Survival Models. Lecture: Weeks 2-3. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall Valdez 1 / 31

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Survival Models Lecture: Weeks 2-3 Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 1 / 31

Chapter summary Chapter summary Survival models Age-at-death random variable Time-until-death random variables Force of mortality (or hazard rate function) Some parametric models De Moivre s (Uniform), Exponential, Weibull, Makeham, Gompertz Generalization of De Moivre s Curtate future lifetime Chapter 2 (Dickson, Hardy and Waters = DHW) Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 2 / 31

Age-at-death survival function Age-at-death random variable X is the age-at-death random variable; continuous, non-negative X is interpreted as the lifetime of a newborn (individual from birth) Distribution of X is often described by its survival distribution function (SDF): S 0 (x) = Pr[X > x] other term used: survival function Properties of the survival function: S 0 (0) = 1: probability a newborn survives 0 years is 1. S 0 ( ) = lim x S 0 (x) = 0: all lives eventually die. non-increasing function of x: not possible to have a higher probability of surviving for a longer period. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 3 / 31

Age-at-death CDF and density Cumulative distribution and density functions Cumulative distribution function (CDF): F 0 (x) = Pr[X x] nondecreasing; F 0 (0) = 0; and F 0 ( ) = 1. Clearly we have: F 0 (x) = 1 S 0 (x) Density function: f 0 (x) = df 0(x) dx non-negative: f 0 (x) 0 for any x 0 in terms of CDF: F 0 (x) = in terms of SDF: S 0 (x) = x 0 x = ds 0(x) dx f 0 (z)dz f 0 (z)dz Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 4 / 31

Age-at-death force of mortality Force of mortality The force of mortality for a newborn at age x: µ x = f 0(x) 1 F 0 (x) = f 0(x) S 0 (x) = 1 ds 0 (x) = d log S 0(x) S 0 (x) dx dx Interpreted as the conditional instantaneous measure of death at x. For very small x, µ x x can be interpreted as the probability that a newborn who has attained age x dies between x and x + x: µ x x Pr[x < X x + x X > x] Other term used: hazard rate at age x. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 5 / 31

Age-at-death force of mortality Some properties of µ x Some important properties of the force of mortality: non-negative: µ x 0 for every x > 0 divergence: 0 µ x dx =. in terms of SDF: S 0 (x) = exp ( x ( in terms of PDF: f 0 (x) = µ x exp 0 x ) µ z dz. 0 ) µ z dz. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 6 / 31

Age-at-death moments Moments of age-at-death random variable The mean of X is called the complete expectation of life at birth: e 0 = E[X] = 0 xf 0 (x) dx = 0 S 0 (x) dx. The RHS of the equation can be derived using integration by parts. Variance: Var[X] = E [ X 2] (E[X]) 2 = E [ X 2] ( e 0 ) 2. The median age-at-death m is the solution to S 0 (m) = F 0 (m) = 1 2. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 7 / 31

Special laws of mortality Some special parametric laws of mortality Law/distribution µ x S 0 (x) Restrictions De Moivre 1/ (ω x) 1 (x/ω) 0 x < ω (uniform) Constant force µ exp ( µx) x 0, µ > 0 (exponential) Gompertz Bc x [ exp B ] log c (cx 1) x 0, B > 0, c > 1 [ Makeham A + Bc x exp Ax B ] log c (cx 1) ( Weibull kx n exp k ) n + 1 xn+1 x 0, B > 0, c > 1, A B x 0, k > 0, n > 1 Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 8 / 31

Special laws of mortality force of mortality survival function mu(x) 0.0 0.5 1.0 1.5 2.0 2.5 3.0 surv(x) 0.0 0.2 0.4 0.6 0.8 1.0 0 20 40 60 80 100 120 0 20 40 60 80 100 120 x x distribution function density function dist(x) 0.0 0.2 0.4 0.6 0.8 1.0 0 20 40 60 80 100 120 dens(x) 0.000 0.010 0.020 0.030 0 20 40 60 80 100 120 x x Figure: Makeham s law: A = 0.002, B = 10 4.5, c = 1.10 Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 9 / 31

Special laws of mortality illustrative example 1 Illustrative example 1 Suppose X has survival function defined by S 0 (x) = 1 10 (100 x)1/2, for 0 x 100. 1 Explain why this is a legitimate survival function. 2 Find the corresponding expression for the density of X. 3 Find the corresponding expression for the force of mortality at x. 4 Compute the probability that a newborn with survival function defined above will die between the ages 65 and 75. Solution to be discussed in lecture. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 10 / 31

Special laws of mortality illustrative example 1 Practice problem - SOA MLC Spring 2016 Question #2 You are given the survival function: Calculate 1000µ 35. S 0 (x) = ( 1 x 60) 1/3, for 0 x 60. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 11 / 31

Time-until-death 2.2 Future lifetime random variable For a person now age x, its future lifetime is T x = X x. For a newborn, x = 0, so that we have T 0 = X. Life-age-x is denoted by (x). SDF: It refers to the probability that (x) will survive for another t years. S x (t) = Pr[T 0 > x + t T 0 > x] = S 0(x + t) S 0 (x) = p t x = 1 q t x CDF: It refers to the probability that (x) will die within t years. F x (t) = Pr[T 0 x + t T 0 > x] = S 0(x) S 0 (x + t) S 0 (x) = q t x Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 12 / 31

Time-until-death - continued Density: f x (t) = df x(t) dt = ds x(t) dt Remark: If t = 1, simply use p x and q x. = f 0(x + t). S 0 (x) p x refers to the probability that (x) survives for another year. q x = 1 p x, on the other hand, refers to the probability that (x) dies within one year. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 13 / 31

Time-until-death conditions to be valid Conditions to be valid To reiterate, these are the conditions for a survival function to be considered valid: S x (0) = 1: probability a person age x survives 0 years is 1. S x ( ) = lim t S x (0) = 0: all lives, regardless of age, eventually die. The survival function S x (t) for a life (x) must be a non-increasing function of t. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 14 / 31

Time-until-death force of mortality 2.3 Force of mortality of T x In deriving the force of mortality, we can use the basic definition: µ x (t) = f x(t) S x (t) = f 0(x + t) S 0 (x) S 0 (x) S 0 (x + t) = f 0(x + t) S 0 (x + t) = µ x+t. This is easy to see because the condition of survival to age x + t supercedes the condition of survival to age x. This results implies the following very useful formula for evaluating the density of T x : f x (t) = p t x µ x+t Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 15 / 31

Time-until-death 2.4 special probability symbol Special probability symbol The probability that (x) will survive for t years and die within the next u years is denoted by t uqx. This is equivalent to the probability that (x) will die between the ages of x + t and x + t + u. This can be computed in several ways: t uq x = Pr[t < T x t + u] = Pr[T x t + u] Pr[T x < t] = t+uqx q = p t x t x t+upx = p t x q u x+t. If u = 1, prefix is deleted and simply use t qx. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 16 / 31

Time-until-death Other useful formulas It is easy to see that F x (t) = t 0 f x (s)ds which in actuarial notation can be written as tqx = t 0 spx µ x+s ds See Figure 2.3 for a very nice interpretation. We can generalize this to t+u t uq x = t spx µ x+s ds Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 17 / 31

Time-until-death curtate future lifetime 2.6 Curtate future lifetime Curtate future lifetime of (x) is the number of future years completed by (x) prior to death. K x = T x, the greatest integer of T x. Its probability mass function is Pr[K x = k] = Pr[k T x < k + 1] = Pr[k < T x k + 1] for k = 0, 1, 2,... Its distribution function is = S x (k) S x (k + 1) = k+1qx k q x = k q x, Pr[K x k] = k h qx = q h=0 k+1 x. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 18 / 31

Expectation of life 2.5/2.6 Expectation of life The expected value of T x is called the complete expectation of life: e x = E[T x ] = 0 tf x (t)dt = 0 t p t x µ x+t dt = 0 tpxdt. The expected value of K x is called the curtate expectation of life: e x = E[K x ] = k Pr[K x = k] = k=0 k k qx = k=0 kpx. k=1 Proof can be derived using discrete counterpart of integration by parts (summation by parts). Alternative proof will be provided in class. Variances of future lifetime can be similarly defined. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 19 / 31

Expectation of life Examples Illustrative Example 2 Let X be the age-at-death random variable with µ x = 1, for 0 x < 100. 2(100 x) 1 Give an expression for the survival function of X. 2 Find f 36 (t), the density function of future lifetime of (36). 3 Compute 20p36, the probability that life (36) will survive to reach age 56. 4 Compute e 36, the average future lifetime of (36). Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 20 / 31

Expectation of life Examples Illustrative Example 3 Suppose you are given that: e 0 = 30; and S 0 (x) = 1 x, for 0 x ω. ω Evaluate e 15. Solution to be discussed in lecture. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 21 / 31

Expectation of life Examples Illustrative Example 4 For a group of lives aged 40 consisting of 30% smokers (sm) and the rest, non-smokers (ns), you are given: For non-smokers, µ ns x = 0.05, for x 40 For smokers, µ sm x = 0.10, for x 40 Calculate q 65 for a life randomly selected from those who reach age 65. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 22 / 31

Expectation of life Temporary (partial) expectation of life We can also define temporary (or partial) expectation of life: E [ min(t x, n) ] = e x: n = n 0 tpxdt This can be interpreted as the average future lifetime of (x) within the next n years. Suppose you are given: µ x = { 0.04, 0 < x < 40 0.05, x 40 Calculate e 25: 25 Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 23 / 31

Expectation of life generalized De Moivre s Generalized De Moivre s law The SDF of the so-called Generalized De Moivre s Law is expressed as ( S 0 (x) = 1 x ) α for 0 x ω. ω Derive the following for this special type of law of mortality: 1 force of mortality 2 survival function associated with T x 3 expectation of future lifetime of x 4 can you find explicit expression for the variance of T x? Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 24 / 31

generalized De Moivre s illustrative example Illustrative example We will do Example 2.6 in class. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 25 / 31

Gompertz law example 2.3 Example 2.3 Let µ x = Bc x, for x > 0, where B and c are constants such that 0 < B < 1 and c > 1. Derive an expression for S x (t). Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 26 / 31

Others typical mortality Typical mortality pattern observed High (infant) mortality rate in the first year after birth. Average lifetime (nowadays) range between 70-80 - varies from country to country. Fewer lives/deaths observed after age 110 - supercentenarian is the term used to refer to someone who has reached age 110 or more. The highest recorded age at death (I believe) is 122. Different male/female mortality pattern - females are believed to live longer. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 27 / 31

Others substandard mortality Substandard mortality A substandard risk is generally referred to someone classified by the insurance company as having a higher chance of dying because of: some physical condition family or personal medical history risky occupation dangerous habits or lifestyle (e.g. skydiving) Mortality functions are superscripted with s to denote substandard: q s x and µ s x. For example, substandard mortality may be obtained from a standard table using: 1 adding a constant to force of mortality: µ s x = µ x + c 2 multiplying a fixed constant to probability: q s x = min(kq x, 1) The opposite of a substandard risk is preferred risk where someone is classified to have better chance of survival. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 28 / 31

Others substandard mortality Practice problem - SOA MLC Fall 2000 Question #4 Mortality for Audra, age 25, follows De Moivre s law with ω = 100. If she takes up hot air ballooning for the comming year, her assumed mortality will be adjusted so that for the coming year only, she will have a constant force of mortality of 0.1. Calculate the decrease in the 11-year temporary complete life expectancy for Audra if she takes up hot air ballooning. Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 29 / 31

Final remark Final remark - other contexts The notion of a lifetime or survival learned in this chapter can be applied in several other contexts: engineering: lifetime of a machine, lifetime of a lightbulb medical statistics: time-until-death from diagnosis of a disease, survival after surgery finance: time-until-default of credit payment in a bond, time-until-bankruptcy of a company space probe: probability radios installed in space continue to transmit biology: lifetime of an organism other actuarial context: disability, sickness/illness, retirement, unemployment Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 30 / 31

Final remark other notations Other symbols and notations used Expression Other symbols used probability function P ( ) Pr( ) survival function of newborn S X (x) S(x) s(x) future lifetime of x T (x) T curtate future lifetime of x K(x) K survival function of x S Tx (t) S T (t) force of mortality of T x µ Tx (t) µ x (t) Lecture: Weeks 2-3 (Math 3630) Survival Models Fall 2017 - Valdez 31 / 31