Balarajan R
Epidemiology and Public Health Research Unit, University of Surrey, Guildford.
BMJ. 1991 Mar 9;302(6776):560-4. doi: 10.1136/bmj.302.6776.560.
To examine mortality from ischaemic heart disease and cerebrovascular disease in England and Wales by country of birth of the deceased.
Standardised mortality ratios were computed by country of birth groups for ischaemic heart disease and cerebrovascular disease for 1979-83 and 1970-2 by using the five year age-sex specific rates for England and Wales for 1979-83 as standard.
England and Wales 1970-2 and 1979-83.
In 1979-83 mortality from ischaemic heart disease was highest in men and women born in the Indian subcontinent (standardised mortality ratio 136 and 146 respectively). Young Indian men suffered the greatest excess (313 at ages 20-29). Other groups with raised mortality included Irish, Scottish, and Polish born immigrants. Those born in the Caribbean, the old Commonwealth, west Europe, and the United States had low death rates. In England and Wales mortality from ischaemic heart disease declined by 5% in men and 1% in women between 1970-2 and 1979-83, with greatest percentage declines in immigrants born in the United States, South Africa, the old Commonwealth, the Caribbean, and France. immigrant groups with raised mortality in the earlier period showed little improvement, and mortality from ischaemic heart disease increased among Indians (6% in men and 13% in women). In 1979-83 mortality from cerebrovascular disease was highest in Caribbeans (standardised mortality ratios 176 in men and 210 in women), followed by Africans, Indians, and Irish. Rates were low in west Europeans. Mortality from stroke declined by 28% overall in this period, a rate of decline shared by most groups. Men from the Indian subcontinent showed a decline of only 3%.
In the 1980s mortality from ischaemic heart disease and cerebrovascular disease differed significantly between ethnic groups in England and Wales. In general, ethnic groups that experienced lower mortality from ischaemic heart disease in the 1970s showed the greatest improvement over the following decade.
按死者的出生国考察英格兰和威尔士缺血性心脏病及脑血管病的死亡率。
采用1979 - 1983年英格兰和威尔士按年龄和性别划分的五年特定率作为标准，计算1979 - 1983年及1970 - 1972年按出生国分组的缺血性心脏病和脑血管病的标准化死亡率。
1970 - 1972年及1979 - 1983年的英格兰和威尔士。
在1979 - 1983年，出生于印度次大陆的男性和女性缺血性心脏病死亡率最高（标准化死亡率分别为136和146）。年轻的印度男性超额死亡率最高（20 - 29岁年龄段为313）。其他死亡率升高的群体包括出生于爱尔兰、苏格兰和波兰的移民。出生于加勒比地区、旧英联邦国家、西欧和美国的人死亡率较低。在1970 - 1972年至1979 - 1983年期间，英格兰和威尔士男性缺血性心脏病死亡率下降了5%，女性下降了1%，出生于美国、南非、旧英联邦国家、加勒比地区和法国的移民下降幅度最大。早期死亡率升高的移民群体改善不大，印度人的缺血性心脏病死亡率上升（男性上升6%，女性上升13%）。1979 - 1983年，加勒比地区的脑血管病死亡率最高（男性标准化死亡率为176，女性为210），其次是非洲人、印度人和爱尔兰人。西欧人的死亡率较低。在此期间，中风死亡率总体下降了28%，大多数群体下降幅度相同。来自印度次大陆的男性仅下降了3%。
在20世纪80年代，英格兰和威尔士不同种族群体的缺血性心脏病和脑血管病死亡率存在显著差异。总体而言，2[此处原文可能有误，推测应为1970s]世纪70年代缺血性心脏病死亡率较低的种族群体在接下来的十年中改善最大。
