Gruer, L.D., Millard, A.D., Williams, L.J., Bhopal, R.S., Katikireddi, S.V. , Cezard, G.I., Buchanan, D., Douglas, A.F., Steiner, M.F.C. and Sheikh, A. (2018) Differences in all-cause hospitalisation by ethnic group: a data linkage cohort study of 4.62 million people in Scotland, 2001–2013. Public Health, 161, pp. 5-11. (doi: 10.1016/j.puhe.2018.04.010) (PMID:29852341) (PMCID:PMC6085114)
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Abstract
Background: Immigration into Europe has raised contrasting concerns about increased pressure on health services and equitable provision of healthcare to immigrants /ethnic minorities. We assessed hospital use by ethnic group in Scotland. Methods: We anonymously linked Scotland?s Census 2001 records for 4.62 million people, including their ethnic group, to National Health Service general hospitalisation records for 2001-2013. We used Poisson regression to calculate hospitalisation rate ratios (RRs) in 14 ethnic groups, presented as percentages of the White Scottish reference group (RR=100), for males and females separately. We adjusted for age and socio-economic status and compared those born in the United Kingdom or the Republic of Ireland (UK/RoI) with elsewhere. We calculated mean lengths of hospital stay. Results: 9,789,975 hospital admissions were analysed. Compared to the White Scottish, unadjusted RRs for both males and females in most groups were about 50-90, e.g. Chinese males 49 (95% CI 45-53) and Indian females 76 (71-81). The exceptions were White Irish males, 120 (117-124) and females 115 (112-119) and Caribbean females, 103 (85-126). Adjusting for age increased the RRs for most groups towards or above the reference. Socio-economic status had little effect. In many groups, those born outside the UK/RoI had lower admission rates. Unadjusted mean lengths of stay were substantially lower in most ethnic minorities. Conclusions: Use of hospital beds in Scotland by most ethnic minorities was lower than by the White Scottish majority, largely explained by their younger average age. Other countries should use similar methods to assess their own experiences.
| Item Type: | Articles |
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| Additional Information: | The authors thank the Chief Scientist Office for a grant (CZH/4/648) and NHS Health Scotland for a supplementary grant (no number). SVK acknowledges funding from the Scottish Government Chief Scientist Office (SPHSU13 & SPHSU15). AS is supported by the Farr Institute. |
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Katikireddi, Professor Vittal and Millard, Dr Andrew and Gruer, Dr Lawrence |
| Authors: | Gruer, L.D., Millard, A.D., Williams, L.J., Bhopal, R.S., Katikireddi, S.V., Cezard, G.I., Buchanan, D., Douglas, A.F., Steiner, M.F.C., and Sheikh, A. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Public Health |
| Journal Name: | Public Health |
| Publisher: | Elsevier |
| ISSN: | 0033-3506 |
| ISSN (Online): | 1476-5616 |
| Copyright Holders: | Copyright © 2018 The Authors |
| First Published: | First published in Public Health 161:5-11 |
| Publisher Policy: | Reproduced under a Creative Commons License |
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