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Population Ageing and the Well-Being of Older Persons in Thailand ...

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Section 2: The Demography <strong>of</strong> <strong>Age<strong>in</strong>g</strong><br />

Thail<strong>and</strong>. In <strong>the</strong> year 2000, women constituted 55<br />

per cent <strong>of</strong> <strong>the</strong> total Thai population age 60 <strong>and</strong> over.<br />

This is projected to <strong>in</strong>crease dur<strong>in</strong>g <strong>the</strong> next half<br />

century reach<strong>in</strong>g 59 per cent by 2050. The excess <strong>of</strong><br />

older women over older men is more pronounced<br />

among <strong>the</strong> older groups with<strong>in</strong> <strong>the</strong> older age span.<br />

Thus <strong>in</strong> <strong>the</strong> year 2000, women are estimated to<br />

constitute almost two-thirds <strong>of</strong> <strong>the</strong> population aged<br />

80 <strong>and</strong> over <strong>and</strong> this is anticipated to <strong>in</strong>crease<br />

substantially to over 71 per cent by <strong>the</strong> year 2050.<br />

Given that older women tend to have more health<br />

problems than men as discussed <strong>in</strong> Section 4 <strong>of</strong> this<br />

report, <strong>the</strong> <strong>in</strong>creas<strong>in</strong>g fem<strong>in</strong>ization <strong>of</strong> <strong>the</strong> oldest old<br />

as projected by <strong>the</strong> UN will add to <strong>the</strong> challenge <strong>of</strong><br />

provid<strong>in</strong>g adequate health care posed by <strong>the</strong> <strong>in</strong>creas<strong>in</strong>g<br />

numbers <strong>of</strong> persons <strong>in</strong> <strong>the</strong> oldest age group.<br />

Although more males are born than females, <strong>the</strong><br />

almost universal advantage women have over men with<br />

respect to mortality results <strong>in</strong> more women than men<br />

surviv<strong>in</strong>g to older ages <strong>and</strong> thus older populations are<br />

typically disproportionately female. Moreover, s<strong>in</strong>ce<br />

<strong>the</strong> female mortality advantage cont<strong>in</strong>ues through<br />

older ages, <strong>the</strong> predom<strong>in</strong>ance <strong>of</strong> women tends to<br />

<strong>in</strong>crease with age with<strong>in</strong> <strong>the</strong> older age span. This<br />

predom<strong>in</strong>ance <strong>of</strong> women among older persons is<br />

sometimes referred to as <strong>the</strong> “fem<strong>in</strong>ization <strong>of</strong> <strong>the</strong><br />

elderly”. Table 2.2 also provides an overview <strong>of</strong> <strong>the</strong><br />

per cent <strong>of</strong> women with<strong>in</strong> <strong>the</strong> older population <strong>of</strong><br />

Although <strong>the</strong> majority <strong>of</strong> <strong>the</strong> older population are<br />

women, it is important to keep <strong>in</strong> m<strong>in</strong>d that still a<br />

substantial share are men. This tends to be overlooked<br />

<strong>in</strong> numerous discussions <strong>of</strong> population age<strong>in</strong>g which<br />

typically emphasize <strong>the</strong> fem<strong>in</strong>ization <strong>of</strong> <strong>the</strong> elderly <strong>and</strong><br />

as a result focus only women when consider<strong>in</strong>g<br />

gender specific needs <strong>of</strong> older persons (Knodel &<br />

Ofstedal 2003). Thus while <strong>the</strong> number <strong>of</strong> older<br />

women <strong>in</strong> Thail<strong>and</strong> will grow faster than <strong>the</strong> number<br />

<strong>of</strong> older men, <strong>the</strong> projections still anticipate that <strong>the</strong><br />

absolute number <strong>of</strong> older men will <strong>in</strong>crease quite<br />

substantially as well. For example, between 2000 <strong>and</strong><br />

2050, <strong>the</strong> number <strong>of</strong> men aged 60 <strong>and</strong> over is<br />

projected to <strong>in</strong>crease by 5.5 million. This is a very<br />

substantial number even if smaller than <strong>the</strong> 8.4<br />

million <strong>in</strong>crease projected for women age 60 <strong>and</strong> over.<br />

Even among <strong>the</strong> population 80 <strong>and</strong> over, <strong>the</strong> number<br />

<strong>of</strong> men is projected to <strong>in</strong>crease by over a million.<br />

2.4 Age structure changes<br />

Thail<strong>and</strong> is well along <strong>in</strong> what is <strong>of</strong>ten referred to as<br />

<strong>the</strong> demographic transition, i.e. <strong>the</strong> shift from high to<br />

low levels <strong>of</strong> fertility <strong>and</strong> mortality. These changes <strong>in</strong><br />

fertility <strong>and</strong> mortality affect not only <strong>the</strong> share <strong>of</strong> <strong>the</strong><br />

population <strong>in</strong> older age groups but <strong>the</strong> entire age<br />

structure. Both <strong>the</strong> magnitude <strong>of</strong> changes <strong>and</strong> <strong>the</strong><br />

speed with which <strong>the</strong>y occur are likely to have<br />

7

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