Persistent high stroke mortality in Bangladeshi populations

作者: Raj Bhopal , Taslin Rahemtulla , Aziz Sheikh

DOI: 10.1136/BMJ.331.7525.1096

关键词: BangladeshisStrokePopulationAge adjustmentStandardized mortality ratioInequalityMedicineEthnic groupCase fatality ratePediatricsDemographyGeneral Medicine

摘要: Novel hypotheses to explain this need testing urgently Censuses in 1981, 1991,1–3 and 2001 (Wild et al. Persistence of substantial inequalities cardiovascular disease mortality by country birth England Wales 2001-2003. Unpublished manuscript). have shown that, among Bangladeshi-born men living the United Kingdom, standardised ratio for stroke is two three times population average, with less marked but important excesses women. There has been little progress understanding reasons variation, let alone identifying approaches improve outcomes. Lessons learnt about British Bangladeshis may well apply other populations at high risk, including Indians Pakistanis, whose excess not quite so high. In addition, such evidence could be highly relevant reducing health inequalities. Is from explained a higher case fatality ratio? Interim analysis data south London register shows no age adjusted difference survival between white …

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