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The Care for the Elderly in Sweden and in Japan


 3. Background The Basic Difference of the Two Countries 


3.3. The Rapid Change of the Japanese Society -  
3.3.1 The Rapid Increase of the Aging Rate-  

  In 1992, 13% of the Japanese population is over the age of 65.  By the year 2.000, that figure is expected to have risen to 16.9%, which is just the same aging rate in 2.000 in Sweden.  Figure.7 and Table.4 show the rapid aging in Japan.

Figure.7 Proportion of Aged Population Sweden and in Japan

(Source)

For Japan, "Consus", Statistics Bureou, General Affairs Agency and the estimates made by the  Institute of Population Problems,Ministry of Welfare and Health, and for the other countries, UN Population Studios.

Table.4
The Aging Rate and Aged Population(>65) in Sweden and in Japan  
Year  Sweden    Japan   
1920   8.40% 2,942,000   5.26%
1930   9.20% 3,064,000   4.75%
1940   9.41% 3,454,000   4.73%
1950   10.3% 4,161,000   4.95%
1960 890.000 11.8% 5,399,000   5.73%
1970 1,110.000 13.8% 7.393,000   7.06%

1980

1,360.000

16.4%

10,718,000   9.16%
1990 1,530.000 17.8% 14,928,000  12.08%
2000 1,510.000 16.9% 21,511,000  16.94%
2010 1.660.000 18.1% 27,266,000  21.06%
2020 1,890.000 20.2% 31,969,000  25.19%
(Source:

SCB Sveriges framtida befolkning 1991  
Japanese Ministry of health and welfare, population institute 1986) 

   
  In Sweden it took 80 years from aging rate 7% to 14%.  But in  Japan it takes only 25 years.  Japan is now facing such a rapid  aging.

 

Table.5 The period between Aging Rate 7% to 14% in Selected Countrides
Country   7%  
( Year )  

14%  
( Year )  

period
  ( Year)  
France  1865   1990   125  
Sweden   1890 1970  

80

U.S.A.   1945 2010  65  
W.Germany 1930   1975   45 
U.K. 1930  

1975

45 
Japan   1970    1995   25  

(Source:

apanese Ministry of Health and Welfare. population institute 1990)  

 

3 3 2 The Difficulty of the Care by the Families    

  Nowadays it has become more difficult for the families to take care of their old parents at home in Japan. The biggest four reasons are as follows;

<1> The Longest Life-Expectancy in the World
<2> The Decrease of the Number of the Children 
<3> The Decrease of the Number of the Housewives
<4> The Increase of the Number of the Nuclear Families

  In the past it was quite common in Japan that the families took care of their old parents at home. It was called the Japanese " beautiful " tradition. But recently this tradition has been disappearing so rapidly.  One of the reasons is that the elderly live much longer than before (Figure.8) .

 

Fig.8

Trends of Life Expectancy at Age 65  ( Males )

souice :
OECD 'FINANCING AND DELIVERING HEALTH CARE~ A Comporative Analysis of OECD Countries OECD SOCIAL POLICY STUDIES No.4 p31-8 1981

  The life expectancy in Japan is the longest in the world now -81.8 for females, 75.9 for males in 1990. This means that the number of sick elderly has increased and the care burden of the family has become heavier and heavier.

  Another reason is that the number of children has decreased rapidly in Japan recently. 

  In the past brothers and sisters helped each other to take care of their sick parents. But recently about half of the Japanese families have only one child.  And more and more women has begun to work outside and the number of housewives has been decreasing rapidly. The unemployment rate in Japan is 2% in 1992 and more and more labor force is required in Japan.  Now about 50% of the women from 15 -65 years old have job (including part-time job).   In the future more and more women will have jobs in Japan.

  There are still large percentage of large family in Japan compared with European countries. But for the last 20 years more and more Japanese families have become nuclear families and young families and old parents live different places (Figure.9) .

  Percentage of People Aged 65 or over who Live With Their Children, Selected Countries, 1950-1988

Fig.9 
-Percentages of people aged 65 and aver who lived with their children. Data for selected countries, 1980~88.
(Source:   Professor GLundstrom, Institute of Gerontology,Fönköping, Sweden) 

 

  So the social service for the elderly has become more important in Japan recently.  Such current situation in Japan is a little similar to the Swedish situation in 1950-1960, when the aging rate aged 65 and over was also around 10-12% and women began to participate at the labor market.  

 

3.3.3 The Basic Elderly Care Policy in Japan  
<1>  Self-Help
<2> Care by the Family 
<3> Encouragement of the Care by the Voluntary Organization and the Profit-Making Organization

  These policies are similar to those of U.S.A..  After the Second World War, Japanese people have been learning mainly from U.S.A. to develop the country to one of the economic superpowers in the world.  But Japan must change the elderly care policy to some extent now.  Because the Japanese society has been changing so rapidly recently and there exist the following various serious problems among the elderly care in Japan now.


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