Mortality by country of birth in England and Wales, 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

Ethnicity by country of birth, England & Wales, 2001 Census

All cause mortality by country of birth in men aged 20 and over

All cause mortality by country of birth in women aged 20 and over

All cause mortality by country of birth in men aged 20-44

All cause mortality by country of birth in women aged 20-44

IHD mortality by country of birth in men aged 20 and over

IHD mortality by country of birth in women aged 20 and over

CVD mortality by country of birth in men aged 20 and over

CVD mortality by country of birth in women aged 20 and over

All cancer mortality by country of birth in men aged 20 and over

All cancer mortality by country of birth in women aged 20 and over

Injury and poisoning mortality by country of birth in men aged 20 and over

Injury and poisoning mortality by country of birth in women aged 20 and over

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,

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,

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,

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,

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?