Patterns of mortality in second generation Irish living in England and Wales: Longitudinal study
Patterns of mortality in second generation Irish living in England and Wales: Longitudinal study
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DOI：
10.1136/bmj.312.7043.1389
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发表时间：
1996-06-01
影响因子：
--
通讯作者：
Balarajan, R
中科院分区：
文献类型：
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作者：
Harding, S;Balarajan, R
研究-调查居住在英格兰和威尔士的第二代爱尔兰人的死亡率。设计-对英格兰和威尔士1%人口的纵向研究（人口普查和调查办公室（现为国家统计办公室）的纵向研究），随访时间为1971年至1989年，受试者：1971年15岁及以上的3075名男性和3233名女性。按年龄和性别划分的各种原因、癌症、冠心病、脑血管疾病、呼吸系统疾病以及损伤和中毒的标准化死亡率。结果-786人死于男性，762人死于女性。在工作年龄（男性，15-64岁;女性，15-59岁），男性（标准化死亡率为126）和女性（129）的死亡率明显高于所有男性和所有女性。在15-44岁年龄段，男性（145人）和女性（164人）的相对劣势更大。大多数主要死因的死亡率都有所上升。在工作年龄的男性（132人）和60岁及以上的女性（122人）中，癌症死亡率明显过高。在工作年龄，第二代爱尔兰人在每个社会阶层以及在获得汽车和住房保有权类别中的死亡率高于相应类别中的所有男子和妇女。调整这些社会经济指标并没有解释多余的mortals. Conclusion死亡率的第二代爱尔兰男性和女性高于所有男性和所有女性，最主要的死亡原因。虽然社会经济因素仍然很重要，但文化和生活方式因素可能会导致这种不利的死亡率。
Objective-To examine the mortality of second generation Irish living in England and Wales.Design-Longitudinal study of 1% of the population of England and Wales (longitudinal study by the Office of Population Censuses and Surveys (now the Office for National Statistics)) followed up from 1971 to 1989.Subjects-3075 men and 3233 women aged 15 and over in 1971.Main outcome measures-Age and sex specific standardised mortality ratios for all causes, cancers, coronary heart disease, cerebrovascular diseases, respiratory diseases, and injuries and poisonings. Deaths were also analysed by socioeconomic indicators.Results-786 deaths were traced to men and 762 to women. At working ages (men, aged 15-64; women, 15-59) the mortality of men (standardised mortality ratio 126) and women (129) was significantly higher than that of all men and all women. At ages 15-44, relative disadvantages were even greater both for men (145) and for women (164). Mortality was raised for most major causes of death. Significant excess mortality from cancers was seen for men of working age (132) and for women aged 60 and over (122). At working ages mortality of the second generation Irish in every social class and in the categories of car access and housing tenure was higher than that of all men and all women in the corresponding categories. Adjusting for these socioeconomic indicators did not explain the excess mortality.Conclusion-Mortality of second generation Irish men and women was higher than that of all men and all women and for most major causes of death. While socioeconomic factors remain important, cultural and lifestyle factors are likely to contribute to this adverse mortality.