Download - A Lifecourse Approach to Ageing
![Page 1: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/1.jpg)
A LIFECOURSE APPROACH TO AGEING Paul Ong
November 11, 2013
Zurich
![Page 2: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/2.jpg)
Health…
• …in an older population is a unique construct
• Why?
• 100% of older people will eventually die
• We all have to die of “something”
![Page 3: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/3.jpg)
The Individual Causes…
• …of Mortality are preventable, but, Death is not
![Page 4: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/4.jpg)
Income and Life Expectancy
UK USA
Philippines/Egypt
Ghana/Cambodia
Mozambique/ Sierra Leone
Mexico
![Page 5: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/5.jpg)
Economic Development…
• …only goes so far towards improving health, and especially quality of life
![Page 6: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/6.jpg)
A Quote
• You can live to be a hundred if you give up all the things that make you want to love to be a hundred
• Woody Allen
![Page 7: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/7.jpg)
![Page 8: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/8.jpg)
Physical health declines with age globally (data by country groups)
![Page 9: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/9.jpg)
Quality of life can be maintained
![Page 10: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/10.jpg)
“Happiness” can be maintained
![Page 11: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/11.jpg)
Four Health Outcomes (1)
• …distinguishes health for ageing populations from other agendas
• HUMAN and economic Development that has worked well will enable:
• ONE: A good QUANTITY of life with attendant good QUALITY of life
![Page 12: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/12.jpg)
For example
• Japan:
Life expectancy from birth :83
Healthy life expectancy :75
• Sweden
Life expectancy from birth :82
Healthy life expectancy :73
![Page 13: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/13.jpg)
Four Health Outcomes (2)
• ONE:A good QUANTITY of life with attendant good QUALITY of life
• TWO: A good QUALITY of life when abundant quantity is no longer possible
![Page 14: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/14.jpg)
![Page 15: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/15.jpg)
• Do older people get tired of life?
• What does dying well mean?
![Page 16: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/16.jpg)
Bishkek – Older People (Kyrgyzstan)
![Page 17: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/17.jpg)
Outcomes 2
• Mental health and quality of life are connected:
Welfare safety nets enhance well-being and coping strategies Physical decrepitude is not a death sentence
![Page 18: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/18.jpg)
Four Health Outcomes (3) • ONE:A good QUANTITY of life with attendant good QUALITY of life
• TWO: A good QUALITY of life when abundant quantity is no longer possible
• --- Critical need for developmental intervention ---
• THREE: Where there is reasonable quantity but little quality of life
• FOUR: Where there is neither quality nor quantity of life
![Page 19: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/19.jpg)
Outcome 3…
• …is where substantial amount of our programming is focussed
• It is where development is still needed, e.g.,
• Bangladesh
Life expectancy from birth :70
Healthy life expectancy :54
![Page 20: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/20.jpg)
Outcome 4 • Do we have a role in promoting longevity, to advocate for closing gaps in longevity? Is there such a thing as life and healthy life equity?
• Tanzania:
Life expectancy from birth :59
Healthy life expectancy :40
• Mozambique
Life expectancy from birth :53
Healthy life expectancy :37
![Page 21: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/21.jpg)
Outcome 4
• There are older people in Tanzania of course!
• 2% of the population
• But fewer people make it to 60
• Is it right that an average Swiss only has a 2% chance of dying between the ages of 55-59
• But in Tanzania and Mozambique, the risks are four times greater (8%)?
• WHO recommends that older age be defined from 50 or 55 in Africa
• Are the causes of premature ageing our business?
![Page 22: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/22.jpg)
Mozambique
![Page 23: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/23.jpg)
Peru
![Page 24: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/24.jpg)
Healthy Ageing: What is it?
![Page 25: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/25.jpg)
Healthy Ageing: What is it?
![Page 26: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/26.jpg)
Ageing…
• …is more much much more than just the risk of dying
• The costs to society will be about maintaining quality and dignity
• It is about the world we want when we are old
![Page 27: A Lifecourse Approach to Ageing](https://reader036.vdocuments.us/reader036/viewer/2022062418/5560c9e5d8b42a19088b4a03/html5/thumbnails/27.jpg)
Basic Copyright Notice & Disclaimer ©2013 This presentation is copyright protected. All rights reserved. You may download or print out a hard copy for your private or internal use. You are not permitted to create any modifications or derivatives of this presentation without the prior written permission of the copyright owner. This presentation is for information purposes only and contains non-binding indications. Any opinions or views expressed are of the author and do not necessarily represent those of Swiss Re. Swiss Re makes no warranties or representations as to the accuracy, comprehensiveness, timeliness or suitability of this presentation for a particular purpose. Anyone shall at its own risk interpret and employ this presentation without relying on it in isolation. In no event will Swiss Re be liable for any loss or damages of any kind, including any direct, indirect or consequential damages, arising out of or in connection with the use of this presentation.