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Children’s Health in Northern Ireland

A summary of child health trends in Northern Ireland for 2015-2016, including birth rates, risk factors, breastfeeding, and obesity levels. Data comparison with UK & Republic of Ireland.

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Children’s Health in Northern Ireland

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  1. Children’s Health in Northern Ireland Summary

  2. Trend in births – Northern Ireland • 2015: • 24,291 registered births to NI residents. • Birth rate of 13.1 per 1,000 population. • Livebirth rate (13.2) is the highest across the four UK countries, but lower than Republic of Ireland (14.2). • 76 registered still births - lowest number ever recorded in NI. • Source: NISRA https://www.nisra.gov.uk/statistics/births-deaths-and-marriages/births

  3. Births by Hospital

  4. Projected Births – Health Trust • Projected to increase in Southern Trust area, but decrease in all other Trust areas

  5. United Kingdom/Republic of Ireland - Comparisons • When compared to other UK nations/Republic of Ireland, and based on most recent data available, Northern Ireland had: • Lowest • Still birth rate • Multiple birth rate • Percentage infants breastfed at discharge • Highest • Infant mortality rate • Fertility rate

  6. Births – Health Trusts • 2015: • Largest number of registered births recorded to NHSCT residents (5,776), with the lowest number in the WHSCT (3,970). • Percentage share of births: • BHSCT = 19.2% • NHSCT = 23.8% • SEHSCT = 17.8% • SHSCT = 22.8% • WHSCT = 16.3% • % change in total births in the last ten years: 12.0% increase in Belfast Trust, 2.7% decrease in Western Trust (NI = +4.0%). • Source: NISRA https://www.nisra.gov.uk/statistics/births-deaths-and-marriages/births

  7. Age of mother • Teenage mothers: • Substantial reductions in the last few years. • 2015/16: 2.9% of all births were to teenage mothers. • % teenage: 5.5% in the most deprived areas, 1.3% in the least deprived. • Older mothers (aged 40+): • % births increased from 3.6% in 2010/11 to 4.2% in 2015/16. • % older mothers: 2.5% in the most deprived areas, 7.1% in the least deprived areas. • Source: Child Health System

  8. Maternal risk factors - Smoking • 2015/16 : • % mothers who smoked decreased with age - 31.7% of those aged <20 years, 7.1% of those aged 40+. • Almost 19% of mothers smoked in BHSCT area, compared to 12% in SHSCT (NI=14%). • In the most deprived areas, 25.0% of mothers smoked, compared to 6.1% in the least deprived areas. • Source: Child Health System

  9. Maternal risk factors - Smoking

  10. Maternal risk factors - Diabetes • 2015/16: • % mothers with diabetes increased with age - 2.8% of those aged <20 years, 12.3% of mothers aged 40+. • 8% of mothers from NHSCT area had diabetes, compared to less than 5% in SHSCT. • Little difference with reference to deprivation levels. • Source: Child Health System

  11. Maternal Body Mass Index (BMI) • 2015/16: • 20% of mothers measured as obese at time of booking appointment. Proportion has increased year on year since 2011/12. • 50.6% of all mothers considered pre-obese or obese.   • Levels of obesity, in general, increased with age. • Levels of obesity decreased as level of deprivation decreased. 23.7% of mothers from most deprived areas were classified as obese, compared to 14.4% from the least deprived areas. • Source: Child Health System

  12. Infant Birth Weight • 2015/16: • 6.5% of all births were of a low birth weight (6.3% live, 64.6% still). • % low birth weight higher in the most deprived areas (7.6%), compared to least deprived areas (6.0%). • 14.1% of live infants were born with a higher birth weight (4,000g+) and of these, 2.1% with a birth weight of 4,500g+. • Mothers from BHSCT area had a lower proportion of high birth weight infants (12.1%) compared to other areas which were close to the NI figure of 14.1%. • Source: Child Health System

  13. Breastfeeding (total/partial) – at discharge • 2015/16: • 46.0% of live infants breastfed at discharge.   • 19.8% of infants born to mothers <20 were breastfed, compared to 56.4% of infants to mothers aged 40+. • Higher rates in infants born to mothers whose ethnic origin was not ‘white’. • Markedly lower in more deprived areas (30.4%). Least deprived = 62.7%. • Source: Child Health System

  14. Breastfeeding

  15. Childhood Obesity – Primary 1 • 2015/16: • 21.9% of children were considered overweight or obese. • Higher proportion of girls were overweight / obese (26.0%) compared to boys (17.9%).    • 25.0% of children living in the most deprived areas were measured as overweight / obese, compared to 19.4% of children from the least deprived areas. • Source: Child Health System

  16. Childhood Obesity – Year 8 • 2015/16: • 28% of children were measured as overweight / obese. • Little difference in the proportion overweight / obese between the two genders (28.1% male, 28.7% female).   • Larger proportion of children from more deprived areas were measured as overweight / obese, compared to those living in the least deprived areas. • Source: Child Health System

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