Ethnic variations in upper gastrointestinal hospitalizations and deaths: the Scottish Health and Ethnicity Linkage Study.

Autor:	Cezard GI; 1 Edinburgh Ethnicity and Health Research Group (EEHRG), Centre for Population Health Studies, University of Edinburgh, Edinburgh, UK genevieve.cezard@ed.ac.uk., Bhopal RS; 1 Edinburgh Ethnicity and Health Research Group (EEHRG), Centre for Population Health Studies, University of Edinburgh, Edinburgh, UK., Ward HJ; 1 Edinburgh Ethnicity and Health Research Group (EEHRG), Centre for Population Health Studies, University of Edinburgh, Edinburgh, UK 2 Public Health and Intelligence, NHS National Services Scotland, Edinburgh, UK., Bansal N; 1 Edinburgh Ethnicity and Health Research Group (EEHRG), Centre for Population Health Studies, University of Edinburgh, Edinburgh, UK 3 Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Cambridge, UK., Bhala N; 4 Wellington Regional Hospital, Department of Gastroenterology, Capital and Coast District Health Board, Wellington, New Zealand 5 Gastroenterology and Liver Units, Queen Elizabeth Hospital, University of Birmingham, Birmingham, UK.
Jazyk:	angličtina
Zdroj:	European journal of public health [Eur J Public Health] 2016 Apr; Vol. 26 (2), pp. 254-60. Date of Electronic Publication: 2015 Oct 09.
DOI:	10.1093/eurpub/ckv182
Abstrakt:	Background: Upper gastrointestinal (GI) diseases are common, but there is a paucity of data describing variations by ethnic group and so a lack of understanding of potential health inequalities. We studied the incidence of specific upper GI hospitalization and death by ethnicity in Scotland. Methods: Using the Scottish Health and Ethnicity Linkage Study, linking NHS hospitalizations and mortality to the Scottish Census 2001, we explored ethnic differences in incidence (2001-10) of oesophagitis, peptic ulcer disease, gallstone disease and pancreatitis. Relative Risks (RRs) and 95% confidence intervals were calculated using Poisson regression, multiplied by 100, stratified by sex and adjusted for age, country of birth (COB) and socio-economic position. The White Scottish population (100) was the reference population. Results: Ethnic variations varied by outcome and sex, e.g. adjusted RRs (95% confidence intervals) for oesophagitis were comparatively higher in Bangladeshi women (209; 124-352) and lower in Chinese men (65; 51-84) and women (69; 55-88). For peptic ulcer disease, RRs were higher in Chinese men (171; 131-223). Pakistani women had higher RRs for gallstone disease (129; 112-148) and pancreatitis (147; 109-199). The risks of upper GI diseases were lower in Other White British and Other White [e.g. for peptic ulcer disease in men, respectively (74; 64-85) and (81; 69-94)]. Conclusion: Risks of common upper GI diseases were comparatively lower in most White ethnic groups in Scotland. In non-White groups, however, risk varied by disease and ethnic group. These results require consideration in health policy, service planning and future research. (© The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.)
Databáze:	MEDLINE
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