Baker M R, Bandaranayake R, Schweiger M S
Br Med J (Clin Res Ed). 1984 Apr 7;288(6423):1075-8. doi: 10.1136/bmj.288.6423.1075.
In the Bradford health district ethnic origin is associated with appreciable differences in morbidity and mortality. In view of these differences a study was undertaken to determine whether there were differences among the ethnic groups in utilisation of the National Health Service, as reflected in the rate of uptake of immunisation, which is offered to all children. Significant differences were found between the British group and some other ethnic groups--notably Pakistani, Indian, and half Negro groups. The rate of uptake of immunisation was nearer the optimum in the Indian group than in the British group. The most unsatisfactory rate of uptake of immunisation overall was found in the half Negro group. No clear explanation of the differences has been shown, they are likely to be due to various factors in the National Health Service and in the community.
在布拉德福德健康区,种族出身与发病率和死亡率的显著差异相关。鉴于这些差异,开展了一项研究,以确定不同种族群体在利用国民医疗服务方面是否存在差异,这种差异体现在所有儿童均可接种的免疫接种率上。研究发现,英国群体与其他一些种族群体之间存在显著差异,特别是巴基斯坦、印度和半黑人种族群体。印度群体的免疫接种率比英国群体更接近最佳水平。总体而言,半黑人种族群体的免疫接种率最不理想。目前尚未找到对这些差异的明确解释,它们可能是由国民医疗服务体系和社区中的各种因素导致的。