Trends in Heart Disease and Stroke Mortality Among Migrants in England and Wales
Author Information
Author(s): S Harding, M Rosato, A Teyhan
Primary Institution: Medical Research Council, Social and Public Health Sciences Unit, Glasgow, UK
Hypothesis
To examine trends in coronary heart disease and stroke mortality in migrants to England and Wales.
Conclusion
Mortality rates for some migrant groups remained higher than those born in England and Wales, with disparities increasing for certain populations.
Supporting Evidence
- Coronary mortality fell among migrants, especially in the second decade.
- Rate ratios for coronary mortality remained higher for men and women from Scotland, Northern Ireland, Republic of Ireland, and South Asia.
- Rate ratios increased for men from Jamaica, Pakistan, Bangladesh, Republic of Ireland, and Poland.
Takeaway
Some groups of migrants in England and Wales are still dying from heart disease and strokes at higher rates than local people, and the gap is getting bigger for some of them.
Methodology
Cross-sectional analysis using anonymised death records and census data for specific time periods.
Potential Biases
Potential misclassification of country of birth and selection bias due to health status on migration.
Limitations
Cross-sectional data may misclassify country of birth and have selection bias regarding health status on migration.
Participant Demographics
Migrants from various regions including the Indian subcontinent, Caribbean, and Eastern Europe, aged 30-69 years.
Statistical Information
Confidence Interval
95% CI
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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