Abbotts J, Williams R, Smith G D
MRC Medical Sociology Unit, Glasgow.
Public Health. 1998 Jul;112(4):229-32. doi: 10.1016/S0033-3506(98)00237-6.
Britons of Irish parentage have been found to exhibit poorer health and to die at a younger age than the general population. This paper expands the investigation of Irish mortality patterns in Britain, to include men with patrilineal Irish descent from the immigration of the 19th and 20th centuries. Five thousand, seven hundred and sixty-six male employees aged between 35 and 64 y were examined in 27 workplace settings in Glasgow, Grangemouth and Clydebank between 1970 and 1973. Twenty-one years' mortality follow-up was analysed from a survey involving a health questionnaire and medical examination, using name analysis to identify those of patrilineal Irish descent. Fitting Cox's proportional hazards model to date of death, using date of birth and Irish names as covariates, resulted in the patrilineal Irish showing elevated mortality from all cases (relative risk 1.22; 95% CI [1.08, 1.38]) and coronary heart disease (relative risk 1.53; 95% CI [1.27, 1.83]). Mortality risk for men with an Irish surname was also elevated for cerebrovascular disease (relative risk 1.30; 95% CI [0.86, 1.95]), respiratory disease (relative risk 1.17; 95% CI [0.73, 1.86]) and injury or poisoning (relative risk 1.42; 95% CI [0.78, 2.61]), although the low numbers of men dying from these causes, meant that differences did not reach statistical significance at the 5% level. No differences were observed for cancer or other causes. Previous work has shown high mortality for second generation Irish, whereas this study indicates high all-cause mortality and an excess of deaths for coronary heart disease in the much larger group of men with patrilineal Irish descent from the immigration of the 19th and 20th centuries.
有爱尔兰血统的英国人被发现健康状况较差，且比普通人群寿命更短。本文拓展了对英国爱尔兰人死亡模式的调查，将19世纪和20世纪移民而来的父系爱尔兰后裔男性纳入其中。1970年至1973年间，在格拉斯哥、格兰杰茅斯和克莱德班克的27个工作场所对5766名年龄在35至64岁之间的男性员工进行了检查。通过一项包含健康问卷和医学检查的调查进行了21年的死亡率随访，利用姓名分析来确定父系爱尔兰后裔。将考克斯比例风险模型应用于死亡日期，以出生日期和爱尔兰名字作为协变量，结果显示父系爱尔兰后裔在所有病例中的死亡率升高（相对风险1.22；95%置信区间[1.08, 1.38]）以及冠心病死亡率升高（相对风险1.53；95%置信区间[1.27, 1.83]）。有爱尔兰姓氏的男性在脑血管疾病（相对风险1.30；95%置信区间[0.86, 1.95]）、呼吸系统疾病（相对风险1.17；95%置信区间[0.73, 1.86]）和损伤或中毒（相对风险1.42；95%置信区间[0.78, 2.61]）方面的死亡风险也有所升高，尽管因这些原因死亡的男性人数较少，这意味着差异在5%的水平上未达到统计学显著性。在癌症或其他原因方面未观察到差异。先前的研究表明第二代爱尔兰人死亡率较高，而本研究表明在19世纪和20世纪移民而来的规模大得多的父系爱尔兰后裔男性群体中，全因死亡率较高且冠心病死亡人数过多。
