Siobhán Carey Assistant Director General, Social and Demographic Statistics Central Statistics Office 23rd October 2008 2006 Census included questions on disability The National Disability Survey - a Census follow-up Collaborative effort - Consultative Group 16,000 people interviewed 9 types of disability • • broader than in census thresholds of severity 3 Seeing Hearing Speech Mobility and dexterity Remembering and concentrating Intellectual and learning Emotional, psychological and mental health Pain Breathing 4 Level of difficulty in every day activities Disability type No difficulty Just a little A moderate level A lot of difficulty Cannot do 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 5 Profile of people with a disability Profile of people with each disability type Illustrative population groups • • • People aged 75 and over with a disability Children with a disability People with disabilities living in nursing homes, hospitals and children’s homes Prevalence of disability in population as a whole Questions 6 52% female and 48% male • • Intellectual & learning (61% males) Speech (54% males) 22% aged 75 and over (but only 5% of population) 11% are children – aged 0-17 (25% of population) 8% are resident in nursing homes, hospitals or children’s homes 92% resident in private household 7 Most commonly reported disabilities Mobility & dexterity – 56% • Pain – 47% • Remembering & concentrating – 35% • Emotional psychological & mental health – 34% • Severity of disability • • • “Cannot do at all” – 24% “A lot of difficulty” – 43% “Moderate” or lower – 33% 8 % of persons with a disability 60 50 40 30 20 10 0 Seeing Hearing Speech Mobility & dexterity Remembering & concentrating Intellectual & learning Emotional, psychological & mental health Pain Breathing 9 58% female, 42% male 36% of all persons with a Seeing disability are aged 75 and over 40% reported a lot of difficulty and 5% were unable to see at all Older people more severe difficulty Relatively small numbers of children (5%) 1 in 10 had disability from birth (11%) Cause of seeing disability Two-fifths reported “Disease or illness” as main cause of their disability • Just under one in five reported a hereditary or genetic condition • The illness most commonly reported by persons with a Seeing disability was cataracts at 14% • 10 Equal proportions of males & females 38% aged 75 and over 36% reported a lot of difficulty and 3% could not hear at all • Age of onset • • • 11% had their disability from birth 11% acquired their disability before the age of 18 40% acquired their disability after the age of 55 1 in 5 reported a disease or illness as the cause of their disability • • Older age groups had higher levels of difficulty 15% reported a hereditary or genetic condition 12% reported work conditions Most commonly used aids • • • Hearing aids without T-switch – 23% Mobile phones for texting – 22% Hearing aids with T-switch – 18% 11 54% male, 46% female Almost half were aged under 35 A third reported a lot of difficulty being understood and a fifth (18%) reported that their speech could not be understood by others at all Little variation in severity by age group Over 60% had their disability since childhood 36% reported a disease or illness as the main cause of their disability 1 in 5 five reported a hereditary or genetic condition Specific illnesses • • • Autistic Spectrum Disorders - 7% Deafness – 6% Cerebral Palsy - 6% Speech and language therapy -most commonly used and needed aid • • 28% using 17% needing and not having 12 57% female, 43% male A third aged 75 and over, just 4% aged 0-17 34% “A lot of difficulty” 35% - “Cannot do at all” Older people reported higher levels of difficulty • half of those aged 75 and over reported “Cannot do at all” 37% cannot “Walk for about 15 minutes” Age of onset 13% acquired their disability in childhood or from birth, • 15% since age of 75 or over • 13 45% reported a disease or illness as the cause of their disability , one in six reported an accident, injury or fall Arthritis most commonly reported illness – 24% Most commonly used aids • Walking aids (45%) Grab bars (35%) Physiotherapy (31%) • 10% needed a lift or stair lift • • 14 51% female, 49% male 39% “A lot of difficulty” and 13% “Cannot do at all” A quarter were aged 75 and over - higher levels of difficulty Of those aged 0-17 with a Remembering and concentrating disability 87% reported difficulty with “Concentrating for 10 minutes • Two-thirds had difficulty “Remembering to do important things” • Among those aged 75 and over • • 90% had difficulties due to forgetting where they had put things 80% had difficulty remembering to do important things 15 14% had their disability from birth One-third reported that their disability was caused by a disease or illness, • • about 10% reported a hereditary or genetic condition 9% stress Alzheimer’s disease or dementia reported by 9% Medication used by about 25% 16 61% male, 39% female • highest proportion of males of all nine disability types Predominantly young – 38% aged 0-17, 25% aged 18-34 35% “A lot of difficulty”, 12% “Cannot do at all” • 17% - “Just a little difficulty”, 36% “Moderate”, 70% diagnosed with Intellectual disability 77% had difficulty with Learning everyday skills Almost 80% had their disability from childhood 17 One-third reported a disease or illness caused their disability, A quarter reported as caused by a hereditary or genetic condition Dyslexia or Specific Learning Difficulties reported by 17% 5% cited Autistic Spectrum Disorder as cause Most commonly used aids • • • Additional special teaching - 28% Psychology service - 27% Occupational therapy - 23% 18 53% female, 47% male Two-thirds of people were of working age (18-64) 32% “A lot of difficulty”, 4% “Cannot do at all” 23% “Just a little”, 42% “Moderate”, Age of onset • • • 23% began to be affected by their disability between the ages of 18 and 34, 11% had been affected from birth almost 18% between the ages of 0-17 19 40% reported a disease or illness as the cause 18% cited stress as the cause Depression was the most frequently reported illness at 28% Anxiety disorders were reported by 11% 90% used at least one aid • • • • • highest proportion reporting use of aids for any of the nine disability types Medical services (77%) and medication (69%) Psychiatrist (32%) Exercise or relaxation therapies (29%) Counselling (25%) Persons reporting higher levels of difficulty also reported greater frequency of occurrence of their disability 20 57% female, 43% male 48% “A lot of difficulty” , 3% “Cannot do at all” 23% were aged 75 and over 22% were aged 55-64, and just 2% were aged 0-17 age Age of onset 1 in 12 reported that their disability began before the age of 17 • between 14% and 17% reported that their disability began in the different age groups between 18-64 • 21 Just under half of people reported that their disability was caused by a disease or illness, 1 in 5 reported an accident, injury or fall Arthritis was the most commonly cited illness at 34% Just over two-thirds used at least one aid • Pain management -most frequently used aid at 48% The majority of those reporting the higher levels of severity of difficulty due to pain also reported that their disability was present most or all of the time 22 51% female, 49% male almost a quarter aged 75 and over 35% reported “A lot of difficulty” in everyday activities , 2% “Cannot do at all” Younger people generally had lower levels of severity One in five people had been affected since childhood and almost one in ten had their disability from birth 23 Around 60% reported that it was caused by a disease or illness Asthma was the most frequently reported illness at 31% followed by cardiovascular disease at 16% More than half used at least one aid • Most commonly used - nebulisers 42% Over 60% of those reporting the higher levels of severity also reported that their Breathing disability affected them most or all of the time 24 25 62% in communal establishments are female (51% in private households) 62% aged 75 and over (19% in private households) 63% reported highest level of severity (21% for private households) 76% reported a Mobility & dexterity disability 61% reported a Remembering & concentrating disability Higher levels of multiple disability average of 3.3 disabilities per person • 2.5 for persons in private households • 26 36% of people with a disability were aged 65 and over (36%) • 83% of those aged 75 and over with a disability reported a Mobility & dexterity disability • • • 94% of these had difficulty walking for about 15 minutes 80% had difficulty going outside of home 65% had difficulty moving around their home 48% had a Pain disability 39% had a Remembering & concentrating disability • • 1 in 5 people with a disability were aged 75 and over (22%) 90% of these had difficulty due to forgetting where they had put things 81% had difficulty remembering to do important things 75 & over age group accounted for • • • 38% of those with a Hearing disability 36% of those with a Seeing disability 33% of those with Mobility & dexterity disability 27 28 11% of all persons with a disability were aged 0-17 75% had an Intellectual & learning disability 50% had a Remembering & concentrating disability 28% had an Emotional, psychological & mental health disability 28% had a Speech disability 29 30 Children accounted for 38% of all those with Intellectual and learning difficulties 29% of all those with Speech difficulties 16% of all those with Remembering and concentrating difficulties They represented very small proportions within the other six disabilities • Pain (2%), Mobility & dexterity (4%), Seeing (5%) 31 32 Census of Population - 93 persons per thousand NDS used a broader spectrum (Breathing, Pain) Introduced concept of severity Dedicated disability survey NDS total population estimate including broader spectrum – indicative level 185 persons per thousand 33 100 Census disability sample Total population 80 86 83 60 40 20 0 13 27 1424 9 13 48 46 45 28 18 31 27 40 38 18 34 1000 900 Census disability sample 800 Total population 660 700 600 500 395 400 300 300 200 100 377 210 164 110 83 35 38 0-17 18-34 59 86 35-44 45-54 135 181 0 55-64 65-74 75 & over 35 Level of difficulty Census Disability sample Total populations % % Just a little 2 3 Moderate level 31 44 A lot of difficulty 43 38 Cannot do at all 24 15 Total 100 100 36 Focus on people with a disability Able to describe the characteristics of people with different disabilities Further report on participation, care arrangements, employment, transport, environmental factors 37 38