Listen to #Hashtag Hong Kong every Sunday morning at 8.15
Focussing on issues affecting civil society, we'll hear from representatives of NGOs, associations, statutory bodies, and non-profit groups.
(Sundays 8.15am - 8.25am)
Good morning, everyone. I'm Vivian, Director of the Senior Citizen Home Safety Association and Professor in the Department of Social Work and Social Administration at The University of Hong Kong. Today, I’m going to share a little bit about a critical challenge facing Hong Kong's rapidly ageing population - the depression among older adults.
As you may be aware, Hong Kong is becoming an ageing society. More than 20% of our population is now 65 years old or above, and this percentage is expected to keep growing in the coming years. This demographic shift is creating significant challenges for our community, especially for our public health. One of the major issues is the high rate of depression among our senior citizens. Studies show that around 11% of Hong Kong's older adults suffer from at least one common mental health problem, and depression is a big part of that.
Why is this happening? The high rates of depression among older adults can be attributed to several key risk factors. Older adults often face multiple health challenges, ranging from chronic illnesses to physical limitations, which can significantly impact their mental well-being. Additionally, financial concerns, such as poverty and low income, can create significant stress and anxiety. Social isolation is another major contributor. Furthermore, the cognitive and functional declines associated with ageing can exacerbate feelings of helplessness and diminish an individual's ability to cope effectively. Even social culture could also be a factor that worsens the situation by discouraging older adults from seeking help. These factors can significantly impact an older adult’s overall well-being and quality of life.
Depression in older adults often presents differently than in younger populations. They may have common symptoms such as persistent sadness, anxiety, and difficulty concentrating. However, older adults are more likely to display cognitive changes and physical symptoms such as chronic pain or digestive problems, rather than the emotional symptoms we often associate with depression. This can make depression harder to diagnose and treat.
The good news is that there are effective ways to address depression in older adults. In addition to medication, community-based interventions and traditional practices like Qigong are often found to be effective approaches to treat depression in older adults. In Hong Kong, various local organisations are providing community-based mental health support to older adults. Let's take the Senior Citizen Home Safety Association's comprehensive 24/7 support service “Care-on-Call” as an example. This service has a team of registered social workers to take care of users’ emotions and mental well-being. We offer crisis assessment, emotional support, counselling, and information on community mental health resources. Through early screening and intervention, this service aims to prevent or alleviate the onset of major depression among older adults.
However, there's still a lot more that needs to be done. Given the rapid ageing of Hong Kong's population, the government may need to increase the availability of free or low-cost mental health services for older adults, so that more of those in need can access professional support. More resources for training social workers and healthcare professionals are also essential to better identify and manage mental health issues. Furthermore, the government should strengthen its collaboration with community organisations to focus on the mental well-being of our seniors. For example, they could encourage community centres and other groups to regularly host mental health talks and support groups, where older adults can come together, share, and find comfort in one another.
Ultimately, helping with depression in Hong Kong's ageing population is going to take a lot of different efforts. We need to make mental health less "shameful", empower communities, and ensure our seniors have the resources and care they need. It's a big challenge, but an important one we have to keep working on.
And to end on a positive note, I’d like to dedicate this song to all of you as I am a strong believer in the power of love. With love, we can! It’s called Ping Zhuo Ai by Julie Sue.
Recently, the Equal Opportunities Commission released a report on breastfeeding at publicly accessible premises in Hong Kong. We from the Natural Parenting Network would like to share the challenges that breastfeeding mothers face and hope the public will better understand our needs and offer support and respect.
Breastfeeding not only benefits babies and mothers, but also families, and the workplace, as well as the society ultimately.
The success and sustainability of breastfeeding depend not only on the effort of mothers and babies but also how the support from their environment: the attitude of family members, societal views, the workplace arrangements when mothers return to work etc.
Breastfed babies receive natural antibiotics and other life-immune contents, especially during their vulnerable period before the age of 2. This reduces the risk of babies getting sick or hospital admissions, which subsequently decreases the need for parents to apply for leave to take care of their children. Parents then can focus more on their work and have high productivity, which is a win-win situation for the new families, organization and society.
Apart from physical benefits, breastfeeding also helps mothers and babies establish a close bond and attachment, leading to better emotional and brain development. Therefore there is an essential need for social support for breastfeeding families.
We realized that mothers are facing some difficulties:-
1 . Although many public venues provide baby care or nursing rooms nowadays, the number of facilities provided is far less to meet the demand. There may be 1 or 2 nursing rooms if lucky or it maybe only available on certain floors). But the number of families visiting the venue is not 1 or 2! We can imagine when a baby shows their early hunger signal, mothers need to find their way to the baby care facilities, which may take a 10-minute walk, only to find the room may be occupied, leading to a further waiting of 30 minutes or more.
2. Some nursing areas are designed to share with baby-changing stations. This would lead to a longer waiting time and queue for those who have real needs.
3. Sometimes misutilization occurs such as people occupying the nursing room for bottle/ formula feeding babies, having lunch, or other uses rather than breastfeeding! Some facilities management offices may lock the room for better control and avoid the above occurrence. When mothers reach the nursing room, they need to call the management office and wait for them to unlock the room. It is very inconvenient indeed and the purpose of establishing a breastfeeding room cannot be fully utilized.
The availability of breastfeeding facilities is only one of the difficulties that mothers face. There is also a lack of awareness and acceptance of breastfeeding. People think it’s just the same between breastfeeding and formula feeding and even may stop mothers from breastfeeding in open areas such as shopping arcades, restaurants, and parks etc. They even ask mothers to feed their babies in the washroom, which is inhumane. This can deter mothers from bringing their babies out even for a walk.
On the other hand, there are only guidelines issued by the government but not ordinances to monitor employers to provide certain designated breastfeeding periods and spaces. Therefore apart from families visiting public venues having their needs for breastfeeding facilities, some working mothers need to pump or express breastmilk at nursing rooms near their workplace, which increases the need for certain amount of breastfeeding rooms.
There is an increasing need for breastfeeding facilities in public and government premises. Government legislation on breastfeeding facilities requirements in newly built and refurbished premises can absolutely help to fulfil the demands. Relative stakeholders shall put an effort into supporting breastfeeding families. The developers can arrange breastfeeding facilities by re-arranging shops/ office areas in their existing premises, placing portable cube breastfeeding rooms can already help a lot. We think it is a social responsibility to offer support and respect to breastfeeding mothers.
The above-mentioned hindered mothers' continuous breastfeeding, especially after getting back to work. The attitude of the people around them is very important. How the public reacts to breastfeeding strongly affects mothers’ confidence and minds in sustaining their breastfeeding journey. We would recommend the government to promote and educate people that “breastfeeding is just that normal”, breastfeeding mothers are deserved to be respected and accepted. Mothers have the right to breastfeed their children anytime anywhere, even the breastfeeding facilities are not available, without being stared by strange eyes.
There are resources in the society that support breastfeeding mums. We are breastfeeding mothers and we provide peer support to expected and post-natal parents, the “Breastfeeding Peer Counseling Program” (in short “BFPC) is commissioned by the Department of Health. We organize workshops and deliver correct breastfeeding information via social media like Facebook, Instagram, WeChat, and YouTube. Mothers can also raise their enquiries by reaching out our hotline and WhatsApp group services.
Moreover, we recommend mothers download the mobile app “ Breastfeeding GPS” so that they can obtain the location of breastfeeding facilities nearby when they are going out with their babies or there is a need for a place for milk expression during work or away from their babies.
This morning, I’d like to dedicate the song Never Grow Up by Taylor Swift to all of you listening. Enjoy and Thank you
As the government has announced the “ Waste Blueprint for HK 2035 “ to tackle the challenge of waste management as well as to build a circular economy and a sustainable green living environment, “Waste Reduction” is on the top priority list. The government has proposed a measure to regulate disposable plastic tableware in phases. The Amendment Bill for the first phase of regulation was thus passed in March 2023 and will be in force on April 22, 2024.
Under the Regulation, nine types of disposable plastic tableware would be introduced.
In the first phase under the Regulation, EPS tableware, plastic straws, stirrers, cutlery and plates are prohibited to sell to end-consumers and prohibited to provide by catering premises to customers for dine-in and takeaway services. The other disposable plastic tableware such as plates, cups food containers etc, will come into force in the second phase, but the date of implementation has yet to be determined.
There are a few issues which the catering industry is concerned upon the introduction of the ban on using plastic disposable materials. The catering industry at first worried if there were alternative products to substitute the plastic tableware, and whether those environmental substitutes would increase the operating cost.
Accordingly, if we look at the website of the Environmental Protection Department, we find that at the moment 64 companies are carrying 737 items which cover a wide range of non-plastic disposable tableware. Restaurant operators do have a lot of varieties to choose from which would suit their needs.
However, many restaurant operators are, at the moment, not eager to use non-plastic tableware as the government is giving a six-month grace period to the trade, such that operators will not be fined if they do not follow the regulation on and after April 22. On the other hand, it would give enough time for importers and wholesalers as well as retailers to consume or or deal with their inventories within the allowable period. This period would also offer more time for the catering industry to find more suitable products to suit their budget and needs.
In general, the cost of environmentally disposable products is about 20-30% more expensive than the plastic ones. Take the straws for example, a few cents increase seems not much for each straw, but it can translate to a substantial percentage increase when large quantities of straws are to be consumed. Since almost all non-plastic disposable products are imported, importers and wholesalers are not willing to take the risk of keeping too much stock in their warehouses at the moment. However, we believe that costs will come down when all restaurants have adopted the practice due to the larger quantity imports.
Another concern is the quality of the substitutes. Those non-plastic substitutes are commonly made of paper, bamboo, softwood, wood pulp and plant fibre materials. Though there are a lot of choices for each type of utensil, the quality of the product varies. Some customers have complained that the paper straws or spoons cannot sustain in higher temperatures nor cannot be put in liquid for too long as they will become soft. Of course, we can find better quality products in the market, but the cost will then be higher.
As the date for launching is drawing near, the catering industry has thought of ways to deal with the situation. Large restaurant groups, such as fast food chains, hotels and high-end restaurants have started using non-plastic utensils. Even though the cost, in general, is higher, they are willing to do so as it’s a social responsibility to compile with the ESG initiative. Some restaurants simply do not provide disposable utensils, but charge customers upon their request. Some restaurants or coffee shops have started to encourage customers to bring their utensils; in such cases, restaurants will save on the cost of providing the materials, while customers do not need to pay additional to the restaurants for getting non-plastic disposable tableware.
There are about 18,000 restaurant outlets in HK, and 98% of those are small and medium-sized enterprises. With the present gloomy economic environment, these SMEs would be very cautious about the increased expenses if environmental products are used. However, I would suggest to them to use more reusable products to lower their cost and not provide the disposable utensils to customers.
After all, the bill has passed, we, as an individual should do more for the environment. I also believe that education and publicity are vital means to pass the message to the public. The government should without any hesitation, launch more programs and publicities to educate the public how to deal with the change of living habits as well as to let people understand our environment is at risk if we do not act now.
I'd like to share this song with you all this morning, I want to dedicate "Somewhere over the Rainbow" by Judy Garland. Thank you for listening.