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Population Aging in India: Facts, Issues, and Options

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Population Change and Impacts in Asia and the Pacific

Part of the book series: New Frontiers in Regional Science: Asian Perspectives ((NFRSASIPER,volume 30))

Abstract

India is undergoing unprecedented demographic changes. Increasing longevity and falling fertility have resulted in a dramatic increase in the population of adults aged 60 and up, in both absolute and relative terms. This change presents wide-ranging and complex health, social, and economic challenges, both current and future. This chapter lays out the context, scope, and magnitude of India’s demographic changes. It then details the major challenges these shifts pose in the interconnected areas of health, gender, and income security. We also present an overview of India’s recent and ongoing initiatives to adapt to population aging and provide support to older adults and their families. We conclude with policy recommendations that may serve as a productive next step forward.

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Notes

  1. 1.

    These countries are, as of July 2016, China (1.38 billion), India (1.31 billion), United States of America (322 million), Indonesia (258 million), Brazil (208 million), Pakistan (189 million), Nigeria (182 million), Bangladesh (161 million), Russian Federation (143 million), Mexico (127 million), Japan (127 million), Philippines (101 million), and Ethiopia (99.4 million) (United Nations 2015).

  2. 2.

    When discussing the scope and nature of the challenges of population aging, differentiating the “old” (60+) from the “oldest old” (80+) is important and helpful, as the needs and capacities of those in their 80s and older tend to differ significantly from those in their 60s and 70s.

  3. 3.

    Disability-adjusted life years (DALYs) are a measure of healthy life used by the World Health Organization and other health-monitoring bodies.

  4. 4.

    This prediction is primarily based on the trend of Indian women’s life expectancy increasing at a faster rate than men’s over the past several decades. Since the 1970s, Indian female life expectancy has been consistently increasing at a higher rate than male life expectancy, ranging from about one-half to two percentage points more over each 5-year interval between 1970 and the present day. To a lesser extent, this projection is also due to the expected convergence of Indian life expectancy trends to the world average: globally, females currently enjoy a greater advantage over males in life expectancy at age 60 than they do in India.

References

  • Agrawal G, Keshri K (2014) Morbidity patterns and health care seeking behavior among older widows in India. PLoS One 9:e94295

    Article  Google Scholar 

  • Alam M, James KS, Giridhar G, Sathyanarayana KM, Kumar S, Raju S, Syamala TS, Subaiya L, Bansod DW (2012) Report on the status of elderly in select States of India, 2011. UNFPA India, New Delhi, India

    Google Scholar 

  • Arokiasamy P, Bloom DE, Lee J, Feeney K, Ozolins M (2012) Longitudinal aging study in India: vision, design, implementation, and preliminary findings. In: Smith JP, Majmundar M (eds) Aging in Asia: findings from new and emerging data initiatives. The National Academies Press, Washington, DC

    Google Scholar 

  • Arokiasamy P, Yadav S (2014) Changing age patterns of morbidity vis-a-vis mortality in India. J Biosoc Sci 46:462–479

    Article  Google Scholar 

  • Bloom DE, Cafiero-Fonseca ET, Candeias V, Adashi E, Bloom L, Gurfein L, Jané-Llopis E, Lubet A, Mitgang E, O’Brien J (2014a) Economics of non-communicable diseases in India: the costs and returns on investment of interventions to promote healthy living and prevent, treat, and manage NCDs. Harvard T.H. Chan School of Public Health and World Economics Forum, Geneva

    Google Scholar 

  • Bloom DE, Hu P, Arokiasamy P, Risbud A, Sekher TV, Mohanty SK, Kale V, O’Brien J, Chien S, Lee J (2014b) Longitudinal aging study in India: biomarker data documentation. Harvard University Program on the Global Demography of Aging, Boston

    Google Scholar 

  • Bloom DE, Mahal A, Rosenberg L, Sevilla J (2010) Economic security arrangements in the context of population ageing in India. Int Soc Secur Rev 63:79–97

    Google Scholar 

  • Bloom DE, McKinnon R (2014) The design and implementation of pension systems in developing countries: issues and options. In: Harper S, Hamblin K (eds) International handbook on ageing and public policy. Edward Elgar, Cheltenham, UK

    Google Scholar 

  • Cimperman M, Makovec Brenčič M, Trkman P, Stanonik MD (2013) Older adults’ perceptions of home telehealth services. Telemed J E Health 19:786–790

    Article  Google Scholar 

  • Desai S, Dubey A, Joshi BL, Sen M, Shariff A, Vanneman R (2015) India Human Development Survey (IHDS). University of Maryland and National Council of Applied Economic Research, Inter-university Consortium for Political and Social Research, Ann Arbor and New Delhi

    Google Scholar 

  • Dey S, Nambiar D, Lakshmi J, Sheikh K, Reddy K (2012) Health of the elderly in India: challenges of access and affordability. In: Smith JP, Majmundar M (eds) Aging in Asia: findings from new and emerging data initiatives. The. National Academies Press, Washington, DC

    Google Scholar 

  • Express News Services (2015) Government plans two national centres for the elderly. Indian Express, 15 April 2015

    Google Scholar 

  • Fries J (1980) Aging, natural death, and the compression of morbidity. N Engl J Med 303:130–135

    Article  Google Scholar 

  • Giridhar G, Sathyanarayana KM, James KS (2014) Introduction. In: Giridhar G, Sathyanarayana KM, Kumar S, James KS, Alam M (eds) Population ageing in India. Cambridge University Press, New Delhi

    Chapter  Google Scholar 

  • Government of India (2005) The Hindu Succession (Amendment) Act, 2005. New Delhi

    Google Scholar 

  • Government of India (2007) Maintenance and Welfare of Parents and Senior Citizens Act, 2007. The Gazette of India, New Delhi

    Google Scholar 

  • Government of India (2011) Census of India 2011. http://censusindia.gov.in/

  • Government of India (2013) Sample Registration System Statistical Report, 2011. New Delhi

    Google Scholar 

  • Government of India (2015a) Appendix SRS Based Life Table. http://www.censusindia.gov.in/vital_statistics/Appendix_SRS_Based_Life_Table.html

  • Government of India (2015b) Atal Pension Yojana. Department of Financial Services, New Delhi

    Google Scholar 

  • Government of India (2015c) Draft National Health Policy 2015. New Delhi

    Google Scholar 

  • Government of India (2015d) An Integrated Programme for Older Persons. http://socialjustice.nic.in/ipop.php

  • Government of India (2015e) Schemes and facilities for the older people. http://www.oldagesolutions.org/facilities/schemesmain.aspx

  • Government of India Press Information Bureau (2010). National programme for prevention and control of cancer, diabetes, cardiovascular diseases, and stroke (NPCDCS) approved. http://pic.nic.in/newsite/erelease.aspx?Relid=63087

  • Institute for Health Metrics and Evaluation (2014) Global burden of disease. IHME, University of Washington, Seattle

    Google Scholar 

  • International Diabetes Federation (2012) Diabetes Atlas, 5th edn. International Diabetes Federation, Brussels

    Google Scholar 

  • Jha P, Guindon E, Joseph R, Nandi A, John R, Rao J, Chaloupka F, Kaur J, Gupta P, Rao G (2011) A rational taxation system of bidis and cigarettes to reduce smoking deaths in India. Econ Polit Wkly 46:44–51

    Google Scholar 

  • Joshi SR, Saboo B, Vadivale M, Dani SI, Mithal A, Kaul U, Badgandi M, Iyengar SS, Viswanathan V, Sivakadaksham N (2012) Prevalence of diagnosed and undiagnosed diabetes and hypertension in India—results from the Screening India’s Twin Epidemic (SITE) study. Diabetes Technol Ther 14:8–15

    Article  Google Scholar 

  • Kadoya Y, Yin T (2012) Widow discrimination and family care-giving in India. The Institute of Social and Economic Research (ISER), Osaka University

    Google Scholar 

  • Kalra A (2015) Exclusive: Modi government puts brakes on universal health plan. Reuters

    Google Scholar 

  • Lakhan R, Ekundayo O (2015) National sample survey organization survey report: an estimation of prevalence of mental illness and its association with age in India. Neurosci Rural Pract 6:51–54

    Article  Google Scholar 

  • Mani M (2005) Experience with a program for prevention of chronic renal failure in India. Kidney Int 67:75–78

    Article  Google Scholar 

  • Patel V, Weiss H, Chowdhary N, Naik S, Pednekar S, Chetterjee S, De Silva M, Araya R, King M, Simon G, Verdeli H, Kirkwood B (2010) Effectiveness of an intervention led by lay health counsellors for depressive and anxiety disorders in primary care in Goa, India (MANAS): a cluster randomised controlled trial. Lancet 376:2086–2095

    Article  Google Scholar 

  • Pati S, Agrawal S, Swain S, Lee JT, Vellakkal S, Hussain MA, Millett C (2014) Non communicable disease multimorbidity and associated health care utilization and expenditures in India: cross-sectional study. BMC Health Serv Res 14

    Google Scholar 

  • Pew Research Center (2013) International Migrants by Country. http://www.pewsocialtrends.org/2013/12/17/migration-tables/

  • Prasad R (2015) Rural telephony penetration in India at 48.79 percent. Digit, December 24. http://www.digit.in/telecom/rural-telephony-penetration-in-india-at-4879-percent-ravi-shankar-prasad-28370.html

  • Rai S (2016) India Just Crossed 1 Billion Mobile Subscribers Milestone and the Excitement’s Just Beginning. Forbes, January 6. http://www.forbes.com/sites/saritharai/2016/01/06/india-just-crossed-1-billion-mobile-subscribers-milestone-and-the-excitements-just-beginning/#9df23eb5ac25

  • Reddy KS (2015) India’s aspirations for universal health coverage. N Engl J Med 373:1–5

    Article  Google Scholar 

  • Reddy VB, Gupta A, Lohiya A, Kharya P (2013) Mental health issues and challenges in India: a review. Int J Sci Res Publ 3:1–3

    Google Scholar 

  • Sathyanarayana KM, Kumar S, James KS (2014) Living arrangements of elderly in India: policy and programmatic implications. In: Giridhar G, Sathyanarayana KM, Kumar S, James KS, Alam M (eds) Population ageing in India. Cambridge University Press, New Dehli

    Google Scholar 

  • Seth D (2015) Atal Pension Yojana likely to miss December target. Business Standard, December 16. http://www.business-standard.com/article/economy-policy/atal-pension-yojana-likely-to-miss-december-target-115121600020_1.html

  • Sinha K (2012) Kolkata joins global network for age-friendly cities. The Times of India, October 2. http://timesofindia.indiatimes.com/india/Kolkata-joins-global-network-for-age-friendly-cities/articleshow/16634058.cms

  • Sivaramakrishnan K (2014) Aging and dependency in an independent Indian nation: migrant families, workers and social experts (1940–60). J Soc Hist 47:968–993

    Article  Google Scholar 

  • Srinath Reddy K, Shah B, Varghese C, Ramadoss A (2005) Responding to the threat of chronic diseases in India. Lancet 366:1744–1749

    Article  Google Scholar 

  • Symington A (2013) Pakistan’s women can now dial-a-doc. The Christian Science Monitor, August 8. http://www.csmonitor.com/World/Asia-South-Central/2013/0808/Pakistan-s-women-can-now-dial-a-doc

  • United Nations (1991) United Nations principles for older persons. United Nations Human Rights, Office of the High Commissioner, Geneva

    Google Scholar 

  • United Nations (2014) World urbanization prospects, the 2014 revision. United Nations Dept of Economic and Social Affairs Population Division, Geneva

    Book  Google Scholar 

  • United Nations (2015) World population prospects: the 2015 revision. United Nations Department of Economic and Social Affairs Population Division, Geneva

    Book  Google Scholar 

  • Uppal S, Sarma S (2007) Aging, health and labour market activity: the case of India. World Health Popul 9:79–97

    Article  Google Scholar 

  • World Bank (2015) World development indicators. Washington, DC

    Google Scholar 

  • World Health Organization (2007) Global age-friendly cities: a guide. World Health Organization, Geneva

    Google Scholar 

  • World Health Organization (2009) WHO report on the global tobacco epidemic, 2009: implementing smoke-free environments. World Health Organization, Geneva

    Google Scholar 

  • World Health Organization (2016) WHO global strategy and action plan on ageing and health. http://who.int/ageing/global-strategy/en/

  • World Health Organization Centre for Health Development (2015) Age-friendly cities. http://www.who.int/kobe_centre/ageing/age_friendly_cities/en/

  • Wu F, Guo Y, Chatterji S, Zheng Y, Naidoo N, Jiang Y, Biritwurm R, Yawson A, Minicuci N, Salinas-Rodriguez A, Manrique-Espinoza B, Maximova T, Peltzer K, Phaswanamafuya N, Snodgrass J, Thiele E, Ng N, Kowal P (2015) Common risk factors for chronic non-communicable diseases among older adults in China, Ghana, Mexico, India, Russia and South Africa: the study on global AGEing and adult health (SAGE) wave 1. BMC Public Health 15:1–13

    Article  Google Scholar 

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Acknowledgment

This chapter was prepared as a part of the Longitudinal Aging Study in India, which is supported by a grant from the National Institute on Aging (R01AG042778).

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Correspondence to David E. Bloom .

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Agarwal, A., Lubet, A., Mitgang, E., Mohanty, S., Bloom, D.E. (2020). Population Aging in India: Facts, Issues, and Options. In: Poot, J., Roskruge, M. (eds) Population Change and Impacts in Asia and the Pacific. New Frontiers in Regional Science: Asian Perspectives, vol 30. Springer, Singapore. https://doi.org/10.1007/978-981-10-0230-4_13

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