Embed Size (px)
DESCRIPTION
Mortality by country of birth in England and Wales, 2001-2003. Clare Griffiths & Anita Brock: Office for National Statistics Sarah Wild & Colin Fischbacher: University of Edinburgh. Introduction. - PowerPoint PPT Presentation
Citation preview
Mortality by country of birth in England and Wales, 2001-2003
Clare Griffiths & Anita Brock: Office for National Statistics
Sarah Wild & Colin Fischbacher: University of Edinburgh
Introduction
• Previous analysis based on data from 1971, 1981, 1991 Censuses found mortality in England and Wales varied by country of birth.
• Our analysis looked at patterns around the 2001 Census.
– Additional countries.– Additional causes of death.– Age-specific rates as well as overall rate.
Methods
• Death registrations from 2001 to 2003 in England & Wales by cause (ICD-10)
– All causes– Ischaemic heart disease (IHD)– Cerebrovascular disease (CVD)– All cancer– Injury & poisoning
• 2001 Census population data for England & Wales by country of birth
• Directly age-standardised rates per 100,000 (European standard population), people aged 20 and over (with 95% confidence intervals)
Country groupings
• Countries analysed using 2001 Census data– England & Wales (90.6%)– Scotland (2.0%)– Ireland (N Ireland and the Republic of Ireland) (1.8%)– Eastern Europe (0.5%)– Africa (East (0.6%), North (0.2%) and West (0.5%))– Middle East (0.5%)– South Asia (Bangladesh (0.3%), India (1.1%) and
Pakistan (0.7%))– West Indies (0.6%)– China & Hong Kong (0.3%)– All residents of Scotland and Ireland
Country of birth by ethnicity, England & Wales, 2001 Census
White Black Asian Mixed Chinese or other
ALL PEOPLE 91.3 2.2 4.4 1.3 0.9England & Wales 95.2 1.2 2.3 1.1 0.2Scotland 98.6 0.2 0.6 0.4 0.2Ireland 99.2 0.1 0.2 0.3 0.1Eastern Europe 96.7 0.1 0.6 1.9 0.6South and Eastern Africa(x S Africa)
17.7 30.3 46.0 4.4 1.4
North Africa 50.9 16.5 2.1 13.4 17.1Central and WesternAfrica
6.7 86.5 3.8 2.9 0.1
Middle East 60.1 1.1 21.1 6.9 10.9Bangladesh 0.9 0.0 98.4 0.5 0.2India 11.6 0.1 85.9 2.1 0.3Pakistan 2.5 0.0 96.6 0.6 0.2China 7.2 0.1 0.5 1.0 91.3Caribbean & West Indies 6.0 88.0 1.5 4.4 0.3
Ethnicity by country of birth, England & Wales, 2001 Census
England &Wales
Scotland Ireland EasternEurope
South andEastern
Africa
NorthAfrica
Centraland
WesternAfrica
White 92.8 1.7 1.5 0.5 0.2 0.1 0Black 49.3 0.1 0.1 0 10.9 1 15Asian 46.8 0.2 0.1 0.1 8.3 0.1 0.3Mixed 78.6 0.5 0.3 0.7 2.8 1.4 0.9Chinese orother
21.6 0.3 0.2 0.3 1.3 2.6 0.1
Middle East Bangladesh India Pakistan China Caribbean &West Indies
White 0.3 0 0.1 0 0 0Black 0.2 0 0 0 0 19.5Asian 2 6.6 17.2 13.1 0 0.2Mixed 2.3 0.1 1.5 0.3 0.1 1.7Chinese orother
5.3 0.1 0.3 0.2 9.9 0.1
All cause mortality by country of birth in men aged 20 and over
0
200
400
600
800
1000
1200
1400
1600E
ng
lan
d &
Wa
les
Sc
otl
an
d
Ire
lan
d
Ea
ste
rn E
uro
pe
E A
fric
a
N A
fric
a
W A
fric
a
Mid
dle
Ea
st
Ba
ng
lad
es
h
Ind
ia
Pa
kis
tan
We
st
Ind
ies
Ch
ina
& H
on
g K
on
g
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Men
Total deaths in E&W
All cause mortality by country of birth in women aged 20 and over
0
100
200
300
400
500
600
700
800
900
1000E
ng
lan
d &
Wa
les
Sc
otl
an
d
Ire
lan
d
Ea
ste
rn E
uro
pe
E A
fric
a
N A
fric
a
W A
fric
a
Mid
dle
Ea
st
Ba
ng
lad
es
h
Ind
ia
Pa
kis
tan
We
st
Ind
ies
Ch
ina
& H
on
gK
on
g
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Women
Total deaths in E&W
All cause mortality by country of birth in men aged 20-44
0
50
100
150
200
250
300E
ng
lan
d &
Wa
les
Sc
otl
an
d
Ire
lan
d
Ea
ste
rn E
uro
pe
E A
fric
a
N A
fric
a
W A
fric
a
Mid
dle
Ea
st
Ba
ng
lad
es
h
Ind
ia
Pa
kis
tan
We
st
Ind
ies
Ch
ina
& H
on
gK
on
g
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Men aged 20-44
Total deaths in E&W
All cause mortality by country of birth in women aged 20-44
0
20
40
60
80
100
120
140E
ng
lan
d &
Wa
les
Sc
otl
an
d
Ire
lan
d
Ea
ste
rn E
uro
pe
E A
fric
a
N A
fric
a
W A
fric
a
Mid
dle
Ea
st
Ba
ng
lad
es
h
Ind
ia
Pa
kis
tan
We
st
Ind
ies
Ch
ina
& H
on
gK
on
g
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Women aged 20-44
Total deaths in E&W
IHD mortality by country of birth in men aged 20 and over
0
50
100
150
200
250
300
350
400
450E
ng
lan
d &
Wa
les
Sc
otl
an
d
Ire
lan
d
Ea
ste
rn E
uro
pe
E A
fric
a
N A
fric
a
W A
fric
a
Mid
dle
Ea
st
Ba
ng
lad
es
h
Ind
ia
Pa
kis
tan
We
st
Ind
ies
Ch
ina
& H
on
gK
on
g
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Men
Total deaths in E&W
IHD mortality by country of birth in women aged 20 and over
0
50
100
150
200
250E
ng
lan
d &
Wa
les
Sc
otl
an
d
Ire
lan
d
Ea
ste
rn E
uro
pe
E A
fric
a
N A
fric
a
W A
fric
a
Mid
dle
Ea
st
Ba
ng
lad
es
h
Ind
ia
Pa
kis
tan
We
st
Ind
ies
Ch
ina
& H
on
g K
on
g
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Women
Total deaths in E&W
CVD mortality by country of birth in men aged 20 and over
0
50
100
150
200
250E
ng
lan
d &
Wa
les
Sc
otl
an
d
Ire
lan
d
Ea
ste
rn E
uro
pe
E A
fric
a
N A
fric
a
W A
fric
a
Mid
dle
Ea
st
Ba
ng
lad
es
h
Ind
ia
Pa
kis
tan
We
st
Ind
ies
Ch
ina
& H
on
gK
on
g
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Men
Total deaths in E&W
CVD mortality by country of birth in women aged 20 and over
0
20
40
60
80
100
120
140
160
180E
ng
lan
d &
Wa
les
Sc
otl
an
d
Ire
lan
d
Ea
ste
rn E
uro
pe
E A
fric
a
N A
fric
a
W A
fric
a
Mid
dle
Ea
st
Ba
ng
lad
es
h
Ind
ia
Pa
kis
tan
We
st
Ind
ies
Ch
ina
& H
on
gK
on
g
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Women
Total deaths in E&W
All cancer mortality by country of birth in men aged 20 and over
0
50
100
150
200
250
300
350
400
450E
ng
lan
d &
Wa
les
Sc
otl
an
d
Ire
lan
d
Ea
ste
rn E
uro
pe
E A
fric
a
N A
fric
a
W A
fric
a
Mid
dle
Ea
st
Ba
ng
lad
es
h
Ind
ia
Pa
kis
tan
We
st
Ind
ies
Ch
ina
& H
on
gK
on
g
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Men
Total deaths in E&W
All cancer mortality by country of birth in women aged 20 and over
0
50
100
150
200
250
300E
ng
lan
d &
Wa
les
Sc
otl
an
d
Ire
lan
d
Ea
ste
rn E
uro
pe
E A
fric
a
N A
fric
a
W A
fric
a
Mid
dle
Ea
st
Ba
ng
lad
es
h
Ind
ia
Pa
kis
tan
We
st
Ind
ies
Ch
ina
& H
on
g K
on
g
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Women
Total deaths in E&W
Injury and poisoning mortality by country of birth in men aged 20 and over
0
20
40
60
80
100
120E
ng
lan
d &
Wa
les
Sc
otl
an
d
Ire
lan
d
Ea
ste
rn E
uro
pe
E A
fric
a
N A
fric
a
W A
fric
a
Mid
dle
Ea
st
Ba
ng
lad
es
h
Ind
ia
Pa
kis
tan
We
st
Ind
ies
Ch
ina
& H
on
g K
on
g
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Men
Total deaths in E&W
Injury and poisoning mortality by country of birth in women aged 20 and over
0
5
10
15
20
25
30
35
40E
ng
lan
d &
Wa
les
Sc
otl
an
d
Ire
lan
d
Ea
ste
rn E
uro
pe
E A
fric
a
N A
fric
a
W A
fric
a
Mid
dle
Ea
st
Ba
ng
lad
es
h
Ind
ia
Pa
kis
tan
We
st
Ind
ies
Ch
ina
& H
on
gK
on
g
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Women
Total deaths in E&W
Age standardised mortality rate per 100,000 by cause for men aged 20 and over for residents of Scotland and Scotland born residents of E&W, 2001-2003
0
200
400
600
800
1000
1200
1400
All causes IHD CVD All cancer Injury&poisoning
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Scotland residents
Scotland born/E&Wresident
Age standardised mortality rate per 100,000 by cause for women aged 20 and over for residents of Scotland and Scotland born residents of E&W, 2001-2003
0
100
200
300
400
500
600
700
800
900
1000
All causes IHD CVD All cancer Injury&poisoning
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Scotland residents
Scotland born/E&Wresident
Age standardised mortality rate per 100,000 by cause for men aged 20 and over for residents of Ireland and Ireland born residents of E&W, 2001-2003
0
200
400
600
800
1000
1200
1400
1600
All causes IHD Injury&poisoning
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Ireland residents
Ireland born/E&Wresident
Age standardised mortality rate per 100,000 by cause for women aged 20 and over for residents of Ireland and Ireland born residents of E&W, 2001-2003
0
100
200
300
400
500
600
700
800
900
1000
All causes IHD Injury&poisoning
Ag
e-s
tan
da
rdis
ed
ra
te p
er
10
0,0
00
Ireland residents
Ireland born/E&Wresident
Key findings• Mortality varied by country of birth around the 2001
Census.• Some similar findings to previous analysis.• Interesting new findings include
– High mortality in young adult men born in Eastern Europe and the West Indies and young adult women born in West Africa, East Africa and the West Indies.
– Low rates seen young adults of both sexes born in South Asia.
– CVD rates very high but IHD rates very low in West African men.
– Injury and poisoning mortality very high in people born in Eastern Europe
Discussion
Any comments/questions?
