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Which country has the highest proportion of elderly?

4 min read

Around the world, populations are aging at an unprecedented rate, with many countries facing significant demographic shifts. This global phenomenon has many asking: Which country has the highest proportion of elderly? The answer reveals important insights into social and economic factors.

Quick Summary

The principality of Monaco holds the title for the highest proportion of elderly citizens, with over a third of its population over 65. This demographic is a result of high life expectancy and low birth rates, a trend that is also prominent in larger countries like Japan and Italy.

Key Points

  • Monaco leads by proportion: The principality of Monaco has the highest percentage of its population aged 65+ due to a combination of high life expectancy, a wealthy migrant population, and low birth rates.

  • Japan leads in scale: Japan is the most prominent aging society due to its large population size, boasting the highest number of seniors among major world economies, which creates significant social and economic challenges.

  • Global aging is accelerating: Demographic shifts are not limited to wealthy nations; the UN reports that low- and middle-income countries are now experiencing the fastest rates of population aging.

  • Causes of aging: The primary drivers of population aging are declining fertility rates and increasing life expectancy worldwide.

  • Major challenges: High proportions of elderly citizens strain healthcare systems, lead to potential labor shortages, and stress social security and pension systems.

  • Societal adaptations: Countries are responding with strategies including technological innovation, social policy reforms, and expanded geriatric care to support their aging populations.

In This Article

The Surprising Answer: Monaco

While Japan is widely recognized for its aging demographic challenges, a small city-state in Europe actually has a higher proportion of elderly citizens. According to data from recent years, including reports from Visual Capitalist citing United Nations data, Monaco has the highest percentage of its population aged 65 and over. In 2025, for instance, reports estimated Monaco's 65+ population share to be around 36.8%, putting it at the top of the list.

Why Monaco's Numbers Are Unique

Monaco's demographic profile is distinct due to its unique combination of factors. The principality attracts a wealthy, older population, often due to its favorable tax laws and desirable climate. This influx, combined with a naturally low birth rate and high life expectancy, skews the national average significantly. It's an anomaly when compared to larger, more populated nations, demonstrating how a small, wealthy state can experience such an extreme demographic tilt.

Japan: The World's Most Prominent Aging Society

Despite Monaco's top ranking by percentage, Japan is often considered the most prominent example of an aging society, and for good reason. Japan has the largest number of older adults among major economies, and its aging trend has been much more rapid than that of European countries.

By 2025, Japan's population aged 65 and over is estimated to be around 30%. This represents a massive absolute number of seniors, posing a significant and well-documented challenge to the nation's economy, healthcare system, and workforce. The scale of Japan's aging population is what makes its situation so critical, with impacts reverberating throughout society.

Other Countries Facing Rapid Demographic Shifts

While Monaco and Japan represent the extremes, many other countries, particularly in Europe and parts of Asia, are experiencing similar demographic shifts. The United Nations notes that globally, the number of people over 60 is set to double by 2050, with low- and middle-income countries now facing the most rapid changes.

  • Italy: Long known for its aging population, Italy consistently ranks high, with over 20% of its population aged 65+.
  • Germany: Similarly, Germany has a large proportion of older adults, with low birth rates and high life expectancy contributing to the trend.
  • South Korea: South Korea is experiencing one of the fastest rates of aging globally, with a very low fertility rate contributing to its demographic trajectory.

How Do These Nations Compare?

Understanding the difference between Monaco's high proportion and Japan's large scale is crucial. A comparison highlights how population size and specific economic factors can dramatically alter demographic statistics.

Indicator Monaco Japan
% of Population Age 65+ (est. 2025) ~36.8% ~30%
Total Population Age 65+ ~13,000 ~37 million
Total Population ~39,000 ~126 million
Driving Factors Wealthy, immigrant population; low birth rate Low birth rate; high life expectancy

The Driving Forces Behind Population Aging

Population aging is a complex phenomenon driven by a few key factors:

  1. Declining Fertility Rates: As countries develop economically and socially, families tend to have fewer children. This leads to a smaller base of young people supporting a growing number of older people.
  2. Increasing Life Expectancy: Advances in medicine, nutrition, sanitation, and public health have enabled people to live longer, healthier lives. This is a positive outcome, but it directly contributes to a larger elderly population.
  3. Migration Patterns: The movement of people can also influence a country's age profile. In Monaco's case, the inward migration of affluent retirees contributes to its unique demographic composition.

The Challenges and Implications

An aging population presents a number of significant challenges for governments and societies:

  • Strained Healthcare Systems: With more people living longer, the demand for specialized geriatric care, and management of chronic diseases like dementia and arthritis, increases dramatically. This puts pressure on healthcare budgets and the availability of trained professionals.
  • Labor Force Shortages: A shrinking working-age population relative to the number of retirees can lead to a shortage of workers in key industries. This can stifle economic growth and innovation if not addressed through strategies like automation, immigration, or encouraging longer working lives.
  • Financial Strain on Social Systems: Pension systems and social security programs rely on contributions from the working population to support retirees. A higher dependency ratio—more retirees supported by fewer workers—creates fiscal pressure that can be difficult to sustain.
  • Changing Family Dynamics: As traditional family structures evolve and families become smaller, the burden of caregiving often falls on fewer, younger relatives. This highlights the need for robust public and long-term care systems.

Adapting to an Aging World

In response to these challenges, many countries are exploring innovative solutions. The World Health Organization (WHO) and the United Nations have declared the Decade of Healthy Ageing (2021–2030) to encourage global cooperation on this issue.

Strategies include:

  1. Investing in new technologies to assist older adults and increase productivity.
  2. Developing policies that support healthy, active aging and social inclusion.
  3. Reforming social security and pension systems to ensure long-term sustainability.
  4. Expanding and improving healthcare infrastructure to better meet the needs of older populations, including long-term and home-based care.

For more information on the global response to this demographic shift, consult the World Health Organization's initiatives on aging and health(https://www.who.int/news-room/fact-sheets/detail/ageing-and-health).

Conclusion: Looking Beyond the Numbers

While Monaco may technically have the highest proportion of elderly citizens, it’s Japan that offers the most compelling case study for the implications of an aging society. Ultimately, the question of which country has the highest proportion of elderly is just the starting point. The real challenge lies in how societies adapt and innovate to create a better quality of life for all generations in an increasingly older world.

Frequently Asked Questions

Monaco also has the oldest median age in the world. As of 2024, its median age is reported to be around 56.9 years, significantly higher than the next oldest country, which is Japan.

Japan's aging population is widely discussed due to its massive scale. While smaller nations like Monaco have a higher percentage, Japan's large total population means it has a huge number of elderly citizens, posing a more significant and far-reaching challenge to its economy and society.

A country is typically considered to have an aging population when the proportion of its population aged 65 and over is increasing. A 'super-aged' society is one where more than 20% of the population is 65 or older, a category both Monaco and Japan fall into.

Low fertility rates mean fewer children are being born, which reduces the proportion of younger people in the population. This, combined with longer life expectancies, naturally increases the percentage of elderly citizens over time.

Healthcare challenges include increased demand for medical services, a higher prevalence of chronic diseases, a shortage of geriatric specialists, and the need for more complex, integrated care systems.

Policies include expanding opportunities for assisted living, supporting age-friendly communities, providing incentives for families caring for older relatives, and investing in new technologies to assist the elderly.

Yes, population aging is an irreversible global trend driven by increasing life expectancies and declining birth rates. It's affecting nearly every country, with the most rapid changes now occurring in low- and middle-income nations.

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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.