Balarajan R, Bulusu L, Adelstein A M, Shukla V
Br Med J (Clin Res Ed). 1984 Nov 3;289(6453):1185-7. doi: 10.1136/bmj.289.6453.1185.
Causes of deaths in immigrants to England and Wales from the Indian subcontinent were assessed by ethnic subgroup. Observed and expected deaths for 1975-7 were aggregated to calculate proportional mortality ratios. Observed mortality due to infective and parasitic diseases, endocrine diseases (notably diabetes), diseases of the circulatory system (notably ischaemic heart disease and cerebrovascular disease, in males), and diseases of the digestive system (notably cirrhosis of the liver) exceeded expected mortality. Fewer than expected deaths were due to malignant neoplasms (notably lung cancer and chronic bronchitis); proportional mortality ratios for cancer were lower for Hindu groups than for Moslems and were lowest for Punjabis. Mortality due to ischaemic heart disease, high in all groups, was highest in Moslems. Significantly more Punjabi males died from cerebrovascular disease and cirrhosis of the liver. Diabetes was commonest among Gujaratis. The variation seen in the patterns of mortality in the different ethnic groups indicates the need for further epidemiological and health service research centred on these communities.
按种族亚组评估了印度次大陆移民到英格兰和威尔士后的死亡原因。汇总了1975 - 1977年的观察到的死亡人数和预期死亡人数，以计算比例死亡率。感染性和寄生虫病、内分泌疾病（尤其是糖尿病）、循环系统疾病（尤其是男性的缺血性心脏病和脑血管疾病）以及消化系统疾病（尤其是肝硬化）导致的观察到的死亡率超过了预期死亡率。因恶性肿瘤（尤其是肺癌和慢性支气管炎）导致的死亡人数低于预期；印度教群体的癌症比例死亡率低于穆斯林群体，旁遮普人的比例死亡率最低。缺血性心脏病导致的死亡率在所有群体中都很高，在穆斯林中最高。旁遮普男性因脑血管疾病和肝硬化死亡的人数明显更多。糖尿病在古吉拉特人中最为常见。不同种族群体死亡率模式的差异表明，需要针对这些群体开展进一步的流行病学和卫生服务研究。
