Socio-economic gradients in self-reported health in Ireland and Northern Ireland

O’Reilly, Dermot; Thompson, Kyle; Murphy, Andrew W.; Bury, Gerard; Gilliland, Andrew; Kelly, Alan; O’Dowd, Tom; Steele, K

doi:10.1007/bf03169172

Cited by 5 publications

(6 citation statements)

References 18 publications

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“…Although some studies have described relationships between post-diagnosis financial circumstances and depression and anxiety [11,[13][14][15], the financial circumstances were not directly linked to the cancer diagnosis, raising the possibility that the associations reflected relationships between financial status and psychological well-being per se rather than any effect of cancer. For example, in the general population, income and depression are related [22], and, consistent with this, we found that lower household income at diagnosis was associated with increased depression risk. We therefore adjusted analyses of cancer-related financial stress and strain and depression for income at diagnosis.…”

Section: Discussionsupporting

confidence: 86%

“…The observed associations between depression and less education and being a parent are compatible with relationships in the general population [34,35]. The increased risk of severe depression associated with receipt of social welfare benefits at diagnosis probably reflects population-level associations between lower income and common mental disorders [22]. Similarly, the increased risks of depression and anxiety in those with a medical card (which entitles the bearer to treatment in primary care and public hospitals free of charge) are consistent with population-level relationships [35].…”

Section: Adverse Psychological Outcomesmentioning

confidence: 76%

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Associations between cancer‐related financial stress and strain and psychological well‐being among individuals living with cancer

2012

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Section: Discussionsupporting

confidence: 86%

Section: Adverse Psychological Outcomesmentioning

confidence: 76%

Associations between cancer‐related financial stress and strain and psychological well‐being among individuals living with cancer

2012

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“…The small disadvantage that we observed for men is consistent with reports of more LLTI and poorer general health among men than women across Ireland (O’Reilly et al 2006 ). However, relative self-assessed health profiles of men and women vary considerably among studies and over time (Barnett et al 2001 ; Power et al 2000 ; Rohlfsen and Kronenfeld 2014 ; Young et al 2010 ).…”

Section: Discussionsupporting

confidence: 92%

Which long-term illnesses do patients find most limiting? A census-based cross-sectional study of 340,000 people

Wright

Rosato

O’Reilly

2016

Int J Public Health

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ObjectivesTo investigate associations between a widely used measure of self-assessed health (limiting long-term illness, LLTI) and 11 long-term health conditions.MethodsInformation on LLTI and health conditions was obtained from 2011 Census returns for a 28% representative sample of the Northern Ireland population (n = 342,868). Logistic regression was used to predict LLTI by sex and age group for each condition found in isolation, adjusting for marital status, social class, household car access, housing tenure, and educational attainment. The relationship between limitation and multimorbidity was also assessed.ResultsPrevalence of LLTI varied considerably among conditions when found in isolation; those with mobility problems were over 50 times more likely to report limitation than those with hearing loss. Women were less likely to report limitation than men [OR = 0.93 (0.90, 0.96)], but the pattern of associations with health conditions was similar for both sexes. Prevalence of LLTI increased with age and number of health conditions.ConclusionsLLTI was most closely associated with mobility problems. Limitation increased slightly with age, but patterns of LLTI across conditions were not sex dependent.Electronic supplementary materialThe online version of this article (doi:10.1007/s00038-016-0929-2) contains supplementary material, which is available to authorized users.

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“…This study will take place in primary care practices in NI and ROI. The populations of these jurisdictions are similar in terms of ethnicity, with the majority of people in both regions being white [ 26 ] and with similar socioeconomic gradients [ 27 ]. GPs in both jurisdictions work as independent contractors [ 28 ], but the health systems differ in important ways, principally that the system in ROI is a mixed public and private system, while the system in NI is publicly funded [ 29 ].…”

Section: Methodsmentioning

confidence: 99%

The MultimorbiditY COllaborative Medication Review And DEcision Making (MyComrade) study: a protocol for a cross-border pilot cluster randomised controlled trial

Hynes

Murphy

Hart³

et al. 2022

Pilot Feasibility Stud

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Background While international guidelines recommend medication reviews as part of the management of multimorbidity, evidence on how to implement reviews in practice in primary care is lacking. The MultimorbiditY Collaborative Medication Review And Decision Making (MyComrade) intervention is an evidence-based, theoretically informed novel intervention which aims to support the conduct of medication reviews for patients with multimorbidity in primary care. Our aim in this pilot study is to evaluate the feasibility of a trial of the intervention with unique modifications accounting for contextual variations in two neighbouring health systems (Republic of Ireland (ROI) and Northern Ireland (NI)). Methods A pilot cluster randomised controlled trial will be conducted, using a mixed-methods process evaluation to investigate the feasibility of a trial of the MyComrade intervention based on pre-defined progression criteria. A total of 16 practices will be recruited (eight in ROI; eight in NI), and four practices in each jurisdiction will be randomly allocated to intervention or control. Twenty people living with multimorbidity and prescribed ≥ 10 repeat medications will be recruited from each practice prior to practice randomisation. In intervention practices, the MyComrade intervention will be delivered by pairs of general practitioners (GPs) in ROI, and a GP and practice-based pharmacist (PBP) in NI. The GPs/GP and PBP will schedule the time to review the medications together using a checklist. Usual care will proceed in practices in the control arm. Data will be collected via electronic health records and postal questionnaires at recruitment and 4 and 8 months after randomisation. Qualitative interviews to assess the feasibility and acceptability of the intervention and explore experiences related to multimorbidity management will be conducted with a purposive sample of GPs, PBPs, practice administration staff and patients in intervention and control practices. The feasibility of conducting a health economic evaluation as part of a future definitive trial will be assessed. Discussion The findings of this pilot study will assess the feasibility of a trial of the MyComrade intervention in two different health systems. Evaluation of the progression criteria will guide the decision to progress to a definitive trial and inform trial design. The findings will also contribute to the growing evidence-base related to intervention development and feasibility studies. Trial registration ISRCTN Registry, ISRCTN80017020. Date of confirmation is 4/11/2019.

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Socio-economic gradients in self-reported health in Ireland and Northern Ireland

Cited by 5 publications

References 18 publications

Associations between cancer‐related financial stress and strain and psychological well‐being among individuals living with cancer

Associations between cancer‐related financial stress and strain and psychological well‐being among individuals living with cancer

Which long-term illnesses do patients find most limiting? A census-based cross-sectional study of 340,000 people

The MultimorbiditY COllaborative Medication Review And DEcision Making (MyComrade) study: a protocol for a cross-border pilot cluster randomised controlled trial

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