Tuesday, January 31, 2012

Pakistan’s Evolving Joint Family System


I previously talked about the American family structure. For this post, I wanted readers to picture the lives of the elderly in Pakistan, my home country. Researching on this topic expanded my knowledge, as I became aware of viewpoints that were not obvious to me before.

          In the 1990s, Pakistan reported the highest percentage of households at 72.4 % with 5 or more members. (Demographic and Social Trends Affecting Families in the South and Central Asian Region) An obvious reason that comes to mind is the widespread prevalence of the joint family system in the country. The joint family system serves as the basic family unit in Pakistani society. In a joint family, the parents, grandparents and children live in the same household. Older males are the breadwinners of the house while women play a significant role in taking care of the family. The members try to uphold each other's priorities and hence form a closely knit circle. People in Pakistan dearly followed the joint family but conversely in recent years, urbanization has directed to alterations and amendments to this existing system as each individual strives to keep up with today’s society. 

         The retirement age in Pakistan is 60 years after which most elders are unable to find alternative sources of income and thus become largely dependent on their families for financial support. (Family System in Pakistan 2011) With a rapid conversion of extended family systems to nuclear families, the elderly suffer the most in a third world country with bare amenities. This has lead to increased disease burden. The Population census of Pakistan of 2008 cites a 28% disability rate of people aged 60 and older, which is significantly greater than most developing and developed countries. (Sabzwari 2009) What are the elderly of Pakistan going to do with these currently changing scenarios? 

References:

UN Survey, “ Demographic and Social Trends Affecting Families in the South and Central Asian Region ”


Saniya R. Sabzwar, “Ageing in Pakistan—A New Challenge”

American Nursing Institutions


This blog will examine both biological and social aspects of aging across Asian and American countries. Each country only forms a page of this collective book we call our World. These societies vary so much from each other that travelling is essential to put yourself in other people’s shoes, to understand the diverse backgrounds that these people are coming from. I am an international student from Islamabad, Pakistan and moved to California in 2009 to begin studying at USC. The fact that “family” is not the essential basic unit of society was one of the bigger culture shocks I experienced.

On average, young Americans report becoming financially independent from their parents at a median age of 20. (AESC & AARP Research). These young adults grow up and remain independent while their parents require more support with increasing age. This is where Nursing Facilities enter the equation, by playing a semi-reliable part in taking care of the otherwise unattended elderly. In 2007, the total number of nursing home residents in certified nursing facilities was 1,368,230. A breakdown of this number indicates that New York led in the number of residents with 108,749, followed by California (97,530), Texas (89,698), Pennsylvania (79,422), Ohio (77,751), Illinois (76,065) and Florida (69,978). (Rubins) The breakdown statistics denote an obvious trend that more people are admitted into nursing homes in states that are usually bustling and fast paced, meaning people do not have time to take care of the aged.  

One disadvantage of Nursing Institutions is that most of them provide the elderly with a very monotonous lifestyle that is not beneficial for their health, both physically and mentally. A study suggested that the prevalence of depression in the nursing home population is very high. Whichever way defined, the prevalence rates found were three to four times higher than in the community-dwelling elderly. (Jongenelis 2004) Facts like this highlight the errors in current generic nursing home systems, and the changes that can be made to improve on them.

References:
K. Jongenelis, A.M. Pot, A.M.H. Eisses, A.T.F. Beekman, H. Kluiter, M.W. Ribbe,Prevalence and risk indicators of depression in elderly nursing home patients: the AGED study, 2004.

AESC & AARP, Preparing for Their Future - A Look at the Financial State of Gen X and Gen Y

Statistics on Nursing Homes and Their Residents,