Addressing the Needs of Older People in World Cities

Age-Friendly World Cities & EnvironmentOctober 8-9, 2010

Michael K. Gusmano, Ph.DResearch Scholar

The Hastings Center

Acknowledgements

Thanks to our project team:Pui Hing Chau

Jean WooDaniel Weisz

Victor G. Rodwin

Thanks to our funders:The CADENZA Project

The University of Hong Kong,

Faculty of Social Sciences

Aging in World CitiesPopulation 65+

Total Percent

Hong Kong (2008)

897,600 12.6%

Greater London (2007)

891,590 11.7%

New York City (2008)

1,037,780 12.4%

Life Expectancy at 65Males Females

Hong Kong (2008)

18.1 22.9

Greater London (2005-7)

17.8 20.7

New York City (2006)

17.9 21.1

Self Reported Chronic Conditions Among Persons 65+*, 2008

* We do not have access to equivalent survey data for Greater London

* Survey respondents for Greater London are 55+

Percentage of Persons 65+ Overweight or Obese

2008-09

Fruit and Vegetable ConsumptionPercentage of Persons 65+ * Consuming 5+ Fruits

or Vegetables per Day

* Survey respondents for Greater London were 55+

Current SmokerPercentage of Persons 65+*

* Survey respondents are 55+ in Greater London and 60+ in Hong Kong

11.4

16.3

9

0

2

4

6

8

10

12

14

16

18

Hong Kong 2008 Greater London 2009 New York City 2008

Self-Reported Health StatusPopulation 65+, 2008

Acute Hospital Beds and Physicians per 1000 Persons

65+, 2008Acute Hospital

BedsPhysicians

Hong Kong 35.2 13.6

Greater London

18.9 30.5

New York City 30.3 30.3

Total Premature and Avoidable Mortality RatesHong Kong, Inner London, Manhattan

1999-2003

2.51

3.86

3.4

0.85

1.271.11

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

Hong Kong Inner London Manhattan

TotalMortality

AvoidableMortality

Source: Chau et al. 2009. “Avoidable mortality pattern in a Chinese population—Hong Kong, China” European Journal of Public Health doi:10.1093/eurpub/ckq020

Age Adjusted to the US Standard Population, 2000

Avoidable Mortality as a Percentage of Total Premature Mortality

1999-2003

Source: Chau et al. 2009. “Avoidable mortality pattern in a Chinese population—Hong Kong, China” European Journal of Public Health doi:10.1093/eurpub/ckq020

Avoidable Hospital Conditions and Marker Conditions

Age-Adjusted Rates, Population 15+

Age-Adjusted using the 2000 WHO Population

10.1

6.9

9.89.3

13.913.2

2

4.43.9

4.43.8

1.6

0

2

4

6

8

10

12

14

16

Males Females Males Females Males Females

Hong Kong Greater London New York City

AHC

Marker

Avoidable Hospital Conditions and Marker Conditions

Population 65+

58.9

4346.4

38.2

55.2

49.3

10.6 10.5

19.522.7

19.3 19.4

0

10

20

30

40

50

60

70

Males Females Males Females Males Females

Hong Kong Greater London New York City

AHC

Marker

Percentage of Persons 65+ Living Alone

Hong Kong (2008) 12.7%

Greater London (2001)

43.0%

New York City (2008) 31.2%

Institutional Long-Term Care Beds Per 1,000 Persons Over 65+

Hong Kong (2009) 32.2

Greater London (2001)

15.8

New York City (2006) 42.3

Home Help Users per 1000 persons 65+

Hong Kong* NA

Greater London (2001)

5.8

New York City (2000) 7.1

* We do not have rates of home help among persons 65+

Community Residential Options Places per 1,000 Persons 65+

Hong Kong NA

New York (1999) 60.8

Greater London (2001) 33.4