Dr Paul Darragh (Consultant in Public Health Medicine, Public Health Agency, NI), Dr Anne Nolan (Research Director, TILDA, Trinity College Dublin), Professor Bob Stout (Co-Chair CARDI, Professor Frank Kee (Director of the UKCRC Centre of Excellence for Public Health and Deputy Director of the Centre for Public Health at QUB)
Older people in Northern Ireland are more likely to suffer from coronary heart disease than those in the Republic of Ireland. They are also far more likely to have a limiting long-term illness and disability, according to a study funded by CARDI launched today (Thursday 26 March 2015) in Belfast.
The study was led by researchers from the UKCRC Centre of Excellence for Public Health at Queen’s University Belfast.
Prevalence of heart disease and rates of associated disability are higher among men and those in lower socio-economic groups in both countries.
The study, led by Professor Frank Kee, Director of the Centre of Excellence and Deputy Director of the Centre for Public Health, examined the rates and impacts of heart disease among people over 50 by analysing existing datasets in Ireland, North and South.
Differences in health behaviours
It also found significant differences in health behaviours linked with the risk of heart disease. While rates of obesity and smoking in the over 50s are higher in the Republic of Ireland, rates of physical inactivity, diabetes and severe depression are higher in Northern Ireland.
The prevalence of coronary heart disease is 12% in Northern Ireland compared to 8% in the Republic of Ireland, while prevalence of limiting long-term illness is 80% higher in Northern Ireland. The research highlighted the particular vulnerability of men over 50 and people in lower socio-economic positions.
Significant differences along socio-economic, gender and age lines
Professor Frank Kee said: “When examining datasets on health among older people in Northern Ireland and the Republic of Ireland it is apparent that rates of heart disease and associated disability are higher in Northern Ireland. Significant differences also exist along socio-economic, gender and age lines. The findings illustrate the need to tackle key risk factors, especially physical inactivity among older people in Ireland, both north and south.”
Leading cause of death and disability
Dr Roger O’Sullivan, Director of CARDI, welcomed the findings: “Heart disease remains a leading cause of death and disability in both parts of Ireland and high by European standards. The number of adults who will have heart disease in their lifetime is projected to rise rapidly as our population ages. These new findings emphasise the need to bring forward initiatives to reduce the risks of heart disease.
The full report is entitled ‘Understanding disability in older heart disease patients in Ireland’. The research was CARDI under its 2013 data-mining funding programme. CARDI has prepared a research brief ‘Disability in older heart disease patients’ which summarises the main report and spells out some of the implications for policy and practice.