Variations in all cause and cardiovascular mortality by country of birth in Scotland, 1997-2003
Variations in all cause and cardiovascular mortality by country of birth in Scotland, 1997-2003
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DOI：
10.1258/rsmsmj.52.4.5
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发表时间：
2007-11-01
影响因子：
2.7
通讯作者：
Povey, C.
中科院分区：
文献类型：
--
作者：
Fischbacher, C. M.;Steiner, M.;Povey, C.
背景和目的：出生国是近期移民的种族群体的代表。英格兰和威尔士已经显示出出生国家死亡率的主要差异，但苏格兰缺乏类似的已公布数据。我们的目的是检验苏格兰居民按出生国家的死亡率的变化。方法：我们计算了1997年1月至2003年3月期间25岁及以上苏格兰居民按出生国家的标准化死亡率。结果与结论：与英格兰和威尔士相比，出生在苏格兰、北爱尔兰、爱尔兰共和国、印度和香港的苏格兰居民的全原因死亡率、冠心病和中风死亡率较高。然而，大多数出生国的死亡率与苏格兰出生的人相似或更低。这是苏格兰第一个按出生国家划分的死亡率数据，它们显示出重大差异。苏格兰人口内部的比较可能会被解读为令人放心，因为它们没有显示出英格兰和威尔士报告的按出生国划分的冠心病死亡率过高。然而，使用英格兰和威尔士作为对比组显示，苏格兰南亚人的CHD风险大大超过了报告的水平，与英格兰和威尔士的报告相当。
Background and Aims.Country of birth provides a proxy for ethnic group for recent migrants. Major differences in mortality by country of birth have been demonstrated in England and Wales, but similar published data for Scotland are lacking. We aimed to examine variations in mortality by country of birth for Scottish residents.Methods.We calculated standardised mortality ratios by country of birth for Scottish residents aged 25 years and over between January 1997 and March 2003.Results and Conclusion.Comparisons with England and Wales showed high all-cause, coronary heart disease (CHD) and stroke mortality among Scottish residents born in Scotland, Northern Ireland, the Republic of Ireland, India and Hong Kong. However, most country of birth groups had similar or lower mortality than the Scottish born. These are the first data on mortality by country of birth in Scotland and they demonstrate major variations. Comparisons within the Scottish population might be interpreted as reassuring, since they do not show the excesses in CHD mortality by country of birth reported in England and Wales. However, the use of England and Wales as a comparison group shows a substantial excess of CHD risk among South Asians in Scotland, comparable to that reported in England and Wales.