Ethnicity and Health Research Group, Centre for Population Health Sciences, University of Edinburgh, Edinburgh, UK.
Eur J Public Health. 2012 Jun;22(3):353-9. doi: 10.1093/eurpub/ckr062. Epub 2011 May 20.
Important differences in cardiovascular disease (CVD) mortality by country of birth have been shown within European countries. We now focus on CVD mortality by specific country of birth across European countries.
For Denmark, England and Wales, France, The Netherlands, Scotland and Sweden mortality information on circulatory disease, and the subcategories of ischaemic heart disease, and cerebrovascular disease, was analysed by country of birth. Information on population was obtained from census data or population registers. Directly age-standardized rates per 100 000 were estimated by sex for each country of birth group using the WHO World Standard population 2000-25 structure. For differences in the results, at least one of the two 95% confidence intervals did not overlap.
Circulatory mortality was similar across countries for men born in India (355.7 in England and Wales, 372.8 in Scotland and 244.5 in Sweden). For other country of birth groups-China, Pakistan, Poland, Turkey and Yugoslavia-there were substantial between-country differences. For example, men born in Poland had a rate of 630.0 in Denmark and 499.3 in England and Wales and 153.5 in France; and men born in Turkey had a rate of 439.4 in Denmark and 231.4 in The Netherlands. A similar pattern was seen in women, e.g. Poland born women had a rate of 264.9 in Denmark, 126.4 in England and Wales and 54.4 in France. The patterns were similar for ischaemic heart disease mortality and cerebrovascular disease mortality.
Cross-country comparisons are feasible and the resulting findings are interesting. They merit public health consideration.
在欧洲国家内，已显示出不同国籍人群的心血管疾病（CVD）死亡率存在显著差异。我们现在重点关注欧洲各国特定国籍人群的 CVD 死亡率。
在丹麦、英格兰和威尔士、法国、荷兰、苏格兰和瑞典，对循环系统疾病的死亡率以及缺血性心脏病和脑血管疾病的亚分类，按出生国进行了分析。人口信息来自人口普查数据或人口登记处。使用世界卫生组织 2000-25 年标准人口结构，根据性别为每个出生国群体计算了直接年龄标准化每 10 万人的死亡率。至少有一个 95%置信区间不重叠，则认为结果存在差异。
在英格兰和威尔士出生的印度男性（355.7）、苏格兰男性（372.8）和瑞典男性（244.5）的循环系统死亡率相似。对于其他出生国群体（中国、巴基斯坦、波兰、土耳其和南斯拉夫），国与国之间存在显著差异。例如，在丹麦出生的波兰男性死亡率为 630.0，在英格兰和威尔士为 499.3，在法国为 153.5；在丹麦出生的土耳其男性死亡率为 439.4，在荷兰为 231.4。女性的模式类似，例如在丹麦出生的波兰女性死亡率为 264.9，在英格兰和威尔士为 126.4，在法国为 54.4。缺血性心脏病死亡率和脑血管疾病死亡率也呈现出类似的模式。
跨国比较是可行的，结果也很有趣。值得公共卫生部门关注。
