The Graying of Central America: A Brief Examination of Institutional Rhetoric, Policy, and Practice
Keywords:
Type:
TextAbstract
The population of Central America is aging at an accelerated pace, yet the response of governments has been inconsistent and, at times, misguided. To gain a deeper understanding of this issue, we propose a socio-historical overview on the public institutionalization of aging and old age. We employed the principles of Critical Gerontology, with a specific focus on specialized legislation for older adults, to clarify the extent of legal safeguards recognized in each national regulatory framework. The most significant achievement has been the formation of national councils, which are responsible for overseeing and implementing national aging plans, as well as ensuring compliance with the guarantees enshrined in current legislation. While all States have incorporated an institutional standard on aging, the trajectory of their development has been quite divergent, resulting in a series of bureaucratic challenges. In examining the achievements and ongoing challenges, we identify the key rhetorical, policy, and practice elements that typify the public approach, thereby elucidating the characteristics that frame the institutional response among these countries.
Downloads
References
Belize. (2003). National Policy on Older Adults. https://www.ncfc.org.bz/download/national-policy-for-older-persons/
Google Scholar CrossrefBrinks, D. M., Levitsky, S., & Murillo, M. V. (2019). Understanding institutional weakness. Power and design in Latin America institutions. Cambridge University Press, United Kingdom. https://doi.org/10.1017/9781108772211
Google Scholar CrossrefChong, W. F., & Gu, D. (2022). Critical gerontology. In Encyclopedia of Gerontology and Population Aging (pp. 1225-1246). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-319-69892-2_951-2
Google Scholar CrossrefCosta Rica. (1999). Comprehensive Law for Older Adults (Ley Integral para la Persona Adulta Mayor, n. º 7,935). https://www.corteidh.or.cr/tablas/23788.pdf
Google Scholar CrossrefCosta Rica. (2011). National Policy on Aging and Old Age (Política Nacional de Envejecimiento y Vejez 2011-2021, N° 38036-MP-MBSF). http://www.pgrweb.go.cr/scij/Busqueda/Normativa/Normas/nrm_texto_completo.aspx?param1=NRTC&nValor1=1&nValor2=76622&nValor3=95721&strTipM=TC
Google Scholar CrossrefCruz, G. (2015). Regionalism and Well-Being: A Critical Assessment of the Central American Regional Strategy for Health. UNU-CRIS Working Papers, W-2015/7, 1-27. https://collections.unu.edu/eserv/UNU:7113/W-2015-7.pdf
Google Scholar CrossrefDelgado, B. M. G., Silva, A. P., & Rodriguez, J. M. D. (2019). Concept Map on Health and Intellectual Property in Central America and the Dominican Republic. Revista Panamericana de Salud Pública, 43, e4. https://doi.org/10.26633/RPSP.2019.4
Google Scholar CrossrefEconomic Commission for Latin America and the Caribbean – ECLAC. (2024). Institucionalidad social para América Latina y el Caribe. https://dds.cepal.org/bdips/seg31.php
Google Scholar CrossrefEconomic Commission for Latin America and the Caribbean, ECLAC. (2022). Ageing in Latin America and the Caribbean: inclusion and rights of older persons (LC/CRE.5/3), Santiago, 2022. https://repositorio.cepal.org/server/api/core/bitstreams/703b8179-ba9d-4838-8ec1-61405dbcbd18/content
Google Scholar CrossrefEl Salvador. (2002). Comprehensive Law for the Care of Older Adults (Ley de Atención Integral para la Persona Adulta Mayor, n. º 717). https://fiapam.org/wp-content/uploads/2012/10/Ley717_ElSalvador.pdf
Google Scholar CrossrefEl Salvador. (2016). National Policy for Older Adults (Política Nacional de la Persona Adulta Mayor).https://gerontologia.org/portal/archivosUpload/uploadManual/El_Salvador_resumen_ejecutivo.pdf
Google Scholar CrossrefFigliuoli, M. L. U., Flamini, V., Galdamez, M., Lambert, F., Li, M., Lissovolik, M. B., ... & Orthofer, A. (2018). Growing pains: Is Latin America prepared for population aging? International Monetary Fund.
Google Scholar CrossrefGBD 2019 Ageing Collaborators. (2022). Global, regional, and national burden of diseases and injuries for adults 70 years and older: systematic analysis for the Global Burden of Disease 2019 Study. BMJ, 376, e068208. https://doi.org/10.1136/bmj-2021-068208
Google Scholar CrossrefGrau, N. C. (2010). Las políticas con enfoque de derechos y su incidencia en la institucionalidad pública. Revista del CLAD Reforma y Democracia, (46), 41-72. https://redalyc.org/pdf/3575/357533678002.pdf
Google Scholar CrossrefGrenier, A., Phillipson, C., & Settersten, R. A. (2020). Precarity and ageing: new perspectives for social gerontology. In Precarity and ageing. Policy Press. https://doi.org/10.46692/9781447340874.002
Google Scholar CrossrefGuatemala. (1996). Law for the Protection of Older Adults (Ley de Protección para las Personas de la Tercera Edad, n. º 80). https://www.pdh.org.gt/documentos/material-didactico-y-educativo/4278-cartilla-ley-de-proteccin-para-las-personas-de-la-tercera-edad/file.html
Google Scholar CrossrefGutiérrez-Murillo, R. S. (2021). Health and social rights of older adults in continental Central America: A comparative historical and legal analysis. J Aging Sci, 9(9):1-10.
Google Scholar CrossrefGutiérrez-Murillo, R. S., & Grossi, P. K. (2024). Coping with the Care of Older Adults During the COVID-19 Pandemic in Central America: A Legal and Public Health Perspective. Journal of Population Ageing, 1-26. https://doi.org/10.1007/s12062-024-09465-6
Google Scholar CrossrefGutiérrez-Murillo, R. S., Krieger Grossi, P., & Kuhl Svoboda, W. (2024). Navigating the pandemic: A critical perspective on COVID-19 responses in Central America. Electronic Journal of General Medicine, 21(3), em586. https://doi.org/10.29333/ejgm/14573
Google Scholar CrossrefHall, PA., & Lamont, M. (2009). Successful Societies: How Institutions and Culture Affect Health. Cambridge University Press.
Google Scholar CrossrefHam-Chande, R., & Nava-Bolaños, I. (2019). Convergence toward demographic aging in Latin America and the Caribbean. Annual Review of Sociology, 45(1), 607-623. https://doi.org/10.1146/annurev-soc-073018-022532
Google Scholar CrossrefHonduras. (2006). Comprehensive Law for the Protection of Older Adults and Retirees (Ley Integral de Protección al Adulto Mayor y Jubilados, n. º 199). https://amhon.hn/documentos/leyes/LEY_INTEGRAL_DE_PROTECCION_AL_ADULTO_MAYOR_Y_JUBILADOS_1.pdf
Google Scholar CrossrefHonduras. (2015). National Policy on Aging and Older Adults (Política Nacional de Envejecimiento y del Adulto Mayor). https://repositorio-chepes.sedesol.gob.hn/handle/123456789/30
Google Scholar CrossrefHuenchuan, S. (2011). Legislación comparada sobre personas mayores en Centroamérica y la República Dominicana. (LC/W.432). Naciones Unidas, Santiago de Chile, 2011.
Google Scholar CrossrefHuenchuan, S. (2016). Envejecimiento e institucionalidad pública en América Latina y el Caribe: conceptos, metodologías y casos prácticos. (LC/L.4175). Comisión Económica para América Latina y el Caribe (CEPAL). Santiago, Chile. https://hdl.handle.net/11362/40197
Google Scholar CrossrefHuenchuan, S. (2021). Indicadores sobre envejecimiento y personas mayores en Centroamérica, México y el Caribe hispano (LC/MEX/TS.2021/30). Comisión Económica para América Latina y el Caribe (CEPAL). Ciudad de México. https://hdl.handle.net/11362/47641
Google Scholar CrossrefLevy, C. (1996). The process of institutionalizing gender in policy and planning: the web of institutionalization. Working Paper, No 74, London, University College. https://discovery.ucl.ac.uk/id/eprint/34/1/wp74.pdf
Google Scholar CrossrefMoen, P. (2012). Constrained choices: the shifting institutional contexts of aging and the life course. (Org). Linda J. Waite. In. Perspective on the future of the sociology of aging. The National Academy Press. Washington DC: USA.
Google Scholar CrossrefNicaragua. (2010). Law for Older Adults (Ley del Adulto Mayor, n. º 111). http://legislacion.asamblea.gob.ni/Normaweb.nsf/fb812bd5a06244ba062568a30051ce81/6f892d6cb252254e0625775e0056bc37?OpenDocument
Google Scholar CrossrefOrganization of the American States, OAS. (2015). InterAmerican Convention on Protecting the Human Rights of Older Persons (A-70). https://www.oas.org/en/sla/dil/inter_american_treaties_A-70_human_rights_older_persons_signatories.asp
Google Scholar CrossrefPanama. (2016). Law for the Comprehensive Protection of the Rights of Older Adults (Ley para la Protección Integral de los Derechos de la Persona Adulta Mayor, n. º 36). https://www.sijusa.com/wp-content/uploads/2020/08/l_36_2016.pdf
Google Scholar CrossrefPanama. (2024). Public Policy in Favor of Older Persons (Política Pública a Favor de las Personas Mayores). https://www.gerontologia.org/portal/archivosUpload/uploadManual/Politica-Publica-a-favor-de-las-Personas-Mayores-en-Panama-2024-2030.pdf
Google Scholar CrossrefPrado, A. M., Pearson, A. A., Bertelsen, N. S., & Pagán, J. A. (2020). Connecting healthcare professionals in Central America through management and leadership development: a social network analysis. Globalization and Health, 16, 1-9. https://doi.org/10.1186/s12992-020-00557-4
Google Scholar CrossrefSantos, A. D. O., Delduque, M. C., & Rey Filho, M. (2019). O novo constitucionalismo na América Latina e Caribe, e a construção do direito à saúde. Revista Brasileira de Políticas Públicas, 9, 443-458. https://www.arca.fiocruz.br/handle/icict/40310
Google Scholar CrossrefSchumacher, A. E., Kyu, H. H., Aali, A., Abbafati, C., Abbas, J., Abbasgholizadeh, R., ... & Amzat, J. (2024). Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950–2021, and the impact of the COVID-19 pandemic: a comprehensive demographic analysis for the Global Burden of Disease Study 2021. The Lancet, 403(10440), 1989-2056. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)00476-8/fulltext
Google Scholar CrossrefUnited Nations. (1967). International Covenant on Economic, Social and Cultural Rights. https://treaties.un.org/doc/treaties/1976/01/19760103%2009-57%20pm/ch_iv_03.pdf
Google Scholar CrossrefUnited Nations. (2002). Political declaration and Madrid international plan of action on ageing. Second World Assembly on Ageing, Madrid, Spain. 8-12 April 2002. https://social.un.org/ageing-working-group/documents/mipaa-en.pdf
Google Scholar CrossrefWagstaff, A., & Neelsen, S. (2020). A comprehensive assessment of universal health coverage in 111 countries: a retrospective observational study. The Lancet Global Health, 8(1), e39-e49. https://doi.org/10.1016/S2214-109X(19)30463-2
Google Scholar CrossrefWorld Bank Group. (2019). World Bank Support to Aging Countries: An Independent Evaluation. https://ieg.worldbankgroup.org/sites/default/files/Data/reports/ap_agingcountries.pdf
Google Scholar CrossrefWorld Health Organization, WHO. (2022). Ageing and Health. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
Google Scholar CrossrefZazueta-Borboa, J. D. (2024). From Leader to Laggards: The Deterioration of Life Expectancy at Older Ages in Mexico Compared to Other Countries in Latin America and the Caribbean, 1990-2019. Revista Latinoamericana de Población, 18, e202343. https://doi.org/10.31406/relap2024.v.18e202343
Google Scholar CrossrefPublished
Metrics
Almetric
Dimensions
How to Cite
Issue
Section
License
Copyright (c) 2025 Roberth Steven Gutiérrez-Murillo; Gustavo Cezar Wagner Leandro, Eliana Mourges Codoy, Patricia Krieger Grossi

This work is licensed under a Creative Commons Attribution 4.0 International License.
All articles are published under Creative Commons copyright (CC BY). Authors hold the copyright and retain publishing rights without restrictions, but authors allow anyone to download, reuse, reprint, modify, distribute, and/or copy articles as the original source is cited.