Cross sectional analysis of mortality by country of birth in England and Wales, 1970-92.
To compare mortalities for selected groups of immigrants with the national average.
Analysis of mortality for adults aged 20-69 in 1970-2 and 1989-92 using population data from 1971 and 1991 censuses.
Mortality of Scottish and Irish immigrants aged 25-74 was also compared with mortality in Scotland and Ireland for 1991.
England and Wales.
Main outcome measures
Standardised mortality ratios for deaths from all causes, ischaemic heart disease, cerebrovascular disease, lung cancer, and breast cancer.
In 1989-92 mortality from all causes was higher than the national average for Scottish immigrants, by 32% for men and 36% for women ; for Irish immigrants it was higher by 39% for men and 20% for women ; and for Caribbean born men it was lower by 23%. Ischaemic heart disease and lung cancer accounted for 30-40% of the excess mortality in Scottish and Irish immigrants.
For south Asians, excess mortality from circulatory disease was balanced by lower mortality from cancer.
Standardised mortality ratios for cerebrovascular disease in 1989-92 were highest for west African immigrants (271 for men and 181 for women).
Widening differences in mortality - ratios for migrants compared with the general population were not simply due to socioeconomic inequalities.
The low mortality from all causes for Caribbean immigrants could largely be attributed to low mortality from ischaemic heart disease, which is unexplained. (...)
Mots-clés Pascal : Naissance, Campagne de masse, Immigrant, Mortalité, Etude transversale, Etiopathogénie, Répartition géographique, Etude comparative, Prévention, Soin santé primaire, Homme, Complication, Accident cérébrovasculaire, Education santé, Appareil circulatoire pathologie, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Birth, Mass campaign, Immigrant, Mortality, Cross sectional study, Etiopathogenesis, Geographic distribution, Comparative study, Prevention, Primary health care, Human, Complication, Stroke, Health education, Cardiovascular disease, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0235082
Code Inist : 002B30A03B. Création : 11/06/1997.