Asian pearlsPopulation trends and public awareness of healthy and pathological ageing in India: A brief overview
Section snippets
General introduction
Globally, the number of older adults is expected to increase in the coming years (United Nations. Department of Economic and Social Affairs, 2007). The World Health Organization (WHO), in its World Report on Ageing and Health, reported that low-and-middle income countries (LAMICs) will experience an increasing burden from communicable and non-communicable diseases given the number of people reaching advanced ages (World Health Organization, 2015). Supporting this assertion, current forecasts
Ageing demographics in India
The Longitudinal Ageing Study in India was designed to comprehensively understand the economic, social, psychological and health aspects of ageing. Early results from this unpublished study suggest that the elderly in India are subject to a wide array of health, financial and social inequalities (Arokiasamy et al., 2011). Specifically, it is estimated that in 2021, 9.9% (133.32 million) of the Indian population will be aged above 60 years with this percentage projected to rise to 17.3% (300.96
The general population
While evidence is limited, some have suggested that Indian healthcare professionals possess a poor understanding of the ageing process (Gangadharan, 2003). From available evidence however, it is reasonable to assume a similar level of understanding amongst the general population who have not acquired medical expertise. To our knowledge, no study has examined the general population’s awareness of healthy ageing. However, there is consistent evidence that the general population treats severe
Knowledge transmission as a means to improve treatment and care
While on one hand there is poor knowledge of the behavioral symptoms of dementia, on the other hand, there is acknowledgement that diabetes mellitus and hypertension are common health related ailments. The knowledge-gap existing between these disease types may arise from a combination of high prevalence rates of diabetes (Ramachandran and Snehalatha, 2009), recent efforts by the Indian government to proactively address the projected increase of people that will suffer from diabetes (Shetty, 2012
Critical factors in devising future healthcare policies for the elderly
The WHO has identified six priority conditions within LAMIC’s responsible for significant burden in terms of morbidity; dementia being one of them. The WHO’s mhGAP Intervention Guide is a useful guide to reduce the treatment gap with explicit algorithms of evidence based-treatments tailored to individuals, keeping in mind the prevalent socio-cultural practices in that region (World Health Organization, 2010). Interventions for dementia include a flowchart for identification, assessment and
General discussion
India is experiencing a dramatic demographic shift towards an increasingly ageing population (Varghese and Patel, 2003). In this brief overview of demographic trends and public awareness of healthy and pathological ageing (defined as dementia or Alzheimer’s disease and related disorders), the following key observations emerged: (a) while epidemiological research is available from regional sections of India, what is lacking from the larger research corpus is a national demographic study of the
Funding
This research did not receive any specific grant from funding agencies in the public, commercial, or non-profit sectors.
Acknowledgement
None.
References (50)
- et al.
Global prevalence of dementia: a Delphi consensus study
Lancet
(2005) - et al.
Mental health systems in countries: where are we now?
Lancet
(2007) - et al.
Assessment of burden in caregivers of Alzheimer’s disease from India
Asian J. Psychiatry
(2010) - et al.
Barriers to improvement of mental health services in low-income and middle-income countries
Lancet
(2007) Methodological issues for population-based research into dementia in developing countries
Int. J. Geriatr. Psychiatry
(2000)- et al.
Longitudinal Aging Study in India: Vision, Design, Implementation, and Some Early Results
(2011) - et al.
Scale up services for mental disorders: a call for action
Lancet
(2007) - et al.
The impact associated with caring for a person with dementia: a report from the 10/66 dementia research group’s Indian network
Int. J. of Geriatr. Psychiatry
(2004) - et al.
The experience of burden in India: a study of dementia caregivers
Dementia
(2006) - et al.
Prevalence of depression in family caregivers
Gerontologist
(1989)
Geriatric hospitals in India, today and in the future
J. Aging Soc. Policy
The pathways to psychiatric care: a cross-cultural study
Psychol. Med.
Psychosocial factors among Chinese American women dementia caregivers and their association with salivary cortisol: results of an exploratory study
Ageing Int.
Cortisol outcomes among caucasian and latina/hispanic women caring for a family member with dementia: a preliminary examination of psychosocial predictors and effects of a psychoeducational intervention
Stress Health
Evaluation of District Mental Health Programme
Mental health literacy: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment
Med. J. Aust.
Exploring the effectiveness of an internet-based program for reducing caregiver distress using the iCare Stress Management e-Training Program
Aging Mental Health
Attitudes to people with mental disorders: a mental health literacy survey in a rural area of Maharashtra, India
Soc. Psychiatry Psychiatr. Epidemiol.
Community beliefs about causes and risks for mental disorders: a mental health literacy survey in a rural area of Maharashtra, India
Int. J. Soc. Psychiatry
Audience segmentation: identifying key stakeholders for mental health literacy interventions in India
J. Public Mental Health
Caregiving experiences of family members of persons with dementia in south India
Am. J. Alzheimer’s Dis. Other Demen.
Ageing and mental health in a developing country: who cares? Qualitative studies from Goa, India
Psychol. Med.
Closing the treatment gap for mental disorders
Routledge Handbook in Global Public Health
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