All Ireland Traveller Health Study Our Geels - Department of Health ...

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All Ireland Traveller Health Study Table 246: Rating of the child’s current health, in the AITHS, Lifeways and HBSC, by age Rating of health ROI (n=520) 5-year-olds 9-year-old 14-year-olds Travellers NI (n=61) Lifeways (n=177) ROI (n=386) Travellers NI (n=65) HBSC 9-yearold in SC 5-6 (n=333) ROI (n=459) Travellers NI (n=55) HBSC 12-14- yearolds in SC 5-6 (n=907) Excellent 45.4% 42.6% 28.8% 55.4% 46.2% 40.2% 52.9% 54.5% 34.4% Very good and/or good Fair or poor 48.4%* 49.2%* 67.8%* 39.4%† 43.1%† 54.1%† 40.1%† 40.0%† 54.5%† 6.2% 8.2% 3.4% 5.1% 10.8% 4.8% 7.0% 5.5% 11.1% *Composite of “Very Good” and “Good” answers †”Good” answer only, as there was no “Very Good” option in HBSC In total, 22.9% of ROI Traveller children and 26.0% of NI children have ever had an accident that required hospital treatment. 26.5% of ROI and 23.8% of NI Traveller 9-year-old have ever had such an accident, in comparison with 30.9% of 9-year-old NLSC/GUI children in SC 5-6. 42.7% of HBSC children in all social classes reported an accident which ‘required treatment from a doctor or nurse’ in the last 12 months. Regarding specific injuries, 16.7% of ROI and 16.7% of NI 5-year-old Traveller children were reported to have ever had a burn or a scald, in comparison with no reported burns or scalds in the last 12 months in 199 5-year-old Lifeways children whose mother holds a medical card. 2.2% of ROI and no NI 5-yearold Traveller children were reported to have ever had an accidental poisoning, in comparison with 0.5% (9/199) Lifeways 5-year-old children, whose mothers hold medical cards, who had an accidental poisoning in the last 12 months 2 . The 5-year-old AITHS children from ROI are more likely to have stayed overnight in hospital, with 9.5% of ROI and 3.3% of NI 5-year-olds having been an inpatient for one or more days in the previous 12 months, in comparison with 2.3% of the Lifeways 5-year-olds whose mothers hold medical cards. In the last 12 months, 6.0% of ROI AITHS children and 10.6% NI AITHS children were reported to have not received medical care for a problem that needed attention, compared with 2.8% of NLSC/GUI 9-yearold children in SC 5-6. In the NLSC/GUI, 9.1% of the parents of this 2.8% indicated that this was because 196 2 It should be noted however that there are a number of limitations in these comparisons of accident incidence. Firstly, the items collected vary with regard to time scale. For the HBSC and Lifeways studies, data were collected on accidents in the last 12 months, and in the AITHS and NLSC/GUI, data were collected on whether the child had ever had an accident. Second, the AITHS and NLSC/GUI items related to hospital treatment, whereas the HBSC item related to doctor or nurse treatment. Third, as already stated, the methodologies vary somewhat between the studies, in that AITHS, Lifeways and selected NLSC data were collected from parent or guardian report, whereas the HBSC was collected by child report.
Health Survey Findings they could not pay for the care, compared with 19.1% of ROI Travellers and 28.6% of NI Travellers who indicated that their children did not receive care because of this reason. This disproportionate healthcare threat to Traveller children is notable. Given the high number of medical card holders in the Traveller community, this is an unexpected finding, but it may reflect the number of Travellers whose medical cards are not current or are in the process of being applied for. With regard to specific medical problems, Table 8 shows the relative frequencies of sight, hearing and speech problems within the 5-year-olds in the AITHS and the Lifeways medical card holder families, while Table 9 shows these frequencies in the 9-year-old AITHS children and the 9-year-old SC 5 or 6 children in the NLSC/GUI 3 . The Traveller groups report higher rates of such problems than the comparable populations. Table 247: Ever had or has a specific health problem, in the 5-year-old group Health concern ROI Travellers (n=507) NI Travellers (n=60) Lifeways medical card holders (n=199) Eye problem 15.5% 23.3% 5.4% Hearing problem 12.4% 11.9% 4.3% Speech problem 15.1% 18.6% 9.8% Table 248: Ever had or has a specific health problem, in the 9-year-old group Health concern ROI Travellers (n=388) NI Travellers (n=64) NLSC SC 5-6 (n=1,114) Eye problem 17.6% 28.2% 17.1% Hearing problem 12.9% 22.3% 8.3% Speech problem 13.5% 18.8% 7.5% 3 The different prevalences of problems noted may be partly explained by the different data items collected. In AITHS, the parents were asked whether the child ever had or currently has an eye, hearing or speech problem; in NLSC/GUI, the parents were asked if the child ever had a sight or hearing or speech problem which needed correction, and whether the child had a speech problem; and in Lifeways, the parents were asked whether the Lifeways child had these issues as ‘ongoing problems’. The definition of the eye, hearing or speech problem in question was left to the parent or guardian’s own interpretation in all 3 studies. 197
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