The birth rate (9.49‰, 2012) is much lower than the mortality rate (11.84‰, 2012), resulting in a shrinking (−0.26% per year, 2012) and aging population (median age: 41.6 years, 2018), one of the oldest populations in the world, with approximately 16.8% of total population aged 65 years and over. The life expectancy in 2015 was estimated at 74.92 years (71.46 years male, 78.59 years female).