Dataset Information

The Measure of Population Aging in Different Welfare Regimes: A Bayesian Dynamic Modeling Approach.

ABSTRACT: Given a population at a specific time point, it is often of interest to identify the entry age into typical stages of life, such as being young, becoming adult and elderly. These age cutoffs are important because they influence the public opinion and have an impact on policy decisions. An issue of great social relevance is defining the threshold beyond which a person becomes elderly. Fixed cutoffs are debatable because of their conventional nature which disregards issues such as changing life expectancy and the evolving structure of the age distribution. The above shortcomings can be overcome if age cutoffs are defined endogenously, i.e., relative to the whole age distribution of each country at a specific time point. We pursue this line of research by presenting an analysis whose main features are: (1) establishing a relationship between a country's welfare regime and its age distribution and aging process, together with the identification of four clusters of countries corresponding to distinctive welfare models and (2) a Bayesian hierarchical dynamic model which accounts for the uncertainty in the time series of measurements of the endogenous cutoffs for the countries in the sample, as well as for their clustering structure. Our analysis leads to model-based estimates of country-specific endogenous age cutoffs and corresponding aging indicators. Additionally, we provide cluster-specific estimates, a novel contribution engendered by the use of hierarchical modeling, which widens the scope of our analysis beyond the countries which are present in the sample.

SUBMITTER: Paroli R

PROVIDER: S-EPMC7113333 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Publications

The Measure of Population Aging in Different Welfare Regimes: A Bayesian Dynamic Modeling Approach.

Paroli Roberta R Consonni Guido G Rosina Alessandro A

European journal of population = Revue europeenne de demographie 20190704 2

Given a population at a specific time point, it is often of interest to identify the entry age into typical stages of life, such as being young, becoming adult and elderly. These age cutoffs are important because they influence the public opinion and have an impact on policy decisions. An issue of great social relevance is defining the threshold beyond which a person becomes elderly. Fixed cutoffs are debatable because of their conventional nature which disregards issues such as changing life ex ...[more]

PMID: 32256263

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Project description:BackgroundOpioid-related overdose mortality has remained at crisis levels across the United States, increasing 5-fold and worsened during the COVID-19 pandemic. The ability to provide forecasts of opioid-related mortality at granular geographical and temporal scales may help guide preemptive public health responses. Current forecasting models focus on prediction on a large geographical scale, such as states or counties, lacking the spatial granularity that local public health officials desire to guide policy decisions and resource allocation.ObjectiveThe overarching objective of our study was to develop Bayesian spatiotemporal dynamic models to predict opioid-related mortality counts and rates at temporally and geographically granular scales (ie, ZIP Code Tabulation Areas [ZCTAs]) for Massachusetts.MethodsWe obtained decedent data from the Massachusetts Registry of Vital Records and Statistics for 2005 through 2019. We developed Bayesian spatiotemporal dynamic models to predict opioid-related mortality across Massachusetts' 537 ZCTAs. We evaluated the prediction performance of our models using the one-year ahead approach. We investigated the potential improvement of prediction accuracy by incorporating ZCTA-level demographic and socioeconomic determinants. We identified ZCTAs with the highest predicted opioid-related mortality in terms of rates and counts and stratified them by rural and urban areas.ResultsBayesian dynamic models with the full spatial and temporal dependency performed best. Inclusion of the ZCTA-level demographic and socioeconomic variables as predictors improved the prediction accuracy, but only in the model that did not account for the neighborhood-level spatial dependency of the ZCTAs. Predictions were better for urban areas than for rural areas, which were more sparsely populated. Using the best performing model and the Massachusetts opioid-related mortality data from 2005 through 2019, our models suggested a stabilizing pattern in opioid-related overdose mortality in 2020 and 2021 if there were no disruptive changes to the trends observed for 2005-2019.ConclusionsOur Bayesian spatiotemporal models focused on opioid-related overdose mortality data facilitated prediction approaches that can inform preemptive public health decision-making and resource allocation. While sparse data from rural and less populated locales typically pose special challenges in small area predictions, our dynamic Bayesian models, which maximized information borrowing across geographic areas and time points, were used to provide more accurate predictions for small areas. Such approaches can be replicated in other jurisdictions and at varying temporal and geographical levels. We encourage the formation of a modeling consortium for fatal opioid-related overdose predictions, where different modeling techniques could be ensembled to inform public health policy.

Dataset Information

The Measure of Population Aging in Different Welfare Regimes: A Bayesian Dynamic Modeling Approach.

Publications

The Measure of Population Aging in Different Welfare Regimes: A Bayesian Dynamic Modeling Approach.

Similar Datasets

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