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5. Global lifespan inequality and its components

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Global Trends in Lifespan Inequality: 1950-2015.

IÑAKI PERMANYER [email protected]

Centre d’Estudis Demogràfics . Universitat Aut. de Barcelona

NATHALIE SCHOLL [email protected]

Centre d’Estudis Demogràfics. Universitat Aut. de Barcelona.

5. Global lifespan inequality and its components

0.05.1.15.2normalized number of deaths

0 20 40 60 80 100

Age

CA

0.05.1.15.2normalized number of deaths

0 20 40 60 80 100

Age

EAP

0.05.1.15.2normalized number of deaths

0 20 40 60 80 100

Age

HIC

0.05.1.15.2normalized number of deaths

0 20 40 60 80 100

Age

LAC

0.05.1.15.2normalized number of deaths

0 20 40 60 80 100

Age

MENA

0.05.1.15.2normalized number of deaths

0 20 40 60 80 100

Age

SA

0.05.1.15.2normalized number of deaths

0 20 40 60 80 100

Age

SSH

0.05.1.15.2normalized number of deaths

0 20 40 60 80 100

Age

SSH-HIV

0.05.1.15.2normalized number of deaths

0 20 40 60 80 100

Age

World

1950-55 1970-75 1990-95 2010-15

1. Motivation

• Understanding of the present and future dynamics in human mortality

 ‘mortality compression’ (convergence towards a single upper limit age at death) and ‘shifting’ (distribution-neutral shift with increasing life expectany) hypotheses

• Uncertainty associated with larger lifespan inequality affects beliefs and behavior

• Study overall, adult and elderly mortality separately.

𝑇𝑇

𝑎𝑎

= 1

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𝑎𝑎

𝑥𝑥=𝑎𝑎 𝜔𝜔

𝑑𝑑

𝑥𝑥

𝛼𝛼

𝑥𝑥

𝜇𝜇

𝑎𝑎

𝑙𝑙𝑙𝑙𝑙𝑙 𝛼𝛼

𝑥𝑥

𝜇𝜇

𝑎𝑎

𝑉𝑉

𝑎𝑎

= 1

𝑙𝑙

𝑎𝑎

𝑥𝑥=𝑎𝑎 𝜔𝜔

𝑑𝑑

𝑥𝑥

𝛼𝛼

𝑥𝑥

− 𝜇𝜇

𝑎𝑎 2

This paper is part of the project Equalizing or disequalizing? Opposing socio-demographic determinants of the spatial distribution of welfare (EQUALIZE) that has received

funding from the European Research Council (ERC) under the European Union's Horizon 2020 research and innovation programme (ERC-2014-STG-grant agreement No 637768)

.05.10 .15.2 .25

GLI

1955 1965 1975 1985 1995 2005

year

Complete lifespanTheil index

0 .01 .02 .03 .04 .05

GLI

1955 1965 1975 1985 1995 2005

year

Lifespan above 15

0 .002 .004 .006

GLI

1955 1965 1975 1985 1995 2005

year

Lifespan above 65

0 200 400600 800 1000

GLI

1955 1965 1975 1985 1995 2005

year

Complete lifespanVariance

0 100 200 300 400

GLI

1955 1965 1975 1985 1995 2005

year

Lifespan above 15

0 20 40 60 80

GLI

1955 1965 1975 1985 1995 2005

year

Lifespan above 65

Overall (worldwide) Within-country Between-country

4. Lifespan inequality and longevity within countries

2. Age at death around the world

Data:

• Abridged life tables from the UN WPP (ages 0-100)

• Full population, adult population (15+), elderly population (65+).

• Time span: 1950-2015 in 5-year intervals, 195 countries

Graph: Changing distribution of deaths across regions of the world  “mortality compression” or“shifting”?

Df

0 .2 .4 .6 .8

Inequality

20 40 60 80

Life expectancy at birth Complete lifespanTheil Index

0 .02 .04 .06 .08

Inequality

50 60 70 80 90

Mean length of life above 15 Lifespan above 15

.002 .003 .004 .005 .006 .007

Inequality

70 75 80 85 90

Mean length of life above 65 Lifespan above 65

200 400 600 800 1000 1200

Inequality

20 40 60 80

Life expectancy at birth Complete lifespanVariance

100 200 300 400 500

Inequality

50 60 70 80 90

Mean length of life above 15 Lifespan above 15

20 40 60 80 100

Inequality

70 75 80 85 90

Mean length of life above 65 Lifespan above 65

South Asia East Asia & Pacific Sub-Saharan Africa Central Asia

Middle East & North Africa Latin America & Caribbean Sub-Saharan Africa High HIV High Income

6. Conclusions

• There has been a sustained decline in overall lifespan inequality

Adult lifespan variability has also declined, but some plateaus and trend reversals have been identified

• Lifespan inequality among the elderly has increased virtually everywhere

• Most of the world variability in age-at-death can be attributed to within-country variability (around 90%)

• Our analyses suggest that the world seems to be facing a new

challenge: the emergence of diverging trends in longevity and age-at-death inequality among the elderly around the globe.

• As larger fractions of the world population survive to more

advanced ages, it will be necessary that national and international health planners recognize the growing heterogeneity that

characterizes older populations.

3. Measuring and decomposing length of life inequality

Inequality measures

Relative: Theil index Absolute: Variance

These two measures are additively decomposable into a within- and a between-country component

𝐼𝐼 = 𝐼𝐼𝐵𝐵 + 𝐼𝐼𝑊𝑊 = 𝐼𝐼 𝝁𝝁1, … , 𝝁𝝁𝑛𝑛 + �

𝑐𝑐=1 𝑛𝑛

𝑠𝑠𝑐𝑐𝐼𝐼𝑐𝑐

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