Mostert Cyprian M, Mekkaoui Najat El, Ali Shehzad, Trepel Dominic, Randcord Kirti, Udeh-Momoh Chinedu, Nesic Olivera, Blackmon Karen, Karanja Mary, Thesen Thomas, Andai David, Ayadi Rym, Eyre Harris, Merali Zul
Department of Population Health, Aga Khan University, Nairobi, Kenya.
Brain and Mind Institute, Aga Khan University, Nairobi, Kenya.
Alzheimers Dement. 2025 Feb;21(2):e14527. doi: 10.1002/alz.14527. Epub 2025 Jan 27.
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.
非洲社会养老金计划的资格标准阻碍了公平和健康老龄化。2019年，撒哈拉以南非洲14个国家的女性平均预期寿命为67岁，但健康预期寿命仅为57岁，这意味着她们在62岁领取养老金之前有5年健康状况不佳。男性情况类似——预期寿命为62岁，健康预期寿命为53岁，在63岁有资格领取养老金之前有10年健康状况不佳。许多男性因过早死亡而未领取养老金。养老金发放延迟和金额较低导致阿尔茨海默病和痴呆症死亡率上升2.5%。要点：非洲社会养老金计划的资格标准阻碍了公平和健康老龄化。养老金发放延迟和金额较低与痴呆症死亡率恶化有关。两性的平均健康预期寿命应作为启动养老金发放的依据。
