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

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<strong>Health</strong> Survey Findings<br />

Section C1: Adult <strong>Health</strong> Status<br />

General Summary<br />

In ROI, 3,358 general adult interviews were conducted, 1,415 with men and 1,936 with women. A<br />

majority <strong>of</strong> adults indicated their health was either excellent (22.6%) or very good (27.8%). Males and<br />

females overall had a similar pattern but there was an inverse age-related gradient, with older adults<br />

less likely to rate their health as excellent or good and more likely to rate it as fair or poor.<br />

In NI, 790 health interviews were conducted with adults, 402 with men and 388 with women. 50.4% <strong>of</strong><br />

NI adults rated their health as either excellent or very good (14.9% and 33.8% respectively), with women<br />

more likely to rate their health as excellent (17.1%) than men (12.8%). Again there was an inverse<br />

relationship with age: the older the respondent the more likely to rate their health as fair or poor.<br />

In ROI there were high rates <strong>of</strong> registration with a GP, 96.9% overall, with women slightly more likely to<br />

be so than men and there was a positive age gradient, the older the respondent, the more likely to be<br />

registered. Most respondents also had an up-to-date medical card (92.6%) overall, rising to 99% <strong>of</strong> those<br />

aged 65 years and older. In NI again, 93.9% were currently registered with a GP, rising to 100% <strong>of</strong> those<br />

aged 65 years and older. Access to services as measured by general practice availability north and south<br />

is therefore comprehensive. This was perhaps surprising, given the importance <strong>of</strong> this issue in the past,<br />

due to records transfer and registration problems. (O’Donovan, et al., 1995). An appreciable minority <strong>of</strong><br />

respondents in ROI (17.8%) indicated their daily activity or work was limited by long-term illness, more<br />

so in men (19.9%) than women (16.2%) and again, strongly age-related, rising to 40.7% <strong>of</strong> those 65 years<br />

and older. In NI 15.1% indicated their daily activity was limited by long-term illness or disability, also<br />

with an inverse age gradient, rising to 32.0% in the 45-64 year age group.<br />

A number <strong>of</strong> different morbidities were reported. The commonest health complaint reported as being<br />

diagnosed by a GP in ROI was a back condition (30.4%). Reported diagnosis <strong>of</strong> angina was 4.3% overall,<br />

similar in both men and women, and positively related to age. Amongst those aged 65 years and older,<br />

rates were highest <strong>of</strong> heart attack (11.1%), angina (24.2%) and stroke (3.3%).<br />

Most respondents <strong>of</strong> both sexes and in both jurisdictions had not been screened for cardiovascular<br />

risk factors in the last 12 months, though risk factor detection was age related and was undertaken<br />

predominantly by the GP in both ROI and NI. Of those tested, a third <strong>of</strong> respondents in ROI (35.2%)<br />

had been diagnosed with high blood pressure in the last 12 months and a quarter (25.9%) had been<br />

diagnosed with high cholesterol. In NI 44.3% were diagnosed with high blood pressure and 36.8% with<br />

high cholesterol. This pattern too was positively age-related in both jurisdictions.<br />

A third <strong>of</strong> respondents in ROI (31.3%) and 39.9% in NI were on some form <strong>of</strong> prescribed medication,<br />

rising in a graduated manner to 77.9% <strong>of</strong> those aged 65 years and older in ROI. In NI this rise was even<br />

steeper, applying to 82.1% <strong>of</strong> those aged 45 years and older.<br />

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