2025长寿时代健康与财富研究报告

Advisory Board Surya Kolluri, MBA, MS, CRPCHead, TIAA Institute David Rehkopf, ScD, MPH, Advisory Board ChairpersonDepartment of Epidemiology and Population Health Department of MedicineStanford University Anne Ollen, MEd, CEBAManaging Director, TIAA Institute Tamara Cadet, PhD, LCSW, MPHSchool of Social Policy & Practice, Penn Dental Medicine, Gerontological Society of America StaffJames C. Appleby, BSPharm, MPH, ScD (Hon), ChiefExecutive Officer Leonard Davis Institute, Center for Public Health, PennCenter for Cancer Care Innovation/Program in CommunityInnovation, and Abramson Cancer CenterUniversity of Pennsylvania Lisa C. McGuire, PhD, FGSA, Vice President, StrategicAlliances & Practice Innovation Elana Kieffer Blass, MBA, Director, Strategic Alliances David Hayes-Bautista, PhDCenter for the Study of Latino Health and Culture and David Ophira Bansal, MBA, Project Manager, Strategic Alliances Geffen School of MedicineUniversity of California, Los Angeles Supported by TIAA Institute. About The Gerontological Society of America The Gerontological Society of America (GSA) is the oldest and largest interdisciplinary organization devoted to research,education, and practice in the field of aging. GSA’s principal mission — and that of our over 6,000 members — is to promote thestudy of aging and disseminate information to scientists, decision makers, and the general public. Founded in 1945, GSA is the driving force behind advancing innovation in aging—both domestically and internationally. Ourmembers come from more than 50 countries. This publication isavailable on GSA Enrich Copyright © 2025 by The Gerontological Society of America. All rights reserved. Contents Mapping a Path Through Healthy Older Adulthood. . . . . . . . . . . . . . . . . . .1Demographic Trends: Maximizing Societal Benefits as the World Changes..3The Confusion of Life Expectancy Figures. . . . . . . . . . . . . . . . . . . . . . . .4Figure 1. Life expectancy at birth, by sex: United States, 1900–2023......5Figure 2. Percentage surviving, by Hispanic origin and race, age, and sex:United States, 2023......................................6Figure 3. Age at death based on years of expected life remaining at ages65, 75, 85, United States, 2023 data...........................6Health and Wealth Among Latino Older Adults. . . . . . . . . . . . . . . . . . . . .7Economics and Education Play a Role in Life Expectancy. . . . . . . . . . . . . .8Figure 4. Expected age at death based on household income at age 40,United States, 2001–2014. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9Figure 5. Expected years of life from 25 to 75 years by sex, race, andbaccalaureate status. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10Figure 6. Mortality by cause among non-Hispanic White Americans, ages45–54 years, 2000–2015. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11Bridging the Gap: Reaching Older Adults at Risk forLow Health Literacy........................................12Updating and Upgrading the Health Care System. . . . . . . . . . . . . . . . . . .13Table 1. Percentages of U.S. Adults with Chronic Conditions Across theAdult Lifespan..........................................14Figure 8. U.S. population sizes, 2004 and 2024, by age groups. . . . . . . . .15Need for Geriatrics Expertise in the Health Care Workforce. . . . . . . . . . . .16Mapping Out a Better Older Adulthood...........................18Recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21References.............................................22 Mapping a Path Through Healthy Older Adulthood “A longevity society requires focusing not only on the old but preparing theyoung for the challenges ahead of them.” —Andrew J. Scott,The Longevity Imperative(2024, page 35) In an era of unprecedented longevity, people have numerousopportunities and risks as they navigate into older adulthood.Would they like to continue working and volunteering intotheir 70s and beyond? When they are no longer working, howmuch income can they expect from Social Security, savings,and retirement funds? How will their cognitive and physicalhealth hold up? Do they have a social support network thatwill keep them engaged? Will health conditions prevent orinhibit them from participating in daily life? Are they preparedto assume the role of caregiver for a spouse, partner, parent,or friend? Do they have a plan for how their own need for carewill be met? care and healthier habits, they need to achieve competency inseveral areas necessary for longer lives. •Financial literacy:Having the knowledge, skill, andcompetence to make informed decisions about money,including how to earn, save, spend, borrow, and invest iteffectively (Kahn Academy, 2025) •Longevity literacy:Having a clear and objectiveunderstanding