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

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<strong>All</strong> <strong>Ireland</strong> <strong>Traveller</strong> <strong>Health</strong> <strong>Study</strong><br />

Overall Summary <strong>of</strong> the<br />

Comparative Section<br />

This comparative discussion has drawn data from multiple sources, to create a picture <strong>of</strong> <strong>Traveller</strong><br />

health and social status in contemporary <strong>Ireland</strong>. The primary comparator groups were those <strong>of</strong> similar<br />

socioeconomic standing in the general Irish population, although comparisons were also drawn with<br />

the samples <strong>of</strong> all the general population where this proved informative.<br />

With regard to health status <strong>of</strong> <strong>Traveller</strong>s, we have shown that this population subgroup subjectively<br />

rates their health in a positive manner, but in fact have substantially higher rates <strong>of</strong> ill-health affecting<br />

them on a day-to-day basis than is demonstrated in the comparator populations. They have a higher<br />

burden <strong>of</strong> chronic diseases, and higher measures <strong>of</strong> risk factors such as smoking, high blood pressure,<br />

cholesterol, and dietary consumption <strong>of</strong> fried foods. Fewer <strong>Traveller</strong>s drink alcohol than do the general<br />

population, but those who do drink, drink more frequently. They have similar rates <strong>of</strong> injury than<br />

the comparator populations, but have higher rates <strong>of</strong> non-accidental injury. Breastfeeding rates are<br />

extremely low.<br />

Again, <strong>Traveller</strong>s rate the general health <strong>of</strong> their children in a very positive light. However, when data<br />

is examined on specific health concerns, it can be seen that <strong>Traveller</strong> children have higher reported<br />

prevalence <strong>of</strong> hearing, eyesight and speech problems. <strong>Traveller</strong> children clearly benefit from the<br />

established <strong>Traveller</strong> community: they have multiple close friends. By parental report, experimentation<br />

with alcohol and tobacco is also rare in the <strong>Traveller</strong> 14-year-olds, and <strong>Traveller</strong> children are physically<br />

active in their day-to-day life. However, in comparison with other children, few have home access to<br />

computers.<br />

<strong>Traveller</strong>s report similar sources <strong>of</strong> support, with regard to social support from friends and family, as<br />

do the comparator population. However, the comparison between the <strong>Traveller</strong>s and the general<br />

population with respect to measures <strong>of</strong> trust is striking. The frequency <strong>of</strong> reporting <strong>of</strong> experiences <strong>of</strong><br />

discrimination is also high.<br />

<strong>Traveller</strong>s report that they access health services with a greater frequency than do other comparator<br />

populations. They also access preventive medicine services, such as voluntary screening programmes.<br />

Furthermore, their experiences <strong>of</strong> health services are consistently less positive than are the experiences<br />

<strong>of</strong> the comparator population in INSIGHT ‘07. It is also notable that more <strong>Traveller</strong>s reported not<br />

accessing care for their children because <strong>of</strong> a concern about paying for services than did the<br />

comparator population, notwithstanding the fact that they have medical cards.<br />

In summary, this comparative exercise has shown that the Travelling community has a higher burden <strong>of</strong><br />

ill-health than does the general population. Whilst <strong>Traveller</strong>s would appear to access hospital services<br />

more frequently than do others, their experience <strong>of</strong> the services are not as positive.<br />

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