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How many elderly people are there in Italy? An In-depth Demographic Look

4 min read

As of 2025, approximately a quarter of Italy's population is aged 65 or older, making it one of the world's most rapidly aging nations. The answer to how many elderly people are there in Italy is a complex one, revealing profound demographic shifts driven by long-standing trends and societal changes.

Quick Summary

Over 14 million Italians are aged 65 and above, a figure representing around 24.7% of the total population as of 2025. This demographic shift is fueled by a combination of high life expectancy and one of the lowest birth rates in the world.

Key Points

  • Significant Proportion: As of 2025, approximately one-quarter of Italy's population, translating to over 14 million people, is aged 65 or older.

  • Driving Factors: This trend is primarily driven by a very low fertility rate (1.18 in 2024) and one of the highest life expectancies in the EU (83.4 years in 2024).

  • Regional Variations: Aging is not uniform across Italy; northern regions like Liguria have an older population, while southern areas like Campania are comparatively younger.

  • Socio-economic Burden: The large elderly population places significant strain on Italy's pension and healthcare systems, and contributes to a shrinking workforce.

  • Future Projections: Demographic models predict a continued increase in the proportion of elderly people, intensifying the challenges related to public finances and social services.

In This Article

The Current Demographic Portrait

Italy's population has undergone a dramatic shift in recent decades, with the elderly segment growing steadily. The latest estimates from reputable sources, including data derived from Italy's National Institute of Statistics (ISTAT), indicate that a substantial portion of the country's population now falls into the 65 and over age bracket. This aging trend is not a recent phenomenon but the culmination of long-term demographic forces.

Based on a total population of around 59 million, the roughly 24.7% of residents over 65 translates to an absolute number of over 14 million elderly individuals. This places a significant and increasing burden on public services, particularly healthcare and the national pension system, and signals a fundamental transformation of Italian society.

The Causes Behind Italy's Rapid Aging

The phenomenon of Italy's aging population is not caused by a single factor, but rather a perfect storm of demographic variables that have been at play for decades. The primary drivers include:

  • Low Birth Rate: Italy has consistently recorded one of the lowest fertility rates globally. With a rate of just 1.18 children per woman in 2024, the country is far below the replacement rate of 2.1 needed to maintain a stable population. This means fewer young people are entering the population to replace those who are aging and retiring, leading to a shrinking working-age population.

  • High Life Expectancy: Italians are living longer than ever before, thanks to a high standard of living, quality healthcare, and a famously healthy Mediterranean lifestyle. Life expectancy at birth reached 83.4 years in 2024. While a testament to Italy's success in health, this longevity contributes directly to the rise in the elderly population.

  • Historical Trends and Migration: Following a post-war baby boom, subsequent generations have had far fewer children, creating a demographic bulge of baby boomers now reaching old age. While immigration has provided some mitigation, it has not been sufficient to offset the combined effects of low birth rates and high longevity.

Regional Disparities in Aging

The aging process is not uniform across Italy but varies significantly by region. Geographic factors, economic conditions, and migration patterns all play a role in creating this disparity. This is clearly shown when comparing different areas of the country:

  • Older Regions: The northern region of Liguria consistently ranks as the oldest in Italy, with a higher average age and a larger share of the population over 65, reaching 29.2% in 2025. Sardinia also has a very high proportion of elderly residents. These regions often have lower birth rates and see more out-migration of younger people seeking work elsewhere.

  • Younger Regions: Conversely, southern regions like Campania have a younger population, with a lower percentage of residents aged 65 or older. However, even these regions are aging, and projections show the average age in the South will increase more rapidly in the coming decades.

Comparison of Italy's Aging Population Over Time

To better understand the scale of the demographic shift, comparing the age distribution over time is revealing. The following table illustrates the changing structure of the Italian population based on ISTAT and Statista data.

Characteristic 2015 2025 (Estimated) 2030 (Projected)
0–14 years 13.7% 12.2% 11.6%
15–64 years 64.3% 63.5% 61.3%
65+ years 22.0% 24.7% 27.1%

Socio-Economic Implications

An aging population presents a host of socio-economic challenges for Italy. As the ratio of retirees to working-age individuals increases, the sustainability of key public systems comes under immense pressure.

  1. Pension System Strain: With fewer workers paying into the system and more retirees drawing from it, Italy's pension expenditures consume a significant portion of the country's GDP. The current system is under intense strain and requires significant reform to remain solvent in the long term.

  2. Healthcare Demand: The elderly population requires more frequent and specialized healthcare services. The rising demand for long-term care, chronic disease management, and geriatric services places a considerable burden on Italy's public healthcare system.

  3. Shrinking Workforce and Economic Growth: A declining working-age population leads to a smaller labor pool, potentially hindering economic growth and productivity. This can impact competitiveness and lead to labor shortages in critical sectors.

  4. Generational Tensions: The rising dependency ratio can create generational tensions as a smaller, younger workforce supports a larger, economically inactive older generation. Policies related to pensions and social spending are often politically divisive as a result.

For more detailed reports on Italy's demographic indicators, you can consult the official press releases from the Italian National Institute of Statistics (ISTAT).

Conclusion

The numbers are clear: Italy's elderly population is large and growing, with significant implications for the country's future. The demographic shift, propelled by high longevity and a low birth rate, presents complex economic and social challenges that require innovative policy solutions. Understanding how many elderly people are there in Italy is crucial for grasping the scale of these issues and planning for the future of this changing society.

Frequently Asked Questions

As of 2025, approximately 24.7% of Italy's population is aged 65 or older, making it one of the most demographically advanced countries in Europe.

Italy has one of the oldest populations in Europe and the world, often ranking near the top for the proportion of residents aged 65 and over. This is a common trend across Europe, but particularly pronounced in Italy.

The main causes are a very low birth rate, high life expectancy due to a high standard of living, and societal shifts that have led to smaller family sizes and later parenthood.

Yes, there are notable regional differences. Northern regions like Liguria tend to have older populations, while southern regions, particularly Campania, have younger demographics, although they are also aging.

Economic consequences include immense pressure on the public pension and healthcare systems, a shrinking workforce, and potential impacts on economic growth and productivity.

The high life expectancy means people live longer, increasing the number of elderly individuals. The low birth rate means there are fewer young people to replace them in the population. The combination of these two factors accelerates the aging trend.

The old-age dependency ratio, which compares the number of people of retirement age to those of working age, was approximately 39% in Italy as of 2025. This ratio is projected to rise, indicating an increasing burden on the working population.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.