With as many as three elderly persons for every 10 working-age persons, rural regions face more challenges than other places in ensuring the welfare of their senior citizens.
Ageing can have a major impact on the labour market and on the financing of certain pension systems (e.g. pay-as-you-go pension plans), as well as on the expenditure for health services for the elderly. In OECD countries, the elderly population represents 16.7% of the total population ( 3.7). Nevertheless, larger concentrations of the elderly can be observed in small and less urbanised regions (i.e. TL3 regions with predominantly rural population). For example, in 33 TL3 regions – Japan (19), Canada (8), Germany (2), Belgium (1), Greece (1), Spain (1), and the United States (1) – the elderly population is greater than 30%; of these regions, 20 are classified as predominantly rural and 13 as intermediate. Large disparities within countries are also observed in Canada, France, the United Kingdom, Mexico, Spain, Australia, Greece and the United States. In these countries, the difference between the region with the highest and the lowest share of elderly population is above 20 percentage points.