Population - Age 65+ in North Dakota

North Dakota

The demographics of a state influence the health needs and outcomes of its population. Understanding the demographic breakdown can help state health officials determine priorities for health promotion and disease prevention. 

The age distribution in the United States is shifting. Nearly 58 million adults age 65 and older lived in the U.S. in 2022, accounting for 17.3% of the nation’s population. By the time the last of the baby boomer generation ages into older adulthood in 2030, estimates suggest more than 71.1 million older adults will live in the U.S. By 2040, it is projected that older adults will make up 22% of the total U.S. population.

The demographics of the older adult population are also evolving. Historically, more women than men have lived past age 65, and while this trend will probably continue, the age gap between men and women is expected to shrink in the coming decades. The older adult population will also become more racially and ethnically diverse. Projections suggest that the share of the older population that is non-Hispanic white will decrease from 75% to 60% by 2050. 

Older adults generally face more complex health challenges than younger populations. These may include developing aging-related chronic conditions such as cardiovascular disease or Alzheimer's disease, as well as struggling with finding their next meal, living safely in their home, getting enough sleep at night and accessing medical care. 

Caring for older adults can be challenging. In 2020, there were about 53 million caregivers in the U.S., about half of whom were taking care of a parent or parent-in-law. Most caregivers of older adults are spouses or adult children, but decreasing fertility and marriage rates and increasing divorce rates mean that many baby boomers will not have partners or children who can help them live independently as they age. This dynamic will put new and unique stresses on the health care system and challenge how our society currently cares for older adults.

AARP and National Alliance for Caregiving. “Caregiving in the United States 2020.” Washington, D.C.: AARP, May 14, 2020. https://doi.org/10.26419/ppi.00103.001.

Administration on Aging. “2021 Profile of Older Americans.” Administration for Community Living, November 2022. https://acl.gov/sites/default/files/Profile%20of%20OA/2021%20Profile%20of%20OA/2021ProfileOlderAmericans_508.pdf.

Montero, Alex, Audrey Kearney, Liz Hamel, and Mollyann Brodie. “Americans’ Challenges with Health Care Costs.” KFF, July 14, 2022. https://www.kff.org/health-costs/issue-brief/americans-challenges-with-health-care-costs/.

Suzuki, Keisuke, Masayuki Miyamoto, and Koichi Hirata. “Sleep Disorders in the Elderly: Diagnosis and Management.” Journal of General and Family Medicine 18, no. 2 (April 2017): 61–71. https://doi.org/10.1002/jgf2.27.

Vespa, Jonathan, Lauren Medina, and David M. Armstrong. “Demographic Turning Points for the United States: Population Projections for 2020 to 2060.” Current Population Reports. Washington, D.C.: U.S. Census Bureau, February 2020. https://www.census.gov/library/publications/2020/demo/p25-1144.html.