Ethnic differences in self‐assessed health in Scotland: The role of socio‐economic status and migrant generation
This study investigates ethnic differences in self‐assessed health in Scotland and their determinants, focusing on socio‐economic status and migrant generations. We use the Scottish Health and Ethnicity Linkage Study (SHELS) and apply regression analysis to data for 4.6 million people. The analysis...
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Veröffentlicht in: | Population space and place 2022-04, Vol.28 (3), p.n/a |
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creator | Cézard, Geneviève Finney, Nissa Kulu, Hill Marshall, Alan |
description | This study investigates ethnic differences in self‐assessed health in Scotland and their determinants, focusing on socio‐economic status and migrant generations. We use the Scottish Health and Ethnicity Linkage Study (SHELS) and apply regression analysis to data for 4.6 million people. The analysis shows that the White British, Other White and Chinese groups reported better health than the White Scottish population, whereas Pakistani and Indian populations had worse health outcomes. For the latter two groups, this contrasts with previous findings of mortality advantage and thus highlights a morbidity–mortality paradox in these South Asian populations. Our findings imply that socio‐economic deprivation, health selection and acculturation explain health inequalities for some ethnic groups, but for other groups, especially those of Pakistani origin, other mechanisms deserve further exploration. |
doi_str_mv | 10.1002/psp.2403 |
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We use the Scottish Health and Ethnicity Linkage Study (SHELS) and apply regression analysis to data for 4.6 million people. The analysis shows that the White British, Other White and Chinese groups reported better health than the White Scottish population, whereas Pakistani and Indian populations had worse health outcomes. For the latter two groups, this contrasts with previous findings of mortality advantage and thus highlights a morbidity–mortality paradox in these South Asian populations. 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We use the Scottish Health and Ethnicity Linkage Study (SHELS) and apply regression analysis to data for 4.6 million people. The analysis shows that the White British, Other White and Chinese groups reported better health than the White Scottish population, whereas Pakistani and Indian populations had worse health outcomes. For the latter two groups, this contrasts with previous findings of mortality advantage and thus highlights a morbidity–mortality paradox in these South Asian populations. Our findings imply that socio‐economic deprivation, health selection and acculturation explain health inequalities for some ethnic groups, but for other groups, especially those of Pakistani origin, other mechanisms deserve further exploration.</description><subject>Acculturation</subject><subject>Asian cultural groups</subject><subject>Cultural differences</subject><subject>Deprivation</subject><subject>descendants</subject><subject>Ethnic groups</subject><subject>Ethnicity</subject><subject>Health disparities</subject><subject>immigrants</subject><subject>Inequality</subject><subject>Migrants</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Racial differences</subject><subject>Scotland</subject><subject>self‐assessed health</subject><subject>socio‐economic status</subject><issn>1544-8444</issn><issn>1544-8452</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BHHNA</sourceid><recordid>eNp10MtKAzEUBuAgCtYq-AgBN26mziSZmzsp3qBgoXUd0uSkTZkmY5Ii3fkIPqNPYmrFnRA4gfPlD_wIXRb5qMhzctOHfkRYTo_QoCgZyxpWkuO_O2On6CyEdZJVXrYDFO_jyhqJldEaPFgJARuLA3T66-NThADpKLwC0cXVfjOTLnbCqls8XwH2rgPsNA5OGpcegHTWbVJeiCJuA04Qb8zSCxvxEix4EY2z5-hEiy7Axe8coteH-_n4KZu8PD6P7yaZpKSmGVOUAKtJS6uqoSVUQlIl61YzlkDR6ooJkddM5KRsZLsgqlaiWFBZsqptpaJDdHXI7b1720KIfO223qYvOalYU1RNU7ZJXR-U9C4ED5r33myE3_Ei5_tOeeqU7ztNNDvQd9PB7l_Hp7Ppj_8GmQZ6tg</recordid><startdate>202204</startdate><enddate>202204</enddate><creator>Cézard, Geneviève</creator><creator>Finney, Nissa</creator><creator>Kulu, Hill</creator><creator>Marshall, Alan</creator><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>WZK</scope><orcidid>https://orcid.org/0000-0002-7936-8259</orcidid><orcidid>https://orcid.org/0000-0002-3011-7416</orcidid><orcidid>https://orcid.org/0000-0003-0971-829X</orcidid><orcidid>https://orcid.org/0000-0001-6602-9920</orcidid></search><sort><creationdate>202204</creationdate><title>Ethnic differences in self‐assessed health in Scotland: The role of socio‐economic status and migrant generation</title><author>Cézard, Geneviève ; Finney, Nissa ; Kulu, Hill ; Marshall, Alan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3273-4d32e4729366835e6ac3dc79f44c3219f64aa074a0258c9b2d7da1b3c54699cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acculturation</topic><topic>Asian cultural groups</topic><topic>Cultural differences</topic><topic>Deprivation</topic><topic>descendants</topic><topic>Ethnic groups</topic><topic>Ethnicity</topic><topic>Health disparities</topic><topic>immigrants</topic><topic>Inequality</topic><topic>Migrants</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Racial differences</topic><topic>Scotland</topic><topic>self‐assessed health</topic><topic>socio‐economic status</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cézard, Geneviève</creatorcontrib><creatorcontrib>Finney, Nissa</creatorcontrib><creatorcontrib>Kulu, Hill</creatorcontrib><creatorcontrib>Marshall, Alan</creatorcontrib><collection>CrossRef</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts (Ovid)</collection><jtitle>Population space and place</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cézard, Geneviève</au><au>Finney, Nissa</au><au>Kulu, Hill</au><au>Marshall, Alan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ethnic differences in self‐assessed health in Scotland: The role of socio‐economic status and migrant generation</atitle><jtitle>Population space and place</jtitle><date>2022-04</date><risdate>2022</risdate><volume>28</volume><issue>3</issue><epage>n/a</epage><issn>1544-8444</issn><eissn>1544-8452</eissn><abstract>This study investigates ethnic differences in self‐assessed health in Scotland and their determinants, focusing on socio‐economic status and migrant generations. 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subjects | Acculturation Asian cultural groups Cultural differences Deprivation descendants Ethnic groups Ethnicity Health disparities immigrants Inequality Migrants Morbidity Mortality Racial differences Scotland self‐assessed health socio‐economic status |
title | Ethnic differences in self‐assessed health in Scotland: The role of socio‐economic status and migrant generation |
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