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Record W4412725628 · doi:10.1093/geront/gnaf176

Demographic shifts and aging in the middle of the world: health challenges and policy opportunities in Ecuador

2025· review· en· W4412725628 on OpenAlexaff
Marco Faytong‐Haro, Alonso Quijano-Ruiz, Daniel Sánchez-Pazmiño, Sebastián Salazar-Nicholls, Andrea X Gómez Ayora, Dayana Jimenez, Omar Galárraga, Alexis R. Santos‐Lozada

Bibliographic record

VenueThe Gerontologist · 2025
Typereview
Languageen
FieldSocial Sciences
TopicHealth disparities and outcomes
Canadian institutionsSimon Fraser University
FundersBrown University
KeywordsGerontologyPolitical scienceGeographyMedicine

Abstract

fetched live from OpenAlex

Ecuador is a middle-income country in South America with approximately 18 million residents. While still young, the country is undergoing a demographic shift that has led to an aging population. The percent of adults aged 65 and above is projected to increase from 7.84% in 2022 to nearly 18% by 2050. This transformation presents substantial challenges that require social and policy solutions. Gerontological research in Ecuador has largely emphasized biomedical science. National datasets, including the Survey of Health, Welfare, and Aging (SABE), the National Health and Nutrition Survey (ENSANUT), and the Atahualpa Project, have provided valuable insights into population health. However, gaps remain due to the absence of national and longitudinal data that capture the population subgroups that call Ecuador their home. We conclude by emphasizing the need to address national issues such as: ensuring social security coverage, strengthening poverty alleviation programs, and improving access to healthcare. By addressing these issues, Ecuador will be better equipped to meet the evolving needs of its aging population.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.893
Threshold uncertainty score0.950

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.283
GPT teacher head0.437
Teacher spread0.154 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2025
Admission routes1
Has abstractyes

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