
Background and Context
Historical Context
From 1969 to 1998, Northern Ireland experienced a violent ethnopolitical conflict known as 'the Troubles' characterized by terrorist bombing campaigns, sectarian killings and armed forces patrolling the streets.
Research Focus
This study examines how exposure to this conflict has impacted current work disability rates among civilians aged 50-64, who were between 4-19 years old when the Troubles began.
Methodology
Using data from the Northern Ireland Cohort for the Longitudinal Study of Ageing (NICOLA) and historical records of conflict-related fatalities, researchers analyzed how conflict exposure affected work disability through various health conditions.
Impact of Troubles on Work Limitation Severity
- 59% of respondents report no work limitations, while 12% report severe or extreme limitations
- This matches the rate of disability benefit claims in the general population
- Shows the current distribution of work disability severity in the studied population
Medical Conditions Associated with Work Limitation
- 89% of those with extreme work limitations report being in pain
- Mental health conditions affect 44% of those with extreme work limitations
- Shows the prevalence of various medical conditions among those most severely impacted
Experience of Conflict Events During the Troubles
- Over half of respondents witnessed riots (55%) and bomb explosions (54%)
- 51% knew someone who was killed during the conflict
- Demonstrates the widespread exposure to conflict-related trauma
Total Economic Impact of Conflict-Related Work Disability
- Total economic cost estimated at £7.0 billion for current 50-64 age cohort
- £5.8 billion in lost earnings
- £1.2 billion in disability benefit payments
Contribution and Implications
- First comprehensive study examining long-term impact of civil conflict on civilian work disability
- Shows that conflict exposure increased work disability by 27.7 percentage points
- Mental health conditions are the primary pathway through which conflict impacts work capability
- Findings have important implications for post-conflict healthcare provision and disability policy
Data Sources
- Work Limitation Chart: Based on Table 1 descriptive statistics
- Medical Conditions Chart: Based on Table 2 proportions by work limitation severity
- Experience Chart: Based on Table 3 summary statistics
- Medical Effects Chart: Based on Table 7 effect sizes
- Economic Impact Chart: Based on calculations reported in Results section