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Gerry O’Hanlon, Director General CSOKeynote Speech NDA Strategic Plan LaunchMarch 11, 2010
National Disability Survey
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Presentation overview
Background to NDSDisability rates from Census and NDSNDS findings on types of disabilityNDS findings on participation
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Background to NDS
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In 2002 the NDA proposed to Government that a detailed disability survey be undertaken.
During 2002-2004 the NDA initiated work on developing a disability questionnaire using the ICF social model of disability.
A small pilot survey was undertaken by the ESRI to test the questionnaire. CSO was part of the Steering group overseeing this project.
Government accepted NDA proposal for a large-scale survey and asked CSO to undertake it.
Census questions
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2006 Census of Population – contained 2 Questions on disability.Census questionnaires were self-completed by householder.Census questions were used to select a sample for a detailed follow-up interview-based National Disability Survey.
NDS definition of disability
Definition of disability
Category 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
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2 Census samples
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NDS was designed to examine in more detail the situation of persons who had a disability in the Census.
= Census Disability Sample (CDS)► disability in Census and in NDS
A small sample of persons in private households who did not have a disability in the Census were also included in the NDS.
= General Population Sample (GPS)
NDS sample & target population
Sample and target population Achieved sample
Target population
Census disability sample 14,518 370,500
resident in private households 13,868 344,100
resident in communal establishments 650 26,400
General population sample 1,551 3,700,000
Total 16,069 4,070,500
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Census / NDS consistency
88% of CDS private households sample had a disability in both Census and NDS (weighted).
97% of CDS non-private households sample had a disability in both Census and NDS (weighted).
89% of GPS private households sample from Census neither had a disability in the Census nor in the NDS (weighted).
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Disability type rate per 1,000
Disability type Census Disabilit
y Sample
General Population
Sample
Total population
Seeing 13 14 27
Hearing 14 10 24
Speech 9 4 13
Mobility & dexterity 45 37 83
Remembering & concentrating 28 19 46
Intellectual & learning 18 14 31
Emotional, psychological & mental health 27 20 48
Pain 38 48 86
Breathing 18 22 40
Persons with a disability (rate per 1,000) 81 105 185
Persons with a disability 325,800 423,300 749,100
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Level of difficulty
Level of difficulty
Census Disability
Sample
General Population
Sample
Total population
Just a little 2% 4% 3%
A moderate level 31% 53% 44%
A lot of difficulty 43% 35% 38%
Cannot do at all 24% 7% 15%
Total 100% 100% 100%
Persons with a disability
325,800 423,300 749,100
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Persons reporting a disability in the Census and in NDS had higher levels of difficulty than persons who only reported an NDS disability (GPS).
33% of persons in the CDS had a moderate or lower level of difficulty.
This compares with 57% who had a moderate or lower level of difficulty in the GPS sample.
Prevalence (rate per 1,000)
Age group Census Disability
Sample
General Population
Sample
Total population
0-17 35 75 110
18-34 38 45 83
35-44 59 105 164
45-54 86 124 210
55-64 135 165 300
65-74 181 214 395
75 & over 377 282 660
Persons with a disability (rate per 1,000)
81 105 185
Persons with a disability 325,800 423,300 749,100
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Persons aged 0-17 reported a disability rate of 35 per 1,000 in the CDS but reported a much higher disability rate of 75 per 1,000 in the GPS sample.The 35-44 age group were the next most likely to be missed in the Census with the rate increasing from 59 per 1,000 in the CDS to 105 per 1,000 in the GPS.
Census Disability Sample
Disability type Males Females Total Persons %
Seeing 42 58 100% 50,600 16%
Hearing 50 50 100% 57,600 18%
Speech 54 46 100% 35,300 11%
Mobility & dexterity 43 57 100% 184,000 56%
Remembering & concentrating
49 51 100% 113,000 35%
Intellectual & learning 61 39 100% 71,600 22%
Emotional, psychological & mental health
47 53 100% 110,600 34%
Pain 43 57 100% 152,800 47%
Breathing 49 51 100% 71,500 22%
Persons with a disability 48 52 100% 325,800 100%
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Census Disability Sample
Disability typeJust a
littleA moderate
levelA lot of
difficultyCannot
do at allTotal
Seeing n/a 55 41 5 100%
Hearing n/a 61 36 3 100%
Speech n/a 48 34 18 100%
Mobility & dexterity n/a 31 34 35 100%
Remembering & concentrating n/a 49 39 13 100%
Intellectual & learning 17 36 35 12 100%
Emotional, psychological & mental health
23 42 32 4 100%
Pain n/a 49 48 3 100%
Breathing n/a 63 35 2 100%
Persons with a disability 2 31 43 24 100%
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Census Disability Sample
Disability type 0-17 18-34 35-44 45-54 55-64 65-7475 & over
Total
Seeing 5 8 6 13 15 16 36 100%
Hearing 6 6 7 11 16 16 38 100%
Speech 29 18 9 10 8 8 18 100%
Mobility & dexterity 4 7 8 12 18 17 33 100%
Remembering & concentrating
16 13 10 11 14 11 25 100%
Intellectual & learning 38 25 11 10 7 4 6 100%
Emotional, psychological & mental health
9 16 16 18 17 10 13 100%
Pain 2 9 11 16 22 17 23 100%
Breathing 8 9 8 13 20 19 23 100%
Persons with a disability
11 13 11 13 16 14 22 100%
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Census Disability SampleDisability type
Private household
Nursing home, hospital and children's home
All persons
Seeing 15 22 16
Hearing 18 17 18
Speech 9 33 11
Mobility & dexterity 55 76 56
Remembering & concentrating 32 61 35
Intellectual & learning 22 27 22
Emotional, psychological & mental health 33 45 34
Pain 48 30 47
Breathing 22 16 22
Persons with a disability % 100 100 100
Persons with a disability 300,200 25,600 325,800
Average number of disabilities per person 2.5 3.3 2.6
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61% of persons with a disability in Nursing homes, hospitals and children’s homes had a Remembering /concentrating disability compared with 32% of persons in private households.Conversely persons with a disability in Nursing homes were relatively less likely to report Pain or Breathing disabilities.
Census Disability Sample
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Accommodation typeJust a
littleA moderate
levelA lot of
difficultyCannot
do at allTotal Persons
Private households 2 33 44 21 100 300,200
Nursing home, hospital and children’s home 2 12 23 63 100 25,600
Accommodation type 0-64 65-74 75 & over Total Persons
Private households 67 14 19 100 300,200
Nursing home, hospital and children’s home 26 12 62 100 25,600
63% of persons with a disability in Nursing homes were unable to do everyday activities compared with 21% in private households.
62% of persons with a disability in Nursing homes were aged 75 & over compared with 19% in private households.
Caring and Help from Other Persons
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35% of persons with a disability had difficulty taking a bath or shower by themselves.
34% of adults with a disability had difficulty staying by themselves for a few days.
People living in nursing homes, hospitals and children’s homes had higher levels of difficulty doing everyday activities: 86% had difficulty taking a bath or shower by themselves compared with 31% of persons in private households.
Caring and Help
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Around 56% of persons with a disability in private households received help with their everyday activities.
The most common source of help was from family members who lived with the person - 42% of persons in private households who had a disability received such help.
Caring and Help
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Attitudes of Other People
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A high proportion of adults with a disability in private households felt supported by the attitudes of their Family (90%), Health and care staff (87%) and Friends (79%).
Three-quarters (76%) of adults with a disability never avoided doing things because of the reactions of other people, 17% sometimes avoided doing things and 7% frequently or always avoided doing things. Older people were less affected by the attitudes of others.
Attitudes of Other People
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Transport
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Difficulty getting on and off public transport vehicles was given by 16% of persons aged 5 & over in private households as a reason for not using or having difficulty using public transport.
Difficulty transferring from one service to another was the next most cited reason (12%), while difficulty getting to the public transport was reported by 9%.
Transport
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Built environment
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One-third of adults with a disability in private households had some difficulty doing routine tasks inside their home because of their disability, while a further 19% had a lot of difficulty.
43% of men in private households had difficulty doing routine tasks within the home compared with 59% of women.
A lack of money was the most common reason for not having specialised features in the home with over half (52%) of adults in private households with a disability citing this as a reason.
Built environment
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Bathroom adaptations were the most used adaptation in the home with 20% of persons with a disability in private households using them. This proportion rose to 45% of persons aged 75 & over. A further 12% of persons with a disability in private households needed but did not have bathroom adaptations.
Over one-third of adults in private households had access difficulty with Socialising in public venues (37%), Moving out and about in their local area (36%), and Availing of general services such as shopping and banking (37%).
Built environment
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Education
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Around one third (32%) of respondents aged 5 & over whose disability limited or affected them before they completed their full-time education indicated that they had stopped their education sooner than they intended because of their disability.
28% of all persons with a disability were limited or affected by their disability before they completed their full-time education. 14% of persons aged 5 & over were affected before school age (17% of males and 12% of females).
Education
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Work and Training
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Around 48% of adults whose disability limited or affected them before the age of 65 were Unable to work due to permanent illness or disability.
Of the adults with a disability at work, whose disability limited or affected them before 65 years of age, over half (52%) worked in the Private sector and about one-third (31%) in the Public sector with the remainder working in sheltered employment or a scheme of some type.
Work and Training
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Social participation
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Around half of persons with a disability in private households experienced difficulty with Going to town shopping (56%), Going away for a break or holiday (53%), Taking part in community life (54%) and Socialising in a public venue (49%).
Family (87%) and Other friends (67%) provided the main social company for people with a disability living in private households. People in nursing homes, hospitals and children’s homes depended much more on Carers/disability service providers (82%) and Friends with a disability (47%) for social interaction.
Sport and Exercise
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Overall, 45% of males with a disability participated in sports or physical exercise in the previous four weeks compared with 36% of females.
Just over 17% of males with a disability exercised 5 or more times per week compared with 11% of females. The next most popular frequency for participation in sport/exercise was 1-2 times per week (13% of males and 12% of females).
Health and Stamina
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People with a disability rated their general health as Very good (15%), Good (35%), Fair (38%), Bad (10%) and Very bad (3%).
A higher proportion of those living in private households reported that their health was Very good (16% compared with 6% in nursing homes, hospitals and children’s homes).
Twelve percent of persons with a disability indicated that their stamina was Very good. A further 30% said that their stamina was Good, Fair (38%), Bad (15%) and Very bad (5%).
