Wild S H, Fischbacher C, Brock A, Griffiths C, Bhopal R
Public Health Sciences, University of Edinburgh, Teviot Place EH8 9AG, UK.
J Public Health (Oxf). 2007 Jun;29(2):191-8. doi: 10.1093/pubmed/fdm010. Epub 2007 Apr 24.
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.
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.
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.
Mortality, particularly due to ischaemic heart disease and stroke, differs markedly by country of birth in all age groups including the > or =70-year-old group.
先前已证实，在英格兰和威尔士，70岁以下人群的死亡率因出生国不同而存在差异。随后，移民的年龄分布和移民模式发生了变化。
利用2001年人口普查的人口数据以及2001 - 2003年的死亡率数据，对英格兰和威尔士20岁及以上人群按出生国划分的全因死亡率和循环系统疾病死亡率进行了研究。采用间接标准化法来估计与英格兰和威尔士总体死亡率相比的特定性别标准化死亡率（SMR）及95%置信区间（CI）。
出生于爱尔兰、苏格兰、东非和西非的人群全因死亡率的标准化死亡率显著高于全国平均水平，而出生于中国和香港的人群则低于全国平均水平。循环系统疾病的标准化死亡率在出生于孟加拉国的人群中最高，在出生于中国和香港的人群中最低。缺血性心脏病和脑血管疾病的死亡率模式因出生国不同而有所差异。
在所有年龄组中，包括70岁及以上人群，死亡率，尤其是缺血性心脏病和中风导致的死亡率，因出生国的不同而有显著差异。
