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© Asociación Israelita Argentina AMIA

Argentina
Trends in ageing and health
Argentina
Key points
Non-communicable diseases (NCDs) accounted for 88.2 per
cent of the total years lived with disability in 2015.
The burden of disability from injuries increased for older
women and men between 1990 and 2015.
The rates of dementia in women and men are similar until
around the age of 70; beyond this, prevalence in both sexes
increases rapidly but there is a steeper rise in the rates for
women than for men.
Ten per cent of women between ages 50 and 54 reported
experiencing violence during 2016, compared with about 
5 per cent of men in the same age range.

2 Trends in ageing and health: Argentina


Ageing and longevity in Argentina
Argentina’s population is expected to surpass 49 million by 2030.A Figure A1: Population structure in Argentina
The population aged 60 and above will continue to increase, while the
Argentina
youngest population (aged 0-14) will continue to decrease through to 60
the end of the centuryB (Figure A1).

Percentage
40
Both men and women are living longer. While women are expected to
outlive men by 6.8 years, the number of years spent in poor health – the 20
gap between life expectancy and healthy life expectancy – is greater for
women (9.6 years) than for men (7.6 years) (Figure A2). 0
1950 2000 2050 2100
Year
0-14 50+ 60+ 80+
Ageing and shifting patterns of disease and
disability Source: United Nations, Department of Economic and Social Affairs,
Population DivisionD
As the population ages, the pattern of disease in Argentina is also
shifting. NCDs accounted for 88.2 per cent of the total years lived with
disability in Argentina in 2015. While NCDs contribute the vast majority
of years lived with disability at all ages, the burden of disability from
injuries also increased for older women and men between 1990 and 2015
(Figure A3). By contrast, burdens related to communicable, maternal, Figure A2: The gap between life expectancy (LE) and healthy life
expectancy (HALE) in Argentina
neonatal and nutritional diseases all decreased. Argentina
Even though the number of deaths related to NCDs has decreased in the Female Male

LE and HALE in years


100 100
last 25 years (1990-2015), in 2015, NCDs still accounted for about 86 per 9.3 9.3 9.3 9.6
cent of all deaths among men and women in the age groups of between  80 80 7.2 7.4 7.4 7.6 Gap

50 and 69 and 70 and over in Argentina (Figure A4). 60 60


40 40
4.9 4.9 4.8 5.0
3.7 3.7 3.8 3.9 Gap
20 20
Ageing, mental health and cognitive impairment
0 0
The prevalence of major depressive disorders is decreasing among 2000 2005 2010 2015 2000 2005 2010 2015
women in Argentina between ages 50 and 80, after which it increases Year
(Figure A5).C LE at birth HALE at birth LE at age 60 HALE at age 60

On average, women have higher rates of depressive disorders than men Source: World Health OrganizationE
at every age.

Trends in ageing and health: Argentina 3


Figure A3: Years lived with disability in Argentina Figure A4: Causes of death in Argentina

Argentina 15-49 years Argentina 15-49 years


Female Male Female Male
100 100 100 100
90 90 90 90
80 80 80 80

Percentage
70 70 70 70
Percent
60 60 60 60
50 50 50 50
40 40 40 40
30 30 30 30
20 20 20 20
10 10 10 10
0 0 0 0
1990
1995
2000
2005
2010
2015

1990
1995
2000
2005
2010
2015

1990
1995
2000
2005
2010
2015
1990
1995
2000
2005
2010
2015
Year Year

CVD COPD Cancers CVD COPD Cancers


Argentina 50-69 years Argentina 50-69 years
DM Other NCDs HIV/AIDS DM Other NCDs HIV/AIDS
Female Male Female Male
100 Others CDs 100
Injuries 100 Others CDs 100
Injuries
90 90 90 90
80 80 80 80
Percentage

Percentage
70 70 70 70
60 60 60 60
50 50 50 50
40 40 40 40
30 30 30 30
20 20 20 20
10 10 10 10
0 0 0 0
1990
1995
2000
2005
2010
2015

1990
1995
2000
2005
2010
2015

1990
1995
2000
2005
2010
2015
1990
1995
2000
2005
2010
2015
Year Year

CVD COPD Cancers CVD COPD Cancers


Argentina 70+ years Argentina 70+ years
DMFemale Other NCDs HIV/AIDS DMFemale Other NCDs HIV/AIDS
Male Male
100 Others CDs 100
Injuries 100 Others CDs 100
Injuries
90 90 90 90
80 80 80 80
Percentage

Percentage
70 70 70 70
60 60 60 60
50 50 50 50
40 40 40 40
30 30 30 30
20 20 20 20
10 10 10 10
0 0 0 0
1990
1995
2000
2005
2010
2015

1990
1995
2000
2005
2010
2015

1990
1995
2000
2005
2010
2015
1990
1995
2000
2005
2010
2015
Year Year

CVDF COPD Cancers CVDH COPD Cancers


Diabetes Other NCDs HIV/AIDS Diabetes Other NCDs HIV/AIDS
Other CDs Injuries Other CDs Injuries

Source: Institute for Health Metrics and EvaluationG Source: Institute for Health Metrics and EvaluationI

4 Trends in ageing and health: Argentina


Looking at the burden of deaths resulting from injuries, specifically
self-harm, there are higher rates in men than women over the
period 1990-2016. By contrast, there are declining rates in women
Figure A5: Prevalence of major depressive disorders in Argentina, and men between ages 50 and 69, and age 70 and over from 1995
2016
onwards (Figure A6).
6 Argentina
The rates of dementia (for example, Alzheimer’s disease) in men
5 and women are similar until around age 70, after which prevalence
Prevalence (%)

4 female in both sexes increases rapidly, but with a steeper rise for women
than for men (Figure A7).
3

2 male

1 Prevalence of violence towards older people


0
50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95+
The prevalence of physical, sexual and psychological violence in
Age (years)
Range Average Argentina was higher among older women than men, particularly
male male
among women aged between 50 and 70 (data for 1990-2016). About 
female female
10 per cent of women between ages 50 and 54 reported
Source: Institute for Health Metrics and EvaluationJ experiencing violence during 2016, compared with 5 per cent of
men in the same age group (Figure A8).

Figure A6: Self-harm mortality rate in Argentina Poverty and health financing
Argentina
Female Male In 2015, Argentina spent 6.8 per cent of its gross domestic product
60 60
on healthcare.L This is close to the Latin American and the
Mortality rate per

Caribbean regional average of 7.4 per cent.


100,000 people

40 40
While older adults access Argentina’s Programa de Atención
20 20 Médica Integral, there are gaps in universal health coverage
(UHC)M and most Argentinians also have social health or private
0 0 insurance.N
1990

1995

2000

2005

2010

2015
2016

1990

1995

2000

2005

2010

2015
2016

Year
Estimated out-of-pocket health expenditure – that is, the amount
15-49 50-69 70+ paid for by a household – in Argentina decreased from 31.4 per cent
of current health expenditure in 2008 to 17.6 per cent in 2015.O In
Source: Institute for Health Metrics and EvaluationK 2015, 55.4 per cent of the population reported being satisfied with
public hospitals compared with 52.7 per cent in 2010.R

Trends in ageing and health: Argentina 5


It is not possible to analyse expenditure or access to health insurance,
mandatory or voluntary, by age group due to lack of age disaggregation
in the relevant international datasets.
Figure A7: Alzheimer’s and other dementias in Argentina, 2016
Older people remain largely invisible within the monitoring of UHC.
50 Argentina The UHC Index (Table A1) measures coverage of a range of essential
45
services. Currently, these include two of particular concern to older
40
people: access to treatment for diabetes and for hypertension. However,
Prevalence (%)

35
30 gaps in the data sources used to track UHC mean that we do not have
25 female systematic findings on older people’s access to these treatments.
20
15
male Table A1. Selected health and care indicators for Argentina
10
5
0
Indicator Definition
50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95+
Age (years) UHC Index Coverage of essential services under 76
Range Average
male male
2015S universal health coverageT
female female
Financial Incidence of catastrophic health 16.9
Source: Institute for Health Metrics and Evaluation P protection (%) expenditureU
Long-term care Gap in universal coverage of long-term 100
and support (%) careV
Figure A8: Physical, sexual and psychological violence in
Argentina, 2016

15 Argentina
female
Prevalence (%)

10

male

0
50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95+
Age (years)
Range Average
male male
female female

Source: Institute for Health Metrics and EvaluationQ

6 Trends in ageing and health: Argentina


Endnotes
A Up from 44.27 million in 2017. United Nations, Department of Economic and Social N Two-thirds of Argentina’s population of 45 million also have social health or private
Affairs, Population Division, Profiles of ageing 2017, https://population.un.org/ insurance. This leaves another third (an estimated 16.5 million people) with no explicit
ProfilesOfAgeing2017/index.html (22 October 2018) coverage
B The estimates cover the period 1950-2100. The decline in the population aged 0-14 started O World Health Organization, Out-of-pocket expenditure (% of current health expenditure),
around 1985 and is projected to decline until 2100. The share of older people increased https://data.worldbank.org/indicator/SH.XPD.OOPC.CH.ZS?locations=AR
during the estimated period 1950-2100 (23 September 2018)
C Data around this issue needs to be interpreted carefully, however, taking into account the P Institute for Health Metrics and Evaluation, GBD results tool
uncertainty intervals around the estimates Q Institute for Health Metrics and Evaluation, Epi visualization | viz hub, 2017, https://vizhub.
D United Nations, Department of Economic and Social Affairs, Population Division (2017). healthdata.org/epi (18 October 2018 (original values converted into percentages)
World population prospects: the 2017 revision, DVD edition R OECD, Latin American economic outlook 2018: rethinking institutions for development. Paris,
E World Health Organization, Life expectancy and healthy life expectancy: data by country, OECD Publishing, 2018, http://dx.doi.org/10.1787/leo-2018-en
http://apps.who.int/gho/data/node.main.688?lang=en (18 October 2018) S The UHC Index measures coverage of essential health services, defined as the average
F CVD, cardiovascular disease; COPD, chronic obstructive pulmonary disease; CDs, coverage of essential services based on tracer interventions that include reproductive,
communicable diseases maternal, newborn and child health, infectious diseases, non-communicable diseases and
G Institute for Health Metrics and Evaluation, GBD compare | viz hub, 2016, https://vizhub. service capacity and access, among the general and most disadvantaged populations.
healthdata.org/gbd-compare (18 October 2018) It is presented on a scale of 0 to 100. The median national value for service coverage is
H CVD, cardiovascular disease; COPD, chronic obstructive pulmonary disease; CDs, 65 out of 100 (Hogan DR et al., Lancet, 6(2), 2018, pp.E152-E168, doi: 10.1016/S2214-
communicable diseases 109X(17)30472-2)
I Institute for Health Metrics and Evaluation, GBD compare T World Health Organization, Global Health Observatory: universal health coverage, http://
J Institute for Health Metrics and Evaluation, GBD results tool, http://ghdx.healthdata.org/ apps.who.int/gho/portal/uhc-cabinet-wrapper-v2.jsp?id=1010501 (23 September 2018)
gbd-results-tool (18 October 2018) U Expressed as a percentage of the population with a household expenditure on health
K Institute for Health Metrics and Evaluation, GBD results tool greater than 10 per cent of the total household expenditure or income. World Health
L World Health Organization, Current health expenditure (% of GDP), https://data.worldbank. Organization, Global Health Observatory: universal health coverage
org/indicator/SH.XPD.CHEX.GD.ZS?locations=AR-ZJ (23 September 2018) V Expressed as a percentage, based on achieving a median number of 4.2 formal long-term
M Rubenstein A, Building more effective health care coverage in Argentina, 22 May 2018, care staff per 100 people aged 65 and older. International Labour Organization, World
https://blogs.bmj.com/bmj/2018/05/22/adolfo-rubinstein-building-more-effective-health- social protection report 2017-19: universal social protection to achieve the sustainable
care-coverage-in-argentina (2 November 2018) development goals, Geneva, International Labour Organization, 2017, table B.14, p.376

Trends in ageing and health: Argentina 7


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