The choice among past trends as a basis for the prediction of future trends in old-age mortality

Popul Stud (Camb). 2007 Nov;61(3):315-26. doi: 10.1080/00324720701571632.

Abstract

We explored the extent to which projections of future old-age mortality trends differ when different projection bases are used. For seven European countries, four alternative sets of annual rates of mortality change were estimated with age-period log-linear regression models, and subsequently applied to age-specific all-cause mortality rates (80+) in 1999 to predict mortality levels up to 2050. On average, up to 2050, e80 is predicted to increase further by 2.33 years among men and 4.03 years among women. Choosing a historical period of 25 instead of 50 years results in higher predicted gains in e80 for men but lower gains for women. Choosing non-smoking-related mortality instead of all-cause mortality leads to higher gains for women and mixed results for men. In all alternatives there is a strong divergence of predicted mortality levels between the countries. Future projections should be preceded by a thorough study of past trends and their determinants.

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Europe
  • Female
  • Humans
  • Life Expectancy / trends*
  • Male
  • Mortality / trends*
  • Pilot Projects
  • Registries
  • Risk Assessment
  • Risk Factors
  • Sex Factors
  • Smoking / adverse effects*
  • Vital Statistics