ReviewDepression among women in the South-Asian region: The underlying issues
Introduction
Over the last quarter century, great advances have been made worldwide in improving all aspects of female lives; yet, women continue to lead complexly difficult lives. Globalization and international capitalism portray the pathological differences between the comforts of the first world woman and the wide spread exploitation, dismal social and general living conditions of the third world woman. This blatant disparity led Dr. Mahbub-ul-Haq in the “Human Development in South-Asia, 1997” (WHO, 1997) to say — “To be a woman in this region (South-Asia) is to be a non-person!!”
According to UNDP (1995) women constitute more than 70% of the world's poor and carry the triple burden of productive, reproductive and caring work. Based on all available data, UNDP (1997) concludes that “no society treats its women as well as its men”. Comparing and analyzing the socio-cultural and economic background of the female natives of South-Asia in the context of psychiatric disorders brings forth interesting revelations and peculiarities of the suffering of the women in this region. The women in the region continue to suffer manifold in comparison to their male counterparts as stated in a study by Mumford et al. (1997): Depression and anxiety was found to be present in 46% of women compared to 15% of men. The problem is further highlighted by the impact it has on the society as a whole. Estimation of Global Burden of Disease indicates that unipolar depression among women will be the second most important cause of disease burden by the year 2020! (Murray and Lopez, 1996). It has been projected that problems are bound to increase in coming times. By 2020, unipolar major depression alone will account for 8.62 of all DALYS for women. The most disturbing fact is that the impact would be felt by women in their productive years, particularly between the ages of 15 and 44 (Thara and Patel, 1998). The study of various factors and their outcomes may help to develop fruitful strategies by common workforce to create logical solutions.
Section snippets
Demography, social status and cultural background
The countries grouped under the umbrella of South-Asia are India, Pakistan, Sri Lanka, Nepal, Bangladesh, Maldives and Bhutan. The majority is located in the Indian subcontinent. A total of approximately 2 billion people reside in the region, out of which nearly 860 million are females i.e. about 48% of native population is female (Table 1). More than half of the females of the region reside in India. Women, whether they are from Pakistan, the Philippines or India all have similar problems
The social milieu
The social milieu, one of the most important determinants of health is characterized by poverty, overcrowded living conditions, unemployment, job insecurity and inequity, a growing number of broken marriages, man-made and natural disasters and wars. A study showed that women with lower levels of education had an increased risk for psychiatric disorders — nearly 66% of women and 25% of men suffered from depression and anxiety disorders (Mumford et al., 1997). Evidence on the specific effect of
Need of the hour: A step forward
The problems are many and a proper approach towards their solution is the need of the hour. The need for this has been emphasized by W.H.O. (1998) as “Women's health is inextricably linked to their status in society. It benefits from equality, and suffers from discrimination.” The many priorities should be organized in a hierarchy as per the needs:
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Protection should be given to those most vulnerable to abuses, including rape and sexual violence,
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Reconstructing and developing the health sector,
References (45)
- et al.
The healing significance of the Negev's Bedouin Dervish
Soc. Sci. Med.
(1996) - et al.
Gender, quality of life and mental disorders in primary care: results from the PRIME-MD 1000 study
Am. J. Med.
(1996) - et al.
Women, poverty and common mental disorders in four restructuring societies
Soc. Sci. Med.
(1999) - et al.
The impact of domestic violence on women's mental health
Aust. N. Z. J. Public Health
(1998) Social Change and Family Processes
(1987)Ideology, value changes, and women's social position in Libyan society
Affective disorders in Iraq
Br. J. Psychiatry
(1970)- et al.
Attempted suicide in South Asian women
Adv. Psychiatr. Treat.
(2002) Motherhood and Mental Illness
(1996)Social factors and comorbidity of depressive and anxiety disorders
Br. J. Psychiatry
(1996)