nearly 60 percent, and women will
make up 61 percent of the population ages 85 and over. As long as the
mortality of men, in general, exceeds that of women, women will outnumber
men among the elderly, especially among the oldest-old age group.
Table 3 - Projections of the Total and Elderly Populations,
by Age, Race, and Hispanic Origin: 1995 to 2050 (Numbers
in thousands. Middle series of U.S. Bureau of the Census.)
AGE AND YEAR |
WHITE |
BLACK |
OTHER RACES1
|
HISPANIC ORIGIN2
|
ALL AGES |
|
|
|
|
1995 |
218,078 |
33,144 |
11,598 |
26,936 |
2000 |
225,533 |
35,454 |
13,647 |
31,365 |
2010 |
239,588 |
40,110 |
18,019 |
41,139 |
2030 |
269,046 |
50,001 |
27,852 |
65,571 |
2050 |
294,614 |
60,592 |
38,723 |
96,508 |
65+ |
|
|
|
|
1995 |
30,057 |
2,718 |
769 |
1,505 |
2000 |
30,842 |
2,883 |
984 |
1,871 |
2010 |
34,416 |
3,430 |
1,561 |
2,847 |
2030 |
58,767 |
6,919 |
3,692 |
7,782 |
2050 |
64,427 |
8,613 |
5,819 |
13,770 |
75+ |
|
|
|
|
1995 |
13,417 |
1,104 |
264 |
557 |
2000 |
14,998 |
1,208 |
370 |
751 |
2010 |
16,316 |
1,397 |
638 |
1,242 |
2030 |
27,650 |
2,663 |
1,659 |
3,361 |
2050 |
36,890 |
4,162 |
3,074 |
7,760 |
85+ |
|
|
|
|
1995 |
3,307 |
275 |
52 |
131 |
2000 |
3,865 |
317 |
77 |
183 |
2010 |
5,108 |
396 |
166 |
346 |
2030 |
7,327 |
638 |
489 |
988 |
2050 |
15,443 |
1,562 |
1,218 |
3,244 |
SOURCE: U.S. Bureau of the Census (1996a).
1Other races category includes Asian and Pacific Islanders
and American Indians, Eskimos, and Aleuts.
2Hispanics may be of any race.
Table compiled by the National Aging Information Center
Table 4a - Projections of the Percentage Increase in Population,
by Age, Race, and Hispanic Origin: 1995 to 2050 (Middle
series of U.S. Bureau of the Census.)
AGE AND PERIOD
|
WHITE |
BLACK |
OTHER RACES1
|
HISPANIC ORIGIN2
|
ALL AGES |
|
|
|
|
1995-2010
|
9.9 |
21.0 |
55.4 |
52.7 |
1995-2030
|
24.4 |
50.9 |
140.1 |
143.4 |
1995-2050
|
35.1 |
82.8 |
233.9 |
258.3 |
65+ |
|
|
|
|
1995-2010
|
14.5 |
26.2 |
103.0 |
89.2 |
1995-2030
|
95.5 |
154.6 |
380.1 |
417.1 |
1995-2050
|
114.3 |
216.9 |
656.7 |
815.0 |
75+ |
|
|
|
|
1995-2010
|
21.6 |
26.5 |
141.7 |
122.6 |
1995-2030
|
106.1 |
141.3 |
528.4 |
503.2 |
1995-2050
|
174.9 |
276.9 |
1064.4 |
1292.6 |
85+ |
|
|
|
|
1995-2010
|
54.4 |
44.0 |
219.2 |
163.4 |
1995-2030
|
121.5 |
132.0 |
840.4 |
654.2 |
1995-2050
|
366.8 |
468.0 |
2242.3 |
2377.1 |
SOURCE: U.S. Bureau of the Census (1996a).
1Other races category includes Asian and Pacific Islanders
and American Indians, Eskimos, and Aleuts.
2Hispanics may be of any race.
Table compiled by the National Aging Information Center
Table 4b - Projections of the Percentage of Persons 65
Years and Over in the Total Population, by Age, for Race Groups and Hispanic
Origin: 1995 to 2050 (Middle series of the U.S.
Bureau of the Census.)
|
PERCENT OF ALL
AGES1 |
PERCENT BY RACE2
|
AGE AND YEAR
|
White |
Black |
Other Races |
Hispanic Origin3
|
White |
Black |
Other Races |
Hispanic Origin |
65+ |
|
|
|
|
|
|
|
|
1995 |
13.8 |
8.2 |
6.6 |
5.6 |
89.6 |
8.1 |
2.3 |
4.5 |
2000 |
13.7 |
8.1 |
7.2 |
6.0 |
88.9 |
8.3 |
2.8 |
5.4 |
2010 |
14.4 |
8.6 |
8.7 |
6.9 |
87.3 |
8.7 |
4.0 |
7.2 |
2050 |
21.9 |
14.2 |
15.0 |
14.3 |
81.7 |
10.9 |
7.4 |
17.5 |
75+ |
|
|
|
|
|
|
|
|
1995 |
6.2 |
3.3 |
2.3 |
2.1 |
90.7 |
7.5 |
1.8 |
3.8 |
2000 |
6.7 |
3.4 |
2.7 |
2.4 |
90.4 |
7.3 |
2.3 |
4.5 |
2010 |
6.8 |
3.5 |
3.5 |
3.0 |
88.9 |
7.6 |
3.5 |
6.8 |
2050 |
12.5 |
6.9 |
7.9 |
8.0 |
83.6 |
9.4 |
7.0 |
17.6 |
85+ |
|
|
|
|
|
|
|
|
1995 |
1.5 |
0.8 |
0.4 |
.5 |
91.0 |
7.6 |
1.4 |
3.6 |
2000 |
1.7 |
0.9 |
0.6 |
.6 |
90.7 |
7.4 |
1.8 |
4.3 |
2010 |
2.1 |
1.0 |
0.9 |
.8 |
90.1 |
7.0 |
2.9 |
6.1 |
2050 |
5.2 |
2.6 |
3.1 |
3.4 |
84.7 |
8.6 |
6.7 |
17.8 |
SOURCE: U.S. Bureau of the Census (1996a).
1Represents the percent of the age group in the total population
of all ages for the particular race/Hispanic group.
2Represents the percent of the race/Hispanic group in the
total population of all races for the particular age group.
3Hispanics may be of any race.
Table compiled by the National Aging Information Center
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Age structure
By itself, the size of the population in the various age segments will
not determine the demand for services or the extent of participation in
public programs. However, the age structure of future populations will
affect the social and economic condition of the Nation, in particular
as regards support for the economically dependent classes in our population.
The extent of labor force participation at the various ages, including
the older ages, and the ages of retirement also will be influential, as
will related economic factors such as the levels of productivity, unemployment,
and cost of living. We consider the effect of labor force changes in the
next section.
In this subsection, we describe the changes in age structure, i.e., the
relative numbers of the age segments. Here, we discuss three dependency
ratios: (1) the elderly dependency ratio, (2) child dependency ratio,
and (3) total dependency ratio. By elderly dependency ratio we mean the
number of persons 65 and older for every 100 persons 18 to 64. The child
dependency ratio is expressed as the number of persons under 18 for every
100 persons 18 to 64. The total dependency ratio is expressed as the number
of persons under 18 plus 65 and older per 100 persons 18 to 64.
The Bureau of the Census population projections initially show only small
increases in the elderly dependency ratio from 20.9 in 1995 to 21.2 in
2010. Then, steep increases are projected during 2010 to 2030, with stability
occurring at the level of 36 from 2030 to 2050 (Table 5). These changes
in the ratios result from the entry of the baby-boom cohorts into the
older age groups during 2010 to 2030, and the aging of the cohorts that
follow the "baby boomers" (also known as the "baby bust"
cohorts). Over the same decades, the child dependency ratio shows a modest
U-shaped trend, meaning that the numbers decline from 43 persons under
18 per 100 persons ages 18 to 64 in 1995 to 39 in 2010, and then increase
to 43 in 2030. The total dependency ratio will be lower in 2010 than in
1995. Between 2020 and 2030, however, the total dependency ratio will
rise sharply, stabilizing at nearly 80 over the years 2030 to 2050. In
fact, in the period 2010 to 2030, both the total dependency ratio and
its component ratios will rise. Then, the ratios remain nearly unchanged
from 2030 to 2050 as the age structure of the population stabilizes.
Table 5 - Projected Total,
Child, and Elderly Dependency Ratios: 1995 to 2050 (Ratios
expressed per 100 population. Middle series of U.S. Bureau of the Census.)
| YEAR |
TOTAL1
|
CHILDREN2
|
ELDERLY3
|
| 1995 |
63.7 |
42.8 |
20.9 |
| 2000 |
62.4 |
41.8 |
20.5 |
| 2010 |
60.2 |
39.0 |
21.2 |
| 2020 |
68.2 |
40.4 |
27.7 |
| 2030 |
78.7 |
43.0 |
35.7 |
| 2040 |
79.7 |
43.1 |
36.5 |
| 2050 |
79.9 |
43.9 |
36.0 |
SOURCE: U.S.
Bureau of the Census (1996a).
1Ratio
expressed as the number of persons under 18 plus the number of persons
65 years and over per 100 persons 18 to 64.
2Ratio
expressed as the number of persons under 18 per 100 persons 18 to 64.
3Ratio
expressed as the number of persons 65 years and over per 100 persons
18 to 64.
Table compiled
by the National Aging Information Center
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