Rafnsson Snorri B, Bhopal Raj S
Public Health Sciences Section, The Centre for Population Health Sciences, University of Edinburgh, Edinburgh, Scotland, UK.
Eur J Public Health. 2009 Oct;19(5):484-91. doi: 10.1093/eurpub/ckp073. Epub 2009 Jun 4.
Data on differences by ethnicity in cardiovascular diseases (CVDs) and diabetes, reflecting the influence of diverse cultural, social and religious factors, are important to providing clues to disease aetiology and directing public health interventions and health care resources.
Through a network of European public health researchers and searches of bibliographic databases and internet sites, we determined the availability and characteristics of ethnically relevant data on mortality and morbidity from coronary heart disease (CHD), stroke and diabetes, in current European Union countries; data from the four countries comprising the UK were assessed separately.
In total, 25 countries had one or more relevant data sets (72 in total); however, two-thirds (n = 47) of the data sources came from only eight Nordic and Western European countries. For several countries, no data could be identified. Ethnically relevant, national death registers were available in 24 countries. Country of birth was the most common indicator of ethnicity. Data on CHD, stroke and diabetes morbidity among migrant and ethnic minority populations are currently scarce; both between and within countries, there are important differences in how ethnicity as well as disease outcomes are defined and measured which limits data comparability.
Reliable routine data are key to evidence-based public health policies at both national and EU level. EU countries have a relatively weak base for assessing needs and planning health care interventions for its migrant and ethnic minority populations. The lack of ethnically relevant data on CVD and diabetes across the EU needs to be addressed urgently.
心血管疾病（CVD）和糖尿病在不同种族间存在差异的数据，反映了多种文化、社会和宗教因素的影响，对于揭示疾病病因以及指导公共卫生干预措施和医疗资源分配至关重要。
通过欧洲公共卫生研究人员网络以及对书目数据库和互联网站的检索，我们确定了当前欧盟国家中有关冠心病（CHD）、中风和糖尿病死亡率及发病率的种族相关数据的可得性和特征；对构成英国的四个国家的数据进行了单独评估。
总共25个国家拥有一个或多个相关数据集（总计72个）；然而，三分之二（n = 47）的数据源仅来自八个北欧和西欧国家。对于几个国家，无法找到相关数据。24个国家有与种族相关的国家死亡登记册。出生国家是最常用的种族指标。目前，关于移民和少数民族人群中冠心病、中风和糖尿病发病率的数据稀缺；在不同国家之间以及国家内部，种族以及疾病结果的定义和测量方式存在重要差异，这限制了数据的可比性。
可靠的常规数据是国家和欧盟层面循证公共卫生政策的关键。欧盟国家在评估移民和少数民族人群的需求以及规划医疗保健干预措施方面的基础相对薄弱。欧盟各地缺乏与种族相关的心血管疾病和糖尿病数据的问题亟待解决。
