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Societies across Europe and Central Asia are aging, but people are not necessarily living longer. This demographic trend-caused by a decrease in fertility rather than improved longevity-presents both challenges and opportunities for governments, the private sector, and individuals alike. Some of the challenges are well known. Output per capita becomes smaller if it is shared with an increasingly larger group of dependent older people. At a certain point, there may not be sufficient resources to maintain the living standards of this older group, especially if rising expenditures on health care, long-term care, and pensions must be financed through the contributions and taxes paid by ever-smaller younger age groups. Working adults also contribute the most to the pool of savings. As the size of this group shrinks, savings will decline. But these challenges can be transformed into opportunities. Consider these examples: As longevity increases, workers tend to stay in the workforce longer, and, with the right incentives, they will increase their savings. Many current workers, and perhaps even more in the future, will thus not necessarily become dependent once they turn 65. And with slower population growth and smaller young age groups, societies will have an opportunity to improve the quality of education and maintain productivity. Firms in some countries are already adapting by capitalizing on skills that appreciate with age. Cardiovascular diseases account for more than half the difference in life expectancy (above age 50) between the region and Western Europe for men and 75 percent of the corresponding difference for women. Healthier behavior and health systems focused on preventive care could, with no cost increase, dramatically reduce this risk. These opportunities are not to be missed. As populations age, public discourse ranges from concerns about economic decline and fiscal sustainability of pensions and health systems to optimism about opportunities for healthier and more productive aging. The main contribution of Golden Aging is perhaps to show that demography and its consequences are not fixed. Much will depend on how people, firms, and societies adapt and how policy makers and institutions facilitate their behavioral adjustments. The future for Europe and Central Asia does not have to be gray-it can be a golden era of healthy, active, and prosperous aging.

SHARE is an international survey designed to answer the societal challenges that face us due to rapid population ageing. How do Europeans age? Under which circumstances do older people and their families live, how healthy and active are they, and how did the crisis affect them? The authors of this multidisciplinary book have taken a first step toward answering these questions based on the recent SHARE data including a new social networks module.

Societies across Europe and Central Asia are aging, but people are not necessarily living longer. This demographic trend-caused by a decrease in fertility rather than improved longevity-presents both challenges and opportunities for governments, the private sector, and individuals alike. Some of the challenges are well known. Output per capita becomes smaller if it is shared with an increasingly larger group of dependent older people. At a certain point, there may not be sufficient resources to maintain the living standards of this older group, especially if rising expenditures on health care

SHARE is an international survey designed to answer the societal challenges that face us due to rapid population ageing. How do Europeans age? Under which circumstances do older people and their families live, how healthy and active are they, and how did the crisis affect them? The authors of this multidisciplinary book have taken a first step toward answering these questions based on the recent SHARE data including a new social networks module..

The past decade has brought an increasing recognition to the importance of pension systems to the economic stability of nations and the security of their aging populations. During this time, the World Bank has taken a leading role in addressing this challenge through its support for pension reforms around the world. Old-Age Income Support in the 21st Century attempts to explain current policy thinking and update the World Bank’s perspective on pension reform. The Bank has been involved in pension reforms in nearly 60 countries, and the demand for its support continues to grow. This book incorporates lessons learned from recent Bank experiences and research that have significantly increased knowledge and insight regarding how best to proceed in the future. The book has a comprehensive introduction and two main parts. Part I presents the conceptual underpinnings for the Bank’s thinking on pension systems and reforms, including structure of Bank lending in this area. Part II highlights key design and implementation issues where it signals areas of confidence and areas for further research and experience, and includes a section on regional reform experiences, including Latin American and Europe and Central Asia. This book will be of interest to Bank clients, the international community, and anyone interested in pension systems and reform.

This book entitled The Ageing Societies of Central and Eastern Europe: Some Problems - Some Solutions wants to contribute to a better understanding of how societies of Central and Eastern Europe are changing and how they are responding to the challenge of even more rapid ageing process than Western Europe. The aim of this book is to present the specific challenges ageing societies in selected Central and Eastern European countries face, with a particular focus on Polish society. Questions to be addressed in this volume include: How does demographic ageing influence societal change? How can we overcome age discrimination? Who will care for increasing numbers of older dependents at a time when the numbers of potential family carers is dwindling? How will family change impact on intergenerational solidarity? How can the specific skills of the young and the old be combined in the workplace? How are policy makers and politicians dealing with the ageing issues? How can the public pensions systems be made financially sustainable to prevent poverty and social exclusion of older people?

\"SHARE is an international survey designed to answer the societal challenges that face us due to rapid population ageing. How do we Europeans age? How will we do economically, socially and healthwise? How are these domains interrelated? The authors of this multidisciplinary book have taken a further big step towards answering these questions based on the recent SHARE data in order to support policies for an inclusive society.\" (Publishers Abstract).

Ageing populations and rising prevalence of non-communicable diseases (NCDs) increasingly contribute to the growing cost burden facing European healthcare systems. Few studies have attempted to quantify the future magnitude of this burden at the European level, and none of them consider the impact of potential changes in risk factor trajectories on future health expenditures. The new microsimulation model forecasts the impact of behavioural and metabolic risk factors on NCDs, longevity and direct healthcare costs, and shows how changes in epidemiological trends can modify those impacts. Economic burden of NCDs is modelled under three scenarios based on assumed future risk factors trends: business as usual (BAU); best case and worst case predictions (BCP and WCP). The direct costs of NCDs in the EU 27 countries and the UK (in constant 2014 prices) will grow under all scenarios. Between 2014 and 2050, the overall healthcare spending is expected to increase by 0.8% annually under BAU. In the all the countries, 605 billion Euros can be saved by 2050 if BCP is realized compared to the BAU, while excess spending under the WCP is forecast to be around 350 billion. Interpretation: Although the savings realised under the BCP can be substantial, population ageing is a stronger driver of rising total healthcare expenditures in Europe compared to scenario-based changes in risk factor prevalence.

The prevalence of loneliness increases among older adults, varies across countries, and is related to within-country socioeconomic, psychosocial, and health factors. The 2000-2019 pooled prevalence of loneliness among adults 60 years and older went from 5.2% in Northern Europe to 24% in Eastern Europe, while in the US was 56% in 2012. The relationship between country-level factors and loneliness, however, has been underexplored. Because income inequality shapes material conditions and relative social deprivation and has been related to loneliness in 11 European countries, we expected a relationship between income inequality and loneliness in the US and 16 European countries. We used secondary cross-sectional data for 75,891 adults age 50+ from HRS (US 2014), ELSA (England, 2014), and SHARE (15 European countries, 2013). Loneliness was measured using the R-UCLA three-item scale. We employed hierarchical logistic regressions to analyse whether income inequality (GINI coefficient) was associated with loneliness prevalence. The prevalence of loneliness was 25.32% in the US (HRS), 17.55% in England (ELSA) and ranged from 5.12% to 20.15% in European countries (SHARE). Older adults living in countries with higher income inequality were more likely to report loneliness, even after adjusting for the sociodemographic composition of the countries and their Gross Domestic Products per capita (OR: 1.52; 95% CI: 1.17-1.97). Greater country-level income inequality was associated with higher prevalence of loneliness over and above individual-level sociodemographics. The present study is the first attempt to explore income inequality as a predictor of loneliness prevalence among older adults in the US and 16 European countries. Addressing income distribution and the underlying experience of relative deprivation might be an opportunity to improve older adults' life expectancy and wellbeing by reducing loneliness prevalence.

After years following the breakdown of the Great Recession in Europe, crisis-driven urban shrinkage can be adequately investigated considering changes over time in selected demographic indicators, with a specific focus on migration. Using official statistics and a literature review, the present study documents the inherent demographic decline in metropolitan Athens (Greece) as a response to economic stagnation after a long-lasting expansion. The empirical results of our study delineate metropolitan shrinkage in Southern Europe as a process associated with complex socioeconomic conditions leading to (possibly counterintuitive) demographic outcomes as far as migration trends are concerned. Recession has determined unsustainable economic conditions especially for non-native population segments, promoting both class and ethnic segregation. The negative migration balance in the 2010s led to an intense population decline hitting settlements made already demographically fragile because of low fertility and aging. Athens became a sort of ‘migrant trap’, being progressively unattractive for incoming migration flows—both internal and international—and losing an increasingly high number of non-native residents settling in the area, especially during the ‘gold’ decade of the 2004 Olympics. A sudden reduction in immigration rates reflected both economic (recession) and non-economic (population aging, fertility reduction, and childbearing postponement) factors, causing an incipient shrinkage after secular urban growth. The empirical results of our study add to the traditional literature on ‘industrial cities shrinkage’ in Europe and contribute to (re)formulate short- and medium-term development scenarios in large agglomerations, shedding further light on the role of migration in crisis-driven processes of urban decline in Mediterranean Europe.