Seeromanie Harding1. 1. MRC Unit, Social and Public Health Sciences Unit, University of Glasgow, Lilybank Gardens, Glasgow, G12 8RZ, UK. seeromanie.harding@mrc.msoc.ac.uk
Abstract
UNLABELLED: Aim To investigate mortality of Caribbean migrants in England and Wales by duration of residence and age at migration. METHOD: Study members in a national cohort, aged 25-54 years in 1971, were followed up from 1971 to 2000. There were 1540 migrant Caribbeans amongst whom there were 329 deaths during follow-up. Cox regression models were used to analyse mortality from cardiovascular disease and cancers. All results were adjusted for sex and socioeconomic position. RESULTS: All-cause mortality was not related to duration of residence or age at migration at ages 25-34 or 35-44 years in 1971. At ages 45-54 years a pattern of increasing mortality with each additional year of residence prior to 1971 (hazard ratio [HR] = 1.07, 95% CI: 0.95, 1.20, 144 deaths) and with each additional year of age at migration (HR = 1.09, 95% CI: 0.97, 1.22) was observed. Circulatory disease mortality, accounting for 40% of all deaths, contributed to this pattern. At ages 45-54 years, both duration of residence (HR = 1.21, 95% CI: 1.01, 1.44, 62) and age at migration (HR = 1.25, 95% CI: 1.06, 1.49) increased per year of each. Of these deaths, stroke mortality was positively associated with both predictors (HR = 1.38, 95% CI: 1.10, 1.74 for duration of residence and HR = 1.44, 95% CI: 1.15, 1.80 for age at migration), a pattern due to effects at ages 45-54 years. Deaths from coronary heart disease showed similar trends in the oldest age cohort. No significant trends were observed for deaths from cancers. CONCLUSION: Circulatory disease mortality in Caribbean migrants increased with increasing duration of residence and age at migration in the oldest age cohort, primarily due to the effects from stroke mortality.
UNLABELLED: Aim To investigate mortality of Caribbean migrants in England and Wales by duration of residence and age at migration. METHOD: Study members in a national cohort, aged 25-54 years in 1971, were followed up from 1971 to 2000. There were 1540 migrant Caribbeans amongst whom there were 329 deaths during follow-up. Cox regression models were used to analyse mortality from cardiovascular disease and cancers. All results were adjusted for sex and socioeconomic position. RESULTS: All-cause mortality was not related to duration of residence or age at migration at ages 25-34 or 35-44 years in 1971. At ages 45-54 years a pattern of increasing mortality with each additional year of residence prior to 1971 (hazard ratio [HR] = 1.07, 95% CI: 0.95, 1.20, 144 deaths) and with each additional year of age at migration (HR = 1.09, 95% CI: 0.97, 1.22) was observed. Circulatory disease mortality, accounting for 40% of all deaths, contributed to this pattern. At ages 45-54 years, both duration of residence (HR = 1.21, 95% CI: 1.01, 1.44, 62) and age at migration (HR = 1.25, 95% CI: 1.06, 1.49) increased per year of each. Of these deaths, stroke mortality was positively associated with both predictors (HR = 1.38, 95% CI: 1.10, 1.74 for duration of residence and HR = 1.44, 95% CI: 1.15, 1.80 for age at migration), a pattern due to effects at ages 45-54 years. Deaths from coronary heart disease showed similar trends in the oldest age cohort. No significant trends were observed for deaths from cancers. CONCLUSION: Circulatory disease mortality in Caribbean migrants increased with increasing duration of residence and age at migration in the oldest age cohort, primarily due to the effects from stroke mortality.
Authors: Hadewijch Vandenheede; Patrick Deboosere; Irina Stirbu; Charles O Agyemang; Seeromanie Harding; Knud Juel; Snorri Björn Rafnsson; Enrique Regidor; Grégoire Rey; Michael Rosato; Johan P Mackenbach; Anton E Kunst Journal: Eur J Epidemiol Date: 2011-12-14 Impact factor: 8.082
Authors: Rachel Burns; Neha Pathak; Ines Campos-Matos; Dominik Zenner; Srinivasa Vittal Katikireddi; Morris C Muzyamba; J Jaime Miranda; Ruth Gilbert; Harry Rutter; Lucy Jones; Elizabeth Williamson; Andrew C Hayward; Liam Smeeth; Ibrahim Abubakar; Harry Hemingway; Robert W Aldridge Journal: Wellcome Open Res Date: 2019-01-17