Task Force on Health Expectancies

1

Task Force on Health Expectancies

National Disability Surveyand

Sport and Physical Exercise Module

Gerry BradyCentral Statistics Office, IrelandLuxembourg June 2, 2008

2

Opening remarks

National Disability Survey was conducted as a follow-up to the 2006 Census of Population using responses to a self-completed census disability question (Q15) to select sample

First results will be published on 30 June based on around 15,000 private household returns and 650 institution returns

3

Census questions

4

Census disability rates

Census disability rate was 9.3%.

% of cohort

Age Males Females Total

0-17 5.0% 3.1% 4.1%

18-34 4.8% 4.5% 4.7%

35-44 6.7% 7.2% 7.0%

45-54 10.1% 10.1% 10.1%

55-64 16.1% 14.5% 15.3%

65-74 20.6% 20.4% 20.5%

75 & over 36.1% 44.3% 41.1%

Total 9.1% 9.6% 9.3%

5

Profile of census disabilities

34% of persons in the census with a disability had a Chronic illness

As % of persons in each row (allow for multiple disability responses)

Age VisionHearing

Physicalactivities

LearningIntellectual

PsychologicalEmotional

Other includingchronic illness

0-17 12% 13% 61% 11% 24%

18-34 14% 20% 31% 24% 30%

35-44 14% 31% 18% 27% 34%

45-54 15% 40% 13% 22% 37%

55-64 16% 50% 8% 15% 40%

65-74 22% 59% 6% 10% 38%

75 & over 33% 74% 7% 11% 33%

Total 20% 45% 18% 16% 34%

6

EU SILC 2006

Asked of respondents 16 years or over

Do you suffer from any chronic (long-standing) illness or condition (health problem)? 25.4%

For at least the last 6 months have you been limited in activities people usually do, because of a health problem? (If limited, specify whether strongly limited or limited). 19.4%

7

EU SILC 2005

Rates for long-standing illness or health problem and foractivity limitation were lower in Ireland than in EU 27

% of population aged 16 or over

Item EU 27 Ireland

Illness / health problem 31.1% 23.8%

Severe activity limitation 7.7% 6.6%

Some activity limitation 16.9% 13.0%

8

National Disability Survey Measure severity and impact of disability on

persons reporting a disability in the Census Examine levels of and barriers to participation

Examine relationships between Census and NDS disability domains

Provide data to support policy and service provision

Exploration of Census No disability responses

9

NDS contd. Conducted by face-to-face interviews Private households and institutions Adults and children (0-17)

Sample was predominantly of persons who reported a disability in the census

Small sample of persons who did not report a disability in the census was also included

Sample unit was a person not a household

10

NDS sample response rates

4% of usually resident persons in private households whohad a disability in the Census were NDS respondents

Respondents as % of cohort

Age group Private households Institutions

0-17 5.2% 2.6%

18-34 4.1% 1.0%

35-44 5.3% 1.6%

45-54 4.5% 2.5%

55-64 3.8% 2.0%

65-74 3.1% 2.6%

75 & over 2.9% 2.7%

Total 4.0% 2.5%

11

NDS - Questionnaire domains 1. Type of disability 2. Caring and help from other persons 3. Attitudes of other people 4. Transport 5. Built environment accessibility 6. Education 7. Work and training 8. Social participation 9. Sport and exercise 10. General and demographic

12

NDS - Disability types Section 1 - nine disability types

A Seeing B Hearing C Speech D Mobility & dexterity E Remembering & concentrating F Intellectual & learning G Emotional, psychological & mental health H Pain I Breathing

13

NDS - Definition of disability Filter question with five item difficulty scale More than one filter question for some sections -

e.g. Mobility & dexterity

Disability => score of 3 “moderate level of difficulty” or higher

Exceptions -> Sections F & G Disability => score of 2 “just a little” or higher

14

NDS - Definition of disability

Definition of disability

CategoryNo

difficultyJust alittle

A moderatelevel

A lot ofdifficulty

Cannotdo at all

A. Seeing

B. Hearing

C. Speech

D. Mobility & dexterity

E. Remembering &concentrating

F. Intellectual & learning

G. Emotional, psychological, &mental health

H. Pain

I. Breathing

15

NDS Filter questionsD - Mobility and dexterity

16

Census/NDS ‘Yes’ / ‘No’ responses

Analysis of persons who responded to both Census and NDS.

83% of persons in private households who had a disability in theNDS also indicated that they had a disability in the Census.

87% of those in private households who said No in the NDS alsosaid No in the Census.

Survey response NDS Yes NDS No

Census private households Yes 83% 17%

Relevant institutions Yes 97% 3%

Census private households No 13% 87%

17

Health expectancy variables Type and severity of disability Aids used and needed Age of onset Current age Cause of difficulty Disease or illness Participation domains General health and stamina Gender etc.

18

NDS health question

19

Analyses contd. CSO willing to do special analyses of the data

after publication

Useful to have input from Task Force on most useful analyses from a health expectancies perspective

20

Sport and exercise module In 2006 CSO did labour force survey module on

participation in sport and physical exercise (15+)

In the last 12 months did you participate in any physical activities for exercise, recreation or sport (e.g. walking, swimming, playing basketball or golf)?

How would you describe your health in general?-> Excellent, Very good, Good, Fair, Poor

21

Sport and exercise contd. 40,000 persons aged 15 and over in sample file 63% of these active in the last 12 months Could do some analyses by health status,

disability status, levels of activity, age group, sport played etc.

Dataset was linked to labour force interview so some of the LFS variables are attached (educational attainment, employment status etc.)

22

Sport and exercise contd.

Persons in excellent and very good health had similaractivity rates irrespective of disability status

% of cohort activeCategory Excellent Very

goodGood Fair or

poorTotal

Has a disability 76.0 63.5 48.9 25.2 38.1Does not have 75.5 66.9 56.8 41.3 67.0

23

NDS Filter questionsA - Seeing

24

NDS Filter questionsB - Hearing

25

NDS Filter questionsC - Speech

26

NDS Filter questionsD - Mobility and dexterity

27

NDS Filter questionsE - Remembering and concentrating

28

NDS Filter questionsF - Intellectual and Learning

29

NDS Filter questionsG - Emotional, psychological and mental health

30

NDS Filter questionsH - Pain

31

NDS Filter questionsI - Breathing

32

Washington Group Do you have difficulty seeing, even if wearing glasses? Do you have difficulty hearing, even if using a hearing aid? Do you have difficulty walking or climbing steps? Do you have difficulty remembering or concentrating?

Do you have difficulty (with self-care such as) washing all over or dressing?

Using your usual (customary) language, do you have difficulty communicating, for example understanding or being understood?

33

Washington Group ctd.

Response categories: a. No – no difficulty b. Yes – some difficulty c. Yes – a lot of difficulty d. Cannot do at all