Mortality and migration in Britain, first results from the British Household Panel Survey

Mortality and migration in Britain, first results from the British Household Panel Survey
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DOI:
10.1016/s0277-9536(99)00195-1
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发表时间:
1999-10-01
影响因子:
5.4
通讯作者:
Shaw, M
Shaw, M
中科院分区:
医学2区
文献类型:
--
作者:
Brimblecombe, N;Dorling, D;Shaw, M

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这项研究调查了目前死亡率的地理差异在多大程度上受到出生以来的迁移模式的影响。它是基于对移民的纵向研究,其中包括具有代表性的10264名1890年后出生的英国居民的样本,该样本被列为1991年英国家庭小组研究的一部分。在1991年至1996年期间,527名研究成员死亡,这些死亡按出生时居住地区和1991年按区域和当地地区地理范围进行了分析。这些数据与英国国家统计局纵向研究的结果进行了比较。英国家庭小组调查样本重复了纵向研究的工作结果,该研究发现,区域范围内年龄-性别标准化死亡率的地理差异不能归因于选择性移民。然而,就英国家庭调查样本而言,地区层面的主要地理差异可能归因于选择性迁移。死亡率的地理差异并不清楚。对国家统计局纵向研究中可能分析的内容的限制,可能导致低估了当地终身选择性迁移在绘制当代英国各地死亡率变化地图方面的重要性。英国家庭小组调查是一项规模较小、最近但非常灵活的研究,可以用来调查终身移民对整个英国死亡模式的影响。这份关于死亡率的第一份报告表明,它得出的结果与规模大得多的纵向研究结果一致,但可以进一步表明,在地方一级的整个生命过程中的选择性迁移似乎确实显著改变了当今英国的死亡率地理模式。(C)1999爱思唯尔科学有限公司。保留所有权利。
This study investigates the extent to which current geographical variations in mortality are influenced by patterns of migration since birth. It is based on a longitudinal study of migrants which consists of a representative sample of 10264 British residents born after 1890 and enumerated as part of the British Household Panel Study in 1991. Between 1991 and 1996, 527 of the study members died and these deaths were analysed by area of residence at birth and in 1991 at both the regional and local district geographical scales. These were compared with findings from the Office for National Statistics Longitudinal Study.The British Household Panel Survey sample replicates the results of work conducted on the Longitudinal Study which finds that geographical variations in age-sex standardised mortality ratios at the regional scale cannot be attributed to selective migration. However, for the British Household Panel Survey sample, the major geographical variations at district level could be attributed to selective migration.Geographical variations in mortality are not well understood. Restrictions on what it is possible to analyse in the Office for National Statistics Longitudinal Study may have resulted in the underestimation of the importance of local lifetime selective migration in producing the contemporary map of mortality variation across Britain. The British Household Panel Survey is a small, recent, but very flexible study, which can be used to investigate the effects of lifetime migration on mortality patterns for all of Britain. This first report of its results on mortality shows that it produces findings which accord with the much larger Longitudinal Study, but which can be taken further to show that selective migration over the whole life-course at the local level does appear to have significantly altered the geographical pattern of mortality seen in Britain today. (C) 1999 Elsevier Science Ltd. All rights reserved.