Older age and loss of autonomy

In 2015 an estimated 2.5 million people aged 60 and over in France—1 person in 7—were in a state of dependency; that is, needing help to carry out certain daily activities. Seven hundred thousand (700,000) of them could be thought of as heavily dependent, meaning that they are confined either to bed or an armchair and that their mental functions have seriously deteriorated. 
Aid to dependent older persons is a social protection area currently undergoing major changes, with further changes anticipated in the future. Demographic aging and the aspiration for better quality care for both assisted persons and those who assist them requires rethinking health problem prevention and old age accompaniment policies. Attaining this objective is the task of the recently created fifth branch of France’s social security system. 
INED studies in this area focus notably on living conditions and social inequalities in old age. What states of health do older persons live in? What factors are likely to bring about an inability to perform certain activities, and which factors on the contrary may enable people to perform them longer? What changes are expected in the near future? INED researchers are also interested in the kinds of aid available to older dependent persons, how their families may care for them, and social policies targeting this population group. What kinds of daily support do these people receive? What roles do families have to take on? How can our social policies evolve in order to respond more fully and effectively to the needs of dependent older persons?

 

Below is a set of resources INED has compiled on late old age. 

Selection of publications (excluding Ined Éditions)

The Palgrave Handbook of Family Sociology in Europe, Bonvalet Catherine, Gallou Rémi, Ogg Jim, 2021, « Transitions in Later Life and the Re-configuration of Family Relationships in the Third Age: The Case of the Baby Boomers », Anna Maija Castrén , Vida Česnuitytė , Isabella Crespi, Jacques-Antoine Gauthier, Rita, Martin Claude Gouveia , Almudena Moreno Mínguez, Katarzyna Suwada(éds.) Cham, Suisse, Palgrave Macmillan, p. 591‑609

L’implication des proches aidants dans le maintien de l’autonomie des personnes âgées, Roméo Fontaine, Sandrine Juin, 2020, Médecine Sciences, 36(12), p. 1188‑1195, DOI 10.1051/medsci/2020226

Financer sa perte d’autonomie : rôle potentiel du revenu, du patrimoine et des prêts viagers hypothécaires[eng] Carole Bonnet , Sandrine Juin, Anne Laferrère, 2019, Économie et Statistique, 507‑508, p. 5‑24, DOI 10.24187/ecostat.2019.507d.1972

Limitations fonctionnelles et restrictions d’activité des personnes âgées vivant à domicile : une approche par le processus de dépendance - Résultats de l’enquête Capacités, Aides et Ressources des seniors (CARE) « ménages », Mathieu Brunel , Amélie Carrère , 2018, Les Dossiers de la DREES, 26, p. 1‑40, 

L’allongement de l’espérance de vie en Europe : quelles conséquences pour l’état de santé, Emmanuelle Cambois, Jean-Marie Robine , 2017, Revue Européenne des Sciences Sociales / European Journal of Social Sciences, 55(1), p. 41‑67

L’approche globale dans le champ de la dépendance. De l’impulsion nationale à la réappropriation locale d’une réforme en France, Alexandra Garabige, Loïc Trabut , 2017, Revue Européenne des Sciences Sociales / European Journal of Social Sciences, 55(1), p. 149‑168, DOI 10.4000/ress.3785

Trajectories of care home residents during the last month of life : the case of France, Sophie Pennec , Joëlle Gaymu , Elisabeth Morand , Françoise Riou , Silvia Pontone , Régis Aubry, Chantal Cases , 2017, Ageing and Society, 37(2), p. 325‑351, 1BF256D84D7907194941E3E49F6B943D

 

INED Editions

Books

Distance et besoins de solidarité au sein des familles, Trabut Loïc, 2018,in "La famille à distance. Mobilités, territoires et liens familiaux",  Imbert Christophe, Lelièvre Eva, Lessault David (éds.), Questions de populations, 2, p. 195‑211

Population & Societies Review

Living alone or with family beyond age 85: major differences across the French départements, Trabut Loïc, Gaymu Joëlle, 2016, Population & Societies, 539

Elder care and dependence: no longer just a women’s concern?, Bonnet Carole, Cambois Emmanuelle, Cases Chantal, Gaymu Joëlle, 2011, Population & Societies, 483

Population Review

Dynamics, demographic and socio-economic issues of ageing in countries with high longevity, Bonnet Carole, Cambois Emmanuelle, Fontaine Roméo, 2021, Population , 76 (2)

Population Ageing in High-Longevity Countries: Demographic Dynamics and Socio-economic Challenges, Carrère Amélie, 2021, Population

Caring for a dependent elderly parent: Care arrangements and sibling interactions in France, Roquebert Quitterie, Fontaine Roméo, Gramain Agnès, 2018, Population 73(2)

How does Living Alone or with a Partner Influence Life Satisfaction among Older Men and Women in Europe?, Gaymu Joëlle, Springer Sabine, 2012, Population, 67(1)

Videos

Les inégalités sociales dans les chances de vieillir en bonne santé, par Emmanuelle Cambois dans le cadre des « Rencontres de la démo » sur les inégalités en France - janvier 2020 (13’22’’) 

Santé, mortalité, vieillissement, enjeux actuels (Table-ronde dans le cadre des 70 ans de l’Ined avec la participation de Jean-Claude Ameisen (Comité consultatif national d’éthique), Géraldine Duthé (Ined), Agnès Lefranc (InVS), Jean-Marie Robine (Inserm / Ined / EPHE)), 2015 (48’09’’) 

Vivre vieux, vivre mieux ? Sur la relation entre qualité et durée de vie, par Aline Désesquelles, 2011 (8’29’’)

Y a-t-il une limite à la vie humaine ?, par Jacques Vallin, 2011 (10’46’’)

Working Papers

Enjeux et perspectives démographiques en France 2020-2050, Pison Gilles, Dauphin Sandrine, 2020, Documents de travail, 259, 61 p., Paris, France, Ined, , http://hdl.handle.net/20.500.12204/AXXlinXWkgKZhr-blhwL

Les espérances de vie sans incapacité en France : une tendance récente moins favorable que dans le passé , Cambois Emmanuelle, Robine Jean-Marie, Sieurin Audrey, 2011, Documents de travail, 170, 30 p., Paris, France, Ined, http://hdl.handle.net/20.500.12204/AWRIC8Okgpz89Adag5nF.

Online:January 2022

Links for more info

INED researchers publication in free access on Archined, INED’s Open Archive.