投资于公平健康的老龄化：为什么非洲必须改革社会养老金计划，以改善阿尔茨海默病和痴呆症的治疗结果

IF 12.8 1区医学 Q1 CLINICAL NEUROLOGY Alzheimer's & Dementia Pub Date : 2025-01-27 DOI:10.1002/alz.14527

Cyprian M. Mostert, Najat EL Mekkaoui, Shehzad Ali, Dominic Trepel, Kirti Ranchod, Chinedu Udeh-Momoh, Olivera Nesic, Karen Blackmon, Mary Karanja, Thomas Thesen, David Andai, Rym Ayadi, Harris Eyre, Zul Merali

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引用次数: 0

摘要

非洲社会养恤金计划的资格标准阻碍了公平和健康的老龄化。2019年，14个撒哈拉以南非洲国家的妇女平均预期寿命为67岁，但健康预期寿命仅为57岁，这使得她们在62岁时领取养老金之前有5年的健康状况不佳。男性也有类似的情况——平均寿命为62岁，健康寿命为53岁，在63岁有资格领取养老金之前，健康状况不佳的时间为10年。许多人因早逝而得不到养恤金。延迟和低养老金支付导致阿尔茨海默病和痴呆症的死亡率增加2.5%。

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Investing in equitable healthy aging: Why Africa must reform social pension schemes to improve Alzheimer's disease and dementia outcomes

The eligibility criteria for social pension schemes in Africa hinder equitable and healthy aging. In 2019, women in 14 sub-Saharan African countries had an average life expectancy of 67 years but a healthy life expectancy of only 57 years, leaving them 5 years in poor health before receiving a pension at age 62. Men had a similar situation—a life expectancy of 62 years and a healthy life expectancy of 53 years, spending 10 years in poor health before becoming eligible for pensions at age 63. Many men do not receive pensions due to early death. Delays and low pension payouts contribute to a 2.5% increase in the death rate from Alzheimer's disease and dementia.

Highlights

Eligibility criteria for social pension schemes in Africa hinder equitable and healthy aging.
Delays and low pension payouts are associated with worsening death rates from dementia.
Average health life expectancy for both genders should serve as a basis for initiating pension payouts.

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来源期刊

Alzheimer's & Dementia 医学-临床神经学

CiteScore

14.50

自引率

5.00%

发文量

299

审稿时长

3 months

期刊介绍： Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.