4858 Mental Health Report - National University of Ireland, Galway

More documents

Recommendations

Info

Findings from the Compatibility and Comparability of Mental Health and Related Health Data Sources years and over. The Health Surveys for England and Scotland are both cross sectional using interviewer administered questionnaires among people aged 16 years and over. On the GHQ-12 scores, two cut-off values, 3 and 4, were used to dichotomise the respondents’ scores. The percentage respondents above the two cut-off values of the GHQ-12 are presented in the following Table 8 (adapted from O’Reilly 2001). Both cut off scores are presented. Table 8: Percentage respondents (aged 16-64 years) above the GHQ-12 cut-off in the Republic of Ireland, Northern Ireland, England and Scotland Living in SLÁN Health Health Health and Ireland Survey Survey for Survey for Social Well- Survey Ireland Scotland England being Survey 1997 1999 1995 1995 N. Ireland 1997 % % % % % GHQ ≥3 10.4 15.8 17.3 18.9 23.6 GHQ ≥4 7.4 9.6 13.0 14.0 16.6 These results show that using both cut off scores Northern Ireland exhibited the highest levels of psychological morbidity of all countries. The lowest level of psychological morbidity, either using a cut-off of 3 or 4, was observed in the Republic of Ireland, the lowest being among respondents to the Living in Ireland Survey (1997). There is little difference in the psychological morbidity rates between Scotland and England. However respondents in Northern Ireland exhibited a substantially higher psychological morbidity than their counterparts in England and Scotland. Regarding quality of life measures, O’Reilly and Browne (2001) compared SF-36 scores between Northern Ireland and England. This comparison found that even with its slightly younger population, Northern Ireland has a lower mean score (worse health) on all dimensions of the SF-36. For many of the dimensions of the SF-36 the difference in mean scores between Northern Ireland and England improved with increasing age. One exception to this was the mental health dimension which in Northern Ireland gradually disimproved with age. In England levels of mental health were well maintained across the age range. A study by Layte & Jenkinson (2001) reported on the construction of the Physical and Mental Summary Scores derived from the SF-12 for a representative sample from the Republic of Ireland and then compared the results to a normative sample from England. Compared to their English counterparts, the respondents in the Republic of Ireland were found to have significantly higher average physical and mental health status. This difference persisted across the distribution. With regard to mental health this difference was particularly marked, with the 109
Findings from the Compatibility and Comparability of Mental Health and Related Health Data Sources Irish sample average over five units higher than the English sample average. When analysed by sex, the health advantage of the population of the Republic of Ireland persisted, though the difference between Irish and English men was not significant. With regard to all age groups the population of the Republic of Ireland had a significant health advantage over their English counterparts in terms of mental health scores. However a direct comparison is difficult as it should be noted that the two different modes of collection of the two surveys could have influenced these results. The majority of the Irish interviews were by telephone and the SF-12 (subset of questions from the SF-36) was used. In the English study the SF-36 was used and data was collected by mail questionnaire (Layte & Jenkinson 2001). HBSC The Health Behaviour in School-Aged Children (HBSC) study was carried out in 28 countries including England, Northern Ireland and the Republic of Ireland. The HBSC study is a unique cross-national research study conducted in collaboration with the WHO Regional Office for Europe. This project aims to gain new insight into and increase understanding of health behaviour, lifestyles and their context in young people. The HBSC study aims to inform and influence health promotion and health education policy, programmes and practice aimed at school aged children at the national and international levels (World Health Organisation 2000). The study involves extensive quantitative data collection from a representative sample of 11-15 year olds every three to four years. The last survey was carried out in 1997/1998 (Health Promotion Agency 2001). The survey is conducted in the school setting and involves children completing a questionnaire that was designed by international HBSC members and the HBSC international research protocol. The data can be used in two main ways: to study trends over time both within and between countries; and to enable the analysis of inter-relationships between health behaviour and health, and the factors that may affect them. The core questions, which must be used in each country, are of particular use for monitoring, and the focus questions provide the opportunity to explore certain issues in greater depth. On the national level, it is of critical importance that each country draws its sample in a way that meets its needs for valid comparisons over time and within and across regions. In an international research project investigating comparisons across countries, each participant should draw the sample in a similar fashion (World Health Organisation 2000). Assessment of how students feel in general - whether they feel low (have negative affect) or lonely - although not a direct measure of health, was included as indicator of mental health (HBSC 2000). The following comparisons between school aged children in England, Northern Ireland and the Republic of Ireland were made using HBSC data. 110
Page 1 and 2:
A Report for the Centre For Cross B
Page 3 and 4:
About the Authors Dr. Margaret Barr
Page 5 and 6:
Acknowledgements We would like to t
Page 7 and 8:
Introductory comments by the Depart
Page 10 and 11:
Background and Rationale 1 There is
Page 12 and 13:
Background and Rationale of mental
Page 14 and 15:
Background and Rationale underlined
Page 16 and 17:
Background and Rationale • Produc
Page 18 and 19:
Project Aims and Objectives 2 This
Page 20 and 21:
Methodology 3 Phase 1: Methodology
Page 22 and 23:
Methodology semi-structured intervi
Page 24 and 25:
Methodology Methods for Review and
Page 26 and 27:
Methodology Lifestyle risk factors
Page 28 and 29:
Methodology • To identify the str
Page 30 and 31:
Findings from the Investigation of
Page 32 and 33:
Page 34 and 35:
Page 36 and 37:
Page 38 and 39:
Page 40 and 41:
Page 42 and 43:
Page 44 and 45:
Page 46 and 47:
Page 48 and 49:
Page 50 and 51:
Page 52 and 53:
Page 54 and 55:
Page 56 and 57:
Page 58 and 59:
Page 60 and 61: Findings from the Investigation of
Page 62: Findings from the Investigation of
Page 65 and 66: Collaborative Practice and Policy
Page 67 and 68: Collaborative Practice and Policy t
Page 69 and 70: Collaborative Practice and Policy o
Page 71 and 72: Collaborative Practice and Policy R
Page 73 and 74: Collaborative Practice and Policy c
Page 75 and 76: Collaborative Practice and Policy T
Page 79 and 80: Collaborative Practice and Policy B
Page 81 and 82: Collaborative Practice and Policy f
Page 83 and 84: Collaborative Practice and Policy A
Page 85 and 86: Collaborative Practice and Policy O
Page 87 and 88: Collaborative Practice and Policy T
Page 91 and 92: Collaborative Practice and Policy A
Page 93 and 94: Collaborative Practice and Policy W
Page 96 and 97: Findings from the Compatibility and
Page 124 and 125: Conclusions and Recommendations 7 G
Page 126 and 127: Conclusions and Recommendations Dat
Page 128 and 129: Conclusions and Recommendations The
Page 130 and 131: Conclusions and Recommendations pos
Page 132 and 133: Conclusions and Recommendations are
Page 134 and 135: References Adult Mental Health Serv
Page 136 and 137: References Department of Health and
Page 138 and 139: References Health Education Board f
Page 140 and 141: References Layte, R., Jenkinson, C.
Page 142 and 143: References Sindall, C. (1997) Inter
Page 144 and 145: Promoting Positive Mental Health: C
Page 154 and 155: Promoting Positive Mental Health an
Page 156 and 157: Promoting Positive Mental Health an
Page 158 and 159: Organisations which contributed to
Page 160 and 161:
159
Page 162:
The Centre for Cross Border Studies
show all

4858 Mental Health Report - National University of Ireland, Galway

Create successful ePaper yourself

Delete template?

Save as template?