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Ageing in the Community: Thomond Parish Cluster

Ageing in the Community: Thomond Parish Cluster. Main findings of the social study. Background. Demographic trends … ageing population … By 2036, 20%, 65 years and over (11% at present) Increase in “oldest old” (80 years and older) Differences in health

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Ageing in the Community: Thomond Parish Cluster

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  1. Ageing in the Community: Thomond Parish Cluster Main findings of the socialstudy

  2. Background • Demographic trends … ageing population … • By 2036, 20%, 65 years and over (11% at present) • Increase in “oldest old” (80 years and older) • Differences in health • Poorer people have shorter lives, experience worse health and have less access to services than those who are more affluent

  3. What factors affect health? • Age, gender, education, income … • Neighbourhoods …(parishes) • Accessible essential services • Community / social facilities and services • Problems … • Quality of care & health services.. • GPs, hospital, Public Health Nurses • Sense of community • Friends and family … contact and support

  4. The Four Parishes Snap-shot of the position in 2007 Collecting data Population 65 years and over resident Data to describe the parishes (the 2006 Census) Social survey Health screening St. Camillus’s Hospital Sampling OL Rosary and St. Munchin’s (larger older population) Total coverage in Christ the King and Corpus Christi What the research involved

  5. Numbers, sample size & response rates

  6. Population: Parishes & Thomond Cluster

  7. Range: +2 very easy, -2 very difficult

  8. Range: +2 very easy, -2 very difficult

  9. Not stat. significant by gender Stat. sig by age, p=0.05

  10. Association with gender, statistically significant p=0.000

  11. Range: 0=not at all a problem 4=a very big problem

  12. Range: 0=not at all a problem 4= a very big problem

  13. Range: +2=trust completely -2=not at all

  14. Range: +2=trust completely -2=not at all

  15. Social networks & interaction • Networks of family, friends & people to turn to in crisis: • Christ the King (Caherdavin), largest average size & Corpus Christi (Moyross), smallest • No friends and no-one to turn to • 12% no friends, 1% no-one to turn to St. Munchin’s • 19% no friends & 3% no-one to turn to Corpus Christi • In touch by meeting & telephone contact (least in Corpus Christi) • Age affects regularity of interaction

  16. Age … not statistically Significant in oldest age

  17. All: 5.34; CthK=5.86; HR=4.64; St.M=5.93; CC=4.85

  18. Relationship to parish

  19. Health services utilisation: Evidence factors of association • Health status .. • People in poor health use services to a greater extent • Parish (social class) • Average annual GP visits – social pattern… • Home help (gradient) – social pattern.. • Public health nursing (almost statistically significant) • Age (increasing) • Hosp. inpatient (Cramer’s V=0.203, p<0.001) • Respite, (Cramer’s V=0.213, p<0.001) • Day centre, (Cramer’s V=0.356, p<0.001) • PHN (Cramer’s V=0.230, p<0.001) • Home help (Cramer’s V=0.329, p<0.001)

  20. Findings • Age and gender … physical health … • Men better physical health • Differences by social class & place (parish) • Oldest old (resilient survivors) … many don’t survive • “Better” neighbourhoods, better services etc. but • OL Rosary .. poor community-based services • Access to essential services .. Better physical health • Social networks, trust, participation in voluntary associations .. Follow the social pattern • Regular meeting with friends… physical health • Age, health, social class .. health services utilisation • Community-based services … low level of provision and higher take-up disadvantaged • Older population … differences … but a lot in common

  21. Heavier health services utilisation .. .making up for accumulated disadvantages .. Conditions of neighbourhood .. good essential services Safe and accessible meeting places … Maintain contact with friends Contact across the social divide Engagement .. building up trust Trust in institutions Recommendations

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