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Published in: European Journal of Ageing 1/2008

01-03-2008 | Original Investigation

Future trends in health and marital status: effects on the structure of living arrangements of older Europeans in 2030

Authors: Joëlle Gaymu, Peter Ekamper, Gijs Beets

Published in: European Journal of Ageing | Issue 1/2008

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Abstract

This article presents the results of projections of older people’s living arrangements in 2030 in nine European countries. It analyses expected changes due to future trends in health and marital status. Future changes in the marital status of the older people will result in a higher proportion living in their own homes: women in each age group will more often grow old living with their partner, and this will also apply, to a lesser extent, to men aged 85 and over. Both men and women will be less likely to live alone, with people other than a partner, or in institutions. But for men aged 74–84 the likelihood of choosing one or another type of living arrangement will remain remarkably stable in the future. Further, an improvement in health will lead to older people living alone slightly more often, and they will also more often do so in good health. A comparison of two health scenarios shows that changes in marital status have a major impact on overall trends in living arrangements whereas an improvement in health—which is not certain to occur—will affect them only marginally.
Footnotes
1
The reverse is also true: the relative availability of formal and informal sources of care might produce changes in living arrangements. One of the essential limitations of this research is that it does not incorporate behavioural changes or possible changes in care policies for disabled persons. It turned out to be too difficult to incorporate such variables since trends in these factors are too difficult to quantify and predict.
 
2
Meaning children, other relatives or unrelated persons, except partner.
 
3
In this article, the terms disabled and in poor health are considered as synonyms.
 
4
The prevalence of disability in institutions certainly differs between countries. However it was not possible to integrate these differences due to lack of data.
 
5
Even if in certain countries (Belgium, France, Netherlands), at oldest-old ages, a non-negligible proportion of married people live in institutions.
 
6
These proportions should be viewed as minimums, since the projections do not take account of the likely increase in the number of widows, divorcees or single persons living with a partner. These trends are difficult to quantify, notably due to the lack of data on dissolution of these non-marital unions at these ages.
 
7
Under a loss of health scenario the demand for formal care would be much higher and the impact would be reversed with respect to that of the constant disability towards healthy life gain scenario.
 
8
In Belgium, according to the census data, it can be estimated at 50%.
 
Literature
go back to reference Angel RJ, Himes CL (1992) Minority group status, health transitions, and community living arrangements among the elderly. Res Aging 14:496–521CrossRef Angel RJ, Himes CL (1992) Minority group status, health transitions, and community living arrangements among the elderly. Res Aging 14:496–521CrossRef
go back to reference Arber S, Gilber GN, Evandrou M (1988) Gender, household composition and receipt of domiciliary services by elderly disabled people. J Soc Policy 17:153–175CrossRef Arber S, Gilber GN, Evandrou M (1988) Gender, household composition and receipt of domiciliary services by elderly disabled people. J Soc Policy 17:153–175CrossRef
go back to reference Breuil-Genier P (1998) La dépendance des personnes âgées: recours aux proches et aux aides professionnelles in France (Disabled people in France: formal and informal care): Portrait Social, INSEE 91–107 Breuil-Genier P (1998) La dépendance des personnes âgées: recours aux proches et aux aides professionnelles in France (Disabled people in France: formal and informal care): Portrait Social, INSEE 91–107
go back to reference Carrière Y, Pelletier L (1995) Factors underlying the institutionalization of elderly persons in Canada. J Gerontol Soc Sci 50B(3):164–172 Carrière Y, Pelletier L (1995) Factors underlying the institutionalization of elderly persons in Canada. J Gerontol Soc Sci 50B(3):164–172
go back to reference Chappell NL (1991) Living arrangements and sources of care giving. J Gerontol 46:S1–S8 Chappell NL (1991) Living arrangements and sources of care giving. J Gerontol 46:S1–S8
go back to reference Comas-Herrera A, Wittenberg R, Costa-Font J, Gori C, Di Maio A, Patxot C, Pickard L, Pozzi A, Rothgang H (2006) Future long-term care expenditure in Germany, Spain, Italy and the United Kingdom. Ageing Soc 26:285–302CrossRef Comas-Herrera A, Wittenberg R, Costa-Font J, Gori C, Di Maio A, Patxot C, Pickard L, Pozzi A, Rothgang H (2006) Future long-term care expenditure in Germany, Spain, Italy and the United Kingdom. Ageing Soc 26:285–302CrossRef
go back to reference De Jong Gierveld J, Van Tilburg T, Lecchini L (1997) Socio-economic resources, household composition and social network as determinants of well-being among Dutch and Tuscan older adults. Genus III(3–4):75–100 De Jong Gierveld J, Van Tilburg T, Lecchini L (1997) Socio-economic resources, household composition and social network as determinants of well-being among Dutch and Tuscan older adults. Genus III(3–4):75–100
go back to reference Delbès C, Gaymu J (2003a) La retraite, 15 ans après (Fifteen years after the retirement), Les Cahiers de l’INED, n 154, p 223 Delbès C, Gaymu J (2003a) La retraite, 15 ans après (Fifteen years after the retirement), Les Cahiers de l’INED, n 154, p 223
go back to reference Delbès C, Gaymu J (2003b) More unions surviving after 60? Population and societies, 389, p 4 Delbès C, Gaymu J (2003b) More unions surviving after 60? Population and societies, 389, p 4
go back to reference Delbès C, Gaymu J, Springer S (2006) Women grow old alone but men grow old with a partner. A European overview. Population and societies, 419, p 4 Delbès C, Gaymu J, Springer S (2006) Women grow old alone but men grow old with a partner. A European overview. Population and societies, 419, p 4
go back to reference Desesquelles A, Brouard N (2003) The family networks of people aged 60 and over living at home or in an institution. Population 58(2):181–206 Desesquelles A, Brouard N (2003) The family networks of people aged 60 and over living at home or in an institution. Population 58(2):181–206
go back to reference Dolinsky AL, Rosenwaike I (1988) The role of demographic factors in the institutionalization of the elderly. Res Aging 10(2):235–257CrossRef Dolinsky AL, Rosenwaike I (1988) The role of demographic factors in the institutionalization of the elderly. Res Aging 10(2):235–257CrossRef
go back to reference Duée M, Rebillard C, Pennec S (2005) Les personnes dépendantes en France : évolution et prise en charge (Disabled people in France: changes and caring), XXV International Population Conference, IUSSP, Tours July 18–23 Duée M, Rebillard C, Pennec S (2005) Les personnes dépendantes en France : évolution et prise en charge (Disabled people in France: changes and caring), XXV International Population Conference, IUSSP, Tours July 18–23
go back to reference Esping-Andersen G. (1990). The three worlds of welfare capitalism. Polity Press, Cambridge Esping-Andersen G. (1990). The three worlds of welfare capitalism. Polity Press, Cambridge
go back to reference Freedman VA (1996) Family structure and the risk of nursing home admission. J Gerontol Soc Sci 51B(2):S61–69 Freedman VA (1996) Family structure and the risk of nursing home admission. J Gerontol Soc Sci 51B(2):S61–69
go back to reference Gaymu J, Delbès C, Springer S, Binet A, Desesquelles A, Kalogirou S, Ziegler U (2006) Determinants of the living arrangements of older people in Europe. Eur J Popol 22(3):241–262CrossRef Gaymu J, Delbès C, Springer S, Binet A, Desesquelles A, Kalogirou S, Ziegler U (2006) Determinants of the living arrangements of older people in Europe. Eur J Popol 22(3):241–262CrossRef
go back to reference Gaymu J, Ekamper P, Beets G (2007) Qui prendra en charge les Européens âgés dépendants en 2030? (Who will care for the disabled older Europeans in 2030?) Population 62(4) (in press) Gaymu J, Ekamper P, Beets G (2007) Qui prendra en charge les Européens âgés dépendants en 2030? (Who will care for the disabled older Europeans in 2030?) Population 62(4) (in press)
go back to reference George MV, Smith SK, Swanson DA, Tayman J (2004) Population projections. In: Siegel JS, Swanson DA (eds) The methods and materials of demography, 2nd edn. Elsevier, Amsterdam, pp 561–601 George MV, Smith SK, Swanson DA, Tayman J (2004) Population projections. In: Siegel JS, Swanson DA (eds) The methods and materials of demography, 2nd edn. Elsevier, Amsterdam, pp 561–601
go back to reference Glaser K, Murphy M, Grundy E (1997) Limiting long-term illness and household structure among people aged 45 and over, Great Britain 1991. Ageing Soc 17:3–19CrossRef Glaser K, Murphy M, Grundy E (1997) Limiting long-term illness and household structure among people aged 45 and over, Great Britain 1991. Ageing Soc 17:3–19CrossRef
go back to reference Glaser K, Tomassini C, Grundy E (2004) Revisiting convergence and divergence: support for older people in Europe. Eur J Ageing 1:64–75CrossRef Glaser K, Tomassini C, Grundy E (2004) Revisiting convergence and divergence: support for older people in Europe. Eur J Ageing 1:64–75CrossRef
go back to reference Grundy E (2006) Ageing and vulnerable people: European perspectives. Ageing Soc 26:105–134CrossRef Grundy E (2006) Ageing and vulnerable people: European perspectives. Ageing Soc 26:105–134CrossRef
go back to reference Hoyert DL (1991) Financial and household exchanges between generations. Res Aging 13:205–225CrossRef Hoyert DL (1991) Financial and household exchanges between generations. Res Aging 13:205–225CrossRef
go back to reference Jacobzone S, Cambois E, Robine JM (2000) Is the health of older persons in OECD countries improving fast enough to compensate for the population aging? OECD Econ Stud 30(1):149–178 Jacobzone S, Cambois E, Robine JM (2000) Is the health of older persons in OECD countries improving fast enough to compensate for the population aging? OECD Econ Stud 30(1):149–178
go back to reference Kalogirou S, Murphy M (2006) Marital status of people aged 75 and over in nine EU countries in the period 2000–2030. Eur J Ageing 3:74–81CrossRef Kalogirou S, Murphy M (2006) Marital status of people aged 75 and over in nine EU countries in the period 2000–2030. Eur J Ageing 3:74–81CrossRef
go back to reference Keefe J, Legaré J, Carrière Y (2005) Developing new strategies to support future caregivers of the aged in Canada: projections of need and their policy implications, XXV International Population Conference, IUSSP, Tours 18–23 July Keefe J, Legaré J, Carrière Y (2005) Developing new strategies to support future caregivers of the aged in Canada: projections of need and their policy implications, XXV International Population Conference, IUSSP, Tours 18–23 July
go back to reference Martel L, Légaré J (2001) Avec ou sans famille proche à la vieillesse: une description du réseau de soutien informel des personnes âgées selon la présence du conjoint et des enfants. (With or without the support of close family members in old age: a description of the older person’s informal support networks based on the presence or absence of a spouse and/or children). Cah Qué Démogr 30(1):89–114 Martel L, Légaré J (2001) Avec ou sans famille proche à la vieillesse: une description du réseau de soutien informel des personnes âgées selon la présence du conjoint et des enfants. (With or without the support of close family members in old age: a description of the older person’s informal support networks based on the presence or absence of a spouse and/or children). Cah Qué Démogr 30(1):89–114
go back to reference McGarry K, Schoeni RF (2000) Social security, economic growth, and the rise of the elderly widow’s independence in the twentieth century. Demography l37(2):221–236CrossRef McGarry K, Schoeni RF (2000) Social security, economic growth, and the rise of the elderly widow’s independence in the twentieth century. Demography l37(2):221–236CrossRef
go back to reference Mestheneos E, Triantafillou J (2005) Supporting family carers of older people in Europe. In: Döhner H, Kofahl C (eds) The Pan-European Background Report. University of Hamburg, vol 1, p 155 Mestheneos E, Triantafillou J (2005) Supporting family carers of older people in Europe. In: Döhner H, Kofahl C (eds) The Pan-European Background Report. University of Hamburg, vol 1, p 155
go back to reference Michael R, Fuchs V, Scott S (1980) Changes in the propensity to live alone: 1950–1976. Demography 17:39–56CrossRef Michael R, Fuchs V, Scott S (1980) Changes in the propensity to live alone: 1950–1976. Demography 17:39–56CrossRef
go back to reference Mickus M, Stommel M, Given CW (1997) Changes in living arrangements of functionally dependent older adults and their adult children. J Ageing Health 9(1):126–143CrossRef Mickus M, Stommel M, Given CW (1997) Changes in living arrangements of functionally dependent older adults and their adult children. J Ageing Health 9(1):126–143CrossRef
go back to reference Murphy M, Grundy E (1994) Co-residence of generations and household structure n Britain: aspects of change in the 1980s. In: Becker H, Hermkens PLJ (eds) Solidarity of Generations: Demographic, economic and social change and its consequences. Thesis Publishers, Amsterdam, pp 551–582 Murphy M, Grundy E (1994) Co-residence of generations and household structure n Britain: aspects of change in the 1980s. In: Becker H, Hermkens PLJ (eds) Solidarity of Generations: Demographic, economic and social change and its consequences. Thesis Publishers, Amsterdam, pp 551–582
go back to reference Murphy M, Martikainen P, Pennec S (2006) Demographic change and supply of potential family supporters in Britain, Finland and France in the period 1911–2050. Eur J Popul 22(3):219–240CrossRef Murphy M, Martikainen P, Pennec S (2006) Demographic change and supply of potential family supporters in Britain, Finland and France in the period 1911–2050. Eur J Popul 22(3):219–240CrossRef
go back to reference Ogg J, Renaut S (2005) Le soutien familial intergénérationnel dans l’Europe élargie (Intergenerational family support in the enlarged European Union). Retraite et Société 46:30–57 Ogg J, Renaut S (2005) Le soutien familial intergénérationnel dans l’Europe élargie (Intergenerational family support in the enlarged European Union). Retraite et Société 46:30–57
go back to reference Oldman C, Quilgars D (1999) The last resort? Revisiting ideas about older people’s living arrangements. Ageing Soc 19:363–384CrossRef Oldman C, Quilgars D (1999) The last resort? Revisiting ideas about older people’s living arrangements. Ageing Soc 19:363–384CrossRef
go back to reference Pampel FC (1992) Trends in living alone among the elderly in Europe. In: Rogers A (ed) Elderly migration and population redistribution, Belhaven Press, London, pp 97–117 Pampel FC (1992) Trends in living alone among the elderly in Europe. In: Rogers A (ed) Elderly migration and population redistribution, Belhaven Press, London, pp 97–117
go back to reference Parker MG, Ahacic K, Thorslund M (2005) Health changes among Swedish oldest old : prevalence rates from 1992 and 2002 show increasing health problems. J Gerontol Med Sci 60A(10):1351–1355 Parker MG, Ahacic K, Thorslund M (2005) Health changes among Swedish oldest old : prevalence rates from 1992 and 2002 show increasing health problems. J Gerontol Med Sci 60A(10):1351–1355
go back to reference Pickard L, Wittenberg R, Comas-Herrera A, Davies B, Darton R (2000) Relying on informal care in the new century? Informal care for elderly people in England to 2031. Ageing Soc 20:745–772CrossRef Pickard L, Wittenberg R, Comas-Herrera A, Davies B, Darton R (2000) Relying on informal care in the new century? Informal care for elderly people in England to 2031. Ageing Soc 20:745–772CrossRef
go back to reference Reher DS (1998) Family Ties in Western Europe: Persistent contrasts. Popul Dev Rev 2:203–234CrossRef Reher DS (1998) Family Ties in Western Europe: Persistent contrasts. Popul Dev Rev 2:203–234CrossRef
go back to reference Ricci M (1991) Residential care for the elderly in Italy: recent trends and regional differences. Paper presented at the European Population Conference, Session “Living arrangements of the elderly”, Paris Ricci M (1991) Residential care for the elderly in Italy: recent trends and regional differences. Paper presented at the European Population Conference, Session “Living arrangements of the elderly”, Paris
go back to reference Robine JM, Romieu I, Michel JP (2003) Trends in health expectancies. In: Robine JM, Jagger C, Mathers CD, Crimmins EM, Suzman RM (eds) Determining health expectancies. Wiley, Chichester, pp 75–101 Robine JM, Romieu I, Michel JP (2003) Trends in health expectancies. In: Robine JM, Jagger C, Mathers CD, Crimmins EM, Suzman RM (eds) Determining health expectancies. Wiley, Chichester, pp 75–101
go back to reference Ruggles S (2001) Living arrangements and well-being of older persons in the past. In: United Nations (eds) Living arrangements of older persons: critical issues and policy responses, population bulletin of the United Nations, Special issue 42/43, United Nations, New York, pp 111–161 Ruggles S (2001) Living arrangements and well-being of older persons in the past. In: United Nations (eds) Living arrangements of older persons: critical issues and policy responses, population bulletin of the United Nations, Special issue 42/43, United Nations, New York, pp 111–161
go back to reference Schulz R, O’Brien AT, Bookwala J, Fleissner K (1995) Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates and causes. Gerontologist 35(6):771–791 Schulz R, O’Brien AT, Bookwala J, Fleissner K (1995) Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates and causes. Gerontologist 35(6):771–791
go back to reference Siegel JS (2002) Applied demography; applications to business, government, law and public policy, 2nd edn. Academic Press, San Diego Siegel JS (2002) Applied demography; applications to business, government, law and public policy, 2nd edn. Academic Press, San Diego
go back to reference Soldo BJ, Wolf DA, Agree EM (1990) Family, households, and care arrangements of frail older women: a structural analysis. J Gerontol 45: S238–S249 Soldo BJ, Wolf DA, Agree EM (1990) Family, households, and care arrangements of frail older women: a structural analysis. J Gerontol 45: S238–S249
go back to reference Stinner WF, Byun Y, Paita L (1990) Disability and living arrangements among elderly American men. Res Aging 12:339–363CrossRef Stinner WF, Byun Y, Paita L (1990) Disability and living arrangements among elderly American men. Res Aging 12:339–363CrossRef
go back to reference Tomassini C, Glaser K, Wolf DA, van Broese Groenou MI, Grundy E (2004) Living arrangements among older people: an overview of trends in Europe and the U.S.A. Popul Trends 115:24–34 Tomassini C, Glaser K, Wolf DA, van Broese Groenou MI, Grundy E (2004) Living arrangements among older people: an overview of trends in Europe and the U.S.A. Popul Trends 115:24–34
go back to reference United Nations (2005) Living arrangements of older persons around the world. Department of Economic and Social Affairs, Population division, United Nations, New York, p 138 United Nations (2005) Living arrangements of older persons around the world. Department of Economic and Social Affairs, Population division, United Nations, New York, p 138
go back to reference Van Imhoff E, Keilman NW (1991) LIPRO 2.0: An application of a dynamic demographic projection model to household structure in The Netherlands, NIDI CBGS Publications #23. Amsterdam/Lisse: Swets & Zeitlinger Van Imhoff E, Keilman NW (1991) LIPRO 2.0: An application of a dynamic demographic projection model to household structure in The Netherlands, NIDI CBGS Publications #23. Amsterdam/Lisse: Swets & Zeitlinger
go back to reference Van Solinge H, Esveldt I (1991) Living arrangements of the Dutch elderly (1956–1986), with a focus on elderly living in with their children. European Population Conference, session 18 “Living arrangements for the Elderly”, Paris Van Solinge H, Esveldt I (1991) Living arrangements of the Dutch elderly (1956–1986), with a focus on elderly living in with their children. European Population Conference, session 18 “Living arrangements for the Elderly”, Paris
go back to reference Walker A, Alber J, Guillemard AM, (1993) Older people in Europe, Social and Economic Policies. The 1993 Report of the European Observatory, Commission of the European Communities, Directorate General V, Employment, Social Affairs, Industrial Relations Walker A, Alber J, Guillemard AM, (1993) Older people in Europe, Social and Economic Policies. The 1993 Report of the European Observatory, Commission of the European Communities, Directorate General V, Employment, Social Affairs, Industrial Relations
go back to reference Willekens F (1999) Modelling approaches to the indirect estimation of migration flows: from entropy to EM. Math Popul Stud 7(3):239–278CrossRef Willekens F (1999) Modelling approaches to the indirect estimation of migration flows: from entropy to EM. Math Popul Stud 7(3):239–278CrossRef
go back to reference Wolf DA (1995) Changes in the living arrangements of older women: an international study. Gerontologist 35(6):724–731 Wolf DA (1995) Changes in the living arrangements of older women: an international study. Gerontologist 35(6):724–731
Metadata
Title
Future trends in health and marital status: effects on the structure of living arrangements of older Europeans in 2030
Authors
Joëlle Gaymu
Peter Ekamper
Gijs Beets
Publication date
01-03-2008
Publisher
Springer-Verlag
Published in
European Journal of Ageing / Issue 1/2008
Print ISSN: 1613-9372
Electronic ISSN: 1613-9380
DOI
https://doi.org/10.1007/s10433-008-0072-x

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