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Journal of Public Health Advance Access originally published online on April 24, 2007
Journal of Public Health 2007 29(2):191-198; doi:10.1093/pubmed/fdm010
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© The Author 2007, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved

Mortality from all causes and circulatory disease by country of birth in England and Wales 2001–2003



S.H. Wild, Senior Lecturer1,

C. Fischbacher, Consultant in Public Health Medicine2

A. Brock, Research Officer3

C. Griffiths, Principal Research Officer3

R. Bhopal, Professor1
1 Public Health Sciences, University of Edinburgh, Teviot Place EH8 9AG, UK
2 Information Services Division, NHS National Services, Gyle Square, Edinburgh EH12 9EP, UK
3 Mortality Statistics, Office for National Statistics, Drummond Gate, London SW1V 2QQ, UK

Address correspondence to S.H. Wild, E-mail: sarah.wild{at}ed.ac.uk


  Abstract

Background Differences in mortality by country of birth in England and Wales in people under 70 years of age have been demonstrated previously. Changes in age distribution of migrants and in migration patterns have occurred subsequently.

Methods All-cause and circulatory disease mortality for people aged 20 years and over in England and Wales by country of birth were examined using population data from the 2001 Census and mortality data for 2001–2003. Indirect standardization was used to estimate sex-specific standardized mortality ratios (SMRs) and 95% confidence intervals (CI) in comparison to mortality for England and Wales as a whole.

Results SMRs for all-cause mortality were statistically significantly higher than the national average for people born in Ireland, Scotland, East Africa and West Africa and lower for people born in China and Hong Kong. SMRs for circulatory disease were highest among people born in Bangladesh and lowest among people born in China and Hong Kong. Patterns of ischaemic heart disease and cerebrovascular disease mortality differed by country of birth.

Conclusions Mortality, particularly due to ischaemic heart disease and stroke, differs markedly by country of birth in all age groups including the ≥70-year-old group.

Keywords: mortality, country of birth, ethnicity, cardiovascular disease


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