Phoenix

Ageing and Mental Health – Bangladesh Perspective

Dr. Shaorin Tanira

AGEING AND MENTAL HEALTH – BANGLADESH PERSPECTIVE

Dr. Shaorin Tanira

As of 2019, over 13 million elderly people living in Bangladesh (aged over 60), which is 8% of its total population. The proportion of elderly people is expected to double to 21.9% by 2050, which would be about 36 million. It means one in every five Bangladeshis will be a senior citizen.1

As people age, they face many changes in their lives and face many sources of stress. People do not remain the same as they used to be, illness becomes more of a problem, children move away from them, spouse, relatives, friends and companions they love die, they become lonely day by day, and eventually they retire from work. All these changes have great impacts on the mental health of elderly people. Sometimes it is felt that coping with all those changes is really difficult for the seniors; however, evidence showed that it is not impossible. The keys to coping include one’s long-term lifestyle, ability to expect and plan for change, strength of relationships with surviving family and friends, and willingness to stay interested in and involved with life.2 Therefore, it is very important to think carefully about your mental health – what will happen to you as you are ageing and how you are going to deal with the changes happening in you.

In a resource-poor country like Bangladesh, mental disorders among elderly people are often underestimated due to lack of awareness and perceived needs of medical care are mostly for physical illness, while comorbidity with mental conditions remain underdiagnosed or neglected. Most common mental disorders reported are depression, suicidality, and dementia.3 World Health Organization stated that “mental health and well-being are as important in older age as at any other time of life”, as near about 15% of elderly people are suffering from mental disorders around the globe.4 However, improving mental health care delivery in a resource-poor country have numerous challenges, which demand more awareness, talks in mass-media, implementation research and policy level actions. Besides, geriatric mental health should be considered as a distinct domain in the health system for improving mental health care for the ageing population.

References:

1.HelpAge International (2012). Ageing in the 21st century: a celebration and a challenge. New York, UNFPA.

2.Canadian Mental Health Association (2020). Aging and mental health. Toronto, CMHA.

3.Tanira, S.; Nurunnabi, A. S. M.; Sony, S.A.; & Khatun, R. (2015). Elderly population of Bangladesh: a public health concern. Journal of Health Science, Research & Policy, 2(1), 2-7.

4.World Health Organization (2017). Mental health of older adults. Geneva, WHO.

Dr. Shaorin Tanira, MBBS, MSc (Aging and Health)

 

School of Rehabilitation Therapy

Faculty of Health Sciences, Queen’s University

Kingston, ON, Canada

& Geriatric Care Consultant, Phoenix Wellness Centre BD

Dhaka, Bangladesh

 
 

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