Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada.
Arch Iran Med. 2010 Jul;13(4):333-9.
Iran has gone through sharp demographic changes in the past three decades. Presently, in Iran, there is a lack of health promotional activities targeting the elderly which can lead to a decrease in their quality of life and an increase in their disability rates. Those most vulnerable amongst the elderly are females, who have low education and low socioeconomic status. For them and others, few social services, accessible housing options and long-term care facilities exist.
Data was gathered using population projections over an 80-year period (1975 - 2055), facilitated by spectrum software prepared by the USAID/Health Policy Initiative with data source derived from projections of the United Nations, World Population Prospects. Projections derived were on the expected population, the median age of the population, population pyramids, total fertility rates, life expectancy, and dependency ratio.
Projections showed that by the middle of this century approximately one fifth of the population will be over 60, with the median age of the population almost doubling from what it is today and the dependency ratio increasing steadily. Currently, the resources are not sufficient to address the special needs of an elderly population and are at risk for becoming even more strained over the 80 year span.
Iran must begin to prepare itself for the impact that a massive ageing population will have in the ensuing years. Recommendations suggest developing policies supportive of accessible and affordable housing and care facilities, establishing community health programs that aid the elderly in continuing to live at home, and strengthening the availability of pension plans.
在过去的三十年里,伊朗经历了急剧的人口结构变化。目前,伊朗缺乏针对老年人的健康促进活动,这可能导致他们的生活质量下降,残疾率上升。老年人中最脆弱的是女性,她们受教育程度低,社会经济地位低。对于她们和其他人来说,几乎没有社会服务、可及的住房选择和长期护理设施。
使用人口预测数据在 80 年期间(1975 年至 2055 年),由美国国际开发署/卫生政策倡议利用美国准备的频谱软件收集,数据源来自联合国、世界人口展望的预测。预测结果包括预期人口、人口中位数、人口金字塔、总生育率、预期寿命和抚养比。
预测显示,到本世纪中叶,大约五分之一的人口将超过 60 岁,人口中位数几乎是今天的两倍,抚养比稳步上升。目前,资源不足以满足老年人口的特殊需求,并且在 80 年的时间里,资源面临着更加紧张的风险。
伊朗必须开始为未来几十年人口老龄化带来的影响做好准备。建议制定支持可及和负担得起的住房和护理设施的政策,建立帮助老年人继续在家生活的社区卫生计划,并加强养老金计划的提供。