Our ageing population also shows significant cultural diversity with three in ten Australians aged 65 and over in 2016 (33%) born overseas with the majority born in non–English speaking countries. [3] The most common non-English speaking countries of birth for older people were Italy (3% of all older people), Greece (2%), and Germany (1%). [3] As the proportion of migrants from Europe decreases and the proportion of migrants from Asian countries increases, the linguistic diversity of older Australians will change. [3]
Over the next several decades, population ageing will have a range of implications for Australia, including; health, size of the working-age population, housing, and demand for skilled labour.
Older Australians are also likely to have at least one common chronic conditions such as arthritis; asthma; back pain and problems; cancer; cardiovascular disease; chronic obstructive pulmonary disease; diabetes; or mental health conditions. [4] Many of these conditions are life-limiting. As people age that are more likely to need assistance with at least one activity such as health care, mobility or self-care. Around 90% of those aged 90 years or over needed such assistance. [5]
People accessing specialist palliative care services for support with life-limiting conditions also reflect the diversity of our older population. Data on Australian hospital based palliative care services in 2017 show that the top four languages spoken by patients at home were English (90%) followed by Italian (2.1%), Greek (1.6%), and Chinese (1.2%). [6] In comparison the top four languages spoken at home for the general population (all adults) in 2017 were English, Mandarin, Arabic, Cantonese, and Vietnamese. [6]
Inevitably, given this pattern of ageing, death rates in older Australians are also increasing. In 2016, there were 158,504 deaths registered in Australia of which 82% occurred among people aged 65 and over, and 41% of all deaths occurred among people aged over 85 years. [7] Based on 2012-14 data, people whose last used aged care program before death was residential aged care account for the largest proportion of deaths among older people (44%). [8] This suggests that aged care services are an important partner in the provision of end-of-life care for older Australians.