{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:09:44Z","timestamp":1789560584536,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T00:00:00Z","timestamp":1737936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T00:00:00Z","timestamp":1737936000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000957","name":"Alzheimer's Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000957","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp;amp; Dementia"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>The eligibility criteria for social pension schemes in Africa hinder equitable and healthy aging. In 2019, women in 14 sub\u2010Saharan African countries had an average life expectancy of 67 years but a healthy life expectancy of only 57 years, leaving them 5 years in poor health before receiving a pension at age 62. Men had a similar situation\u2014a life expectancy of 62 years and a healthy life expectancy of 53 years, spending 10 years in poor health before becoming eligible for pensions at age 63. Many men do not receive pensions due to early death. Delays and low pension payouts contribute to a 2.5% increase in the death rate from Alzheimer's disease and dementia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Eligibility criteria for social pension schemes in Africa hinder equitable and healthy aging.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Delays and low pension payouts are associated with worsening death rates from dementia.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Average health life expectancy for both genders should serve as a basis for initiating pension payouts.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.14527","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T06:13:55Z","timestamp":1737958435000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Investing in equitable healthy aging: Why Africa must reform social pension schemes to improve Alzheimer's disease and dementia outcomes"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1911-9373","authenticated-orcid":false,"given":"Cyprian M.","family":"Mostert","sequence":"first","affiliation":[{"name":"Department of Population Health Aga Khan University  Nairobi Kenya"},{"name":"Brain and Mind Institute Aga Khan University  Nairobi Kenya"},{"name":"Global Brain Health Institute, The University of Dublin, Trinity College Dublin, D01 Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Najat EL","family":"Mekkaoui","sequence":"additional","affiliation":[{"name":"University Paris Dauphine  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shehzad","family":"Ali","sequence":"additional","affiliation":[{"name":"Western University  Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominic","family":"Trepel","sequence":"additional","affiliation":[{"name":"Global Brain Health Institute, The University of Dublin, Trinity College Dublin, D01 Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirti","family":"Ranchod","sequence":"additional","affiliation":[{"name":"University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinedu","family":"Udeh\u2010Momoh","sequence":"additional","affiliation":[{"name":"Brain and Mind Institute Aga Khan University  Nairobi Kenya"},{"name":"School of Medicine Wake Forest University  Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivera","family":"Nesic","sequence":"additional","affiliation":[{"name":"Brain and Mind Institute Aga Khan University  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Blackmon","sequence":"additional","affiliation":[{"name":"Brain and Mind Institute Aga Khan University  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Karanja","sequence":"additional","affiliation":[{"name":"Brain and Mind Institute Aga Khan University  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Thesen","sequence":"additional","affiliation":[{"name":"Brain and Mind Institute Aga Khan University  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Andai","sequence":"additional","affiliation":[{"name":"Brain and Mind Institute Aga Khan University  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rym","family":"Ayadi","sequence":"additional","affiliation":[{"name":"Euro\u2010Mediterranean Economists Association  Barcelona Catalonia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harris","family":"Eyre","sequence":"additional","affiliation":[{"name":"Rice University  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zul","family":"Merali","sequence":"additional","affiliation":[{"name":"Brain and Mind Institute Aga Khan University  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,27]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"United Nations.World population prospects2019. 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