Mortality, ethnicity, and country of birth on a national scale, 2001-2013: A retrospective cohort (Scottish Health and Ethnicity Linkage Study)

PLoS Medicine
Raj BhopalAziz Sheikh

Abstract

Migrant and ethnic minority groups are often assumed to have poor health relative to the majority population. Few countries have the capacity to study a key indicator, mortality, by ethnicity and country of birth. We hypothesized at least 10% differences in mortality by ethnic group in Scotland that would not be wholly attenuated by adjustment for socio-economic factors or country of birth. We linked the Scottish 2001 Census to mortality data (2001-2013) in 4.62 million people (91% of estimated population), calculating age-adjusted mortality rate ratios (RRs; multiplied by 100 as percentages) with 95% confidence intervals (CIs) for 13 ethnic groups, with the White Scottish group as reference (ethnic group classification follows the Scottish 2001 Census). The Scottish Index of Multiple Deprivation, education status, and household tenure were socio-economic status (SES) confounding variables and born in the UK or Republic of Ireland (UK/RoI) an interacting and confounding variable. Smoking and diabetes data were from a primary care sub-sample (about 53,000 people). Males and females in most minority groups had lower age-adjusted mortality RRs than the White Scottish group. The 95% CIs provided good evidence that the RR was more t...Continue Reading

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Citations

Mar 7, 2019·Journal of Immigrant and Minority Health·Fiona F StanawayRobert G Cumming
Dec 20, 2018·BMC Research Notes·Kalpani Wijekoon Wijekoon MudiyanselageHajo Zeeb
Jan 2, 2020·International Journal for Equity in Health·Ailish HanniganAnne MacFarlane
Mar 22, 2019·BMC Public Health·Nazmy VillarroelAnne MacFarlane
Jul 28, 2020·International Journal of Environmental Research and Public Health·Adriana Oliva-ArocasAndreu Nolasco
Feb 3, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Maria RouraAnne MacFarlane
Apr 4, 2021·International Journal of Environmental Research and Public Health·Kaarina Reini, Jan Saarela
Apr 23, 2021·Journal of Epidemiology and Community Health·Srinivasa Vittal KatikireddiBen Barr
May 6, 2021·BMC Public Health·Jakob PetersenPaul A Longley
Jun 26, 2021·Journal of Epidemiology and Community Health·Jakob PetersenPaul Longley
Jan 19, 2022·European Journal of Public Health·Andrea DunlavySol P Juárez

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