Abbotts J, Williams R, Ford G, Hunt K, West P
MRC Medical Sociology Unit, Glasgow, Scotland, U.K.
Soc Sci Med. 1997 Jul;45(1):3-14. doi: 10.1016/s0277-9536(96)00302-4.
Ethnic and religious minorities often suffer disadvantages both in socio-economic status and in health. Data from the West of Scotland Twenty-07 study suggest some differences in morbidity between those descended from Irish Catholic migrants of the great emigration from 1840 onwards and others. Catholic religion of at least one parent or at birth is used here as a proxy measure to indicate Irish Catholic descent, on the basis of estimates of sensitivity and specificity in the local area. Higher proportions of "Catholics" are in manual social classes. Differences between "Catholics" and "non-Catholics" in one or more age cohorts are observed for the following aspects of health and physical development: general and physical health (self-assessed health, number of symptoms, accidents), psychological distress (depression, anxiety, number of psychosomatic symptoms), impairments and disabilities (sight, hearing, wearing dentures, disability), and physical measures (height, waist-to-hip ratio, lung function). Furthermore, for all aspects except hearing, wearing dentures and number of psychosomatic symptoms, significant differences remain after accounting for sex and social class. For each measure where a difference is observed, it is those respondents with a Catholic parent or who were born Catholic who experience poorer health or physical development. This suggests that those of Irish Catholic descent are at some disadvantage compared with the rest of the population, with respect to health as well as social class, 150 years after the start of the main migration.
少数族裔和宗教少数群体在社会经济地位和健康方面往往处于不利地位。来自苏格兰西部2007年研究的数据表明,1840年以来爱尔兰天主教移民后裔与其他人在发病率上存在一些差异。在此,根据当地的敏感性和特异性估计,将至少一位父母为天主教徒或出生时为天主教徒作为表示爱尔兰天主教血统的替代指标。“天主教徒”在体力劳动者社会阶层中的比例更高。在健康和身体发育的以下方面,观察到一个或多个年龄组的“天主教徒”和“非天主教徒”之间存在差异:总体健康和身体健康(自我评估的健康状况、症状数量、事故)、心理困扰(抑郁、焦虑、心身症状数量)、损伤和残疾(视力、听力、佩戴假牙、残疾)以及身体指标(身高、腰臀比、肺功能)。此外,除了听力、佩戴假牙和心身症状数量外,在考虑性别和社会阶层后,其他所有方面仍存在显著差异。对于观察到差异的每一项指标,是那些有天主教父母或出生时为天主教徒的受访者健康状况或身体发育较差。这表明,在主要移民开始150年后,爱尔兰天主教血统的人与其他人群相比,在健康和社会阶层方面都处于某种劣势。