Should we consider the gender difference in the services for the elderly?

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Because of demographic changes described in the following section, there is a clear imbalance in the sex ratio of men to women in the population, which is increasingly skewed toward women as people age. The differences in life expectancy may have important social implications, since the old-old population is the cohort with the greatest needs for care, and therefore women are more affected. Moreover, an economic imbalance may exist. Women have fewer retirement benefits because many did not work outside the household, and the ones having been employed may have earned less on average than men.
In relation to this, it is inevitable to consider the potential implications for psychiatry. Older women report higher levels of psychiatric symptoms, especially depressive symptoms, than do men, although there is some conflicting data related to the differences by sex in the incidence of major depression among older adults.