Bayesian projection of life expectancy accounting for the HIV/AIDS epidemic

Probabilistic population forecasting: Short to very long-term

Population forecasts are used by governments and the private sector for planning, with horizons up to about three generations (around 2100) for different purposes. The traditional methods are deterministic using scenarios, but probabilistic forecasts are desired to get an idea of accuracy, assess changes, and make decisions involving risks. In a significant breakthrough, since 2015, the United Nations has issued probabilistic population forecasts for all countries using a Bayesian methodology that we review here. Assessment of the social cost of carbon relies on long-term forecasts of carbon emissions, which in turn depend on even longer-range population and economic forecasts, to 2300. We extend the UN method to very-long range population forecasts by combining the statistical approach with expert review and elicitation. While the world population is projected to grow for the rest of this century, it will likely stabilize in the 22nd century and decline in the 23rd century.

Accounting for Smoking in Forecasting Mortality and Life Expectancy

Smoking is one of the main risk factors that has affected human mortality and life expectancy over the past century. Smoking accounts for a large part of the nonlinearities in the growth of life expectancy and of the geographic and sex differences in mortality. As Bongaarts (2006) and Janssen (2018) suggested, accounting for smoking could improve the quality of mortality forecasts due to the predictable nature of the smoking epidemic. We propose a new Bayesian hierarchical model to forecast life expectancy at birth for both sexes and for 69 countries with good data on smoking-related mortality. The main idea is to convert the forecast of the non-smoking life expectancy at birth (i.e., life expectancy at birth removing the smoking effect) into life expectancy forecast through the use of the age-specific smoking attributable fraction (ASSAF). We introduce a new age-cohort model for the ASSAF and a Bayesian hierarchical model for non-smoking life expectancy at birth. The forecast performance of the proposed method is evaluated by out-of-sample validation compared with four other commonly used methods for life expectancy forecasting. Improvements in forecast accuracy and model calibration based on the new method are observed.

Probabilistic population projections for countries with generalized HIV/AIDS epidemics

In 2015, the United Nations (UN) issued probabilistic population projections for all countries up to 2100, by simulating future levels of total fertility and life expectancy and combining the results using a standard cohort component projection method. For the 40 countries with generalized HIV/AIDS epidemics, the mortality projections used the Spectrum/Estimation and Projection Package (EPP) model, a complex, multistate model designed for short-term projections of policy-relevant quantities for the epidemic. We propose a simpler approach that is more compatible with existing UN projection methods for other countries. Changes in life expectancy are projected probabilistically using a simple time series regression and then converted to age- and sex-specific mortality rates using model life tables designed for countries with HIV/AIDS epidemics. These are then input to the cohort component method, as for other countries. The method performed well in an out-of-sample cross-validation experiment. It gives similar short-run projections to Spectrum/EPP, while being simpler and avoiding multistate modelling.