Ethnic differences in self-assessed health in Scotland : the role of socio-economic status and migrant generation
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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.
Cézard , G , Finney , N , Kulu , H & Marshall , A 2020 , ' Ethnic differences in self-assessed health in Scotland : the role of socio-economic status and migrant generation ' , Population, Space and Place , vol. Early View , e2403 . https://doi.org/10.1002/psp.2403
Population, Space and Place
Copyright © 2020 John Wiley & Sons, Ltd. This work has been made available online in accordance with publisher policies or with permission. Permission for further reuse of this content should be sought from the publisher or the rights holder. This is the author created accepted manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1002/psp.2403.
DescriptionFunding: The Chief Scientist Office funded the SHELS (Grant CZH/4/878). Supplementary grants (no numbers) were provided by Health Protection Scotland and NHS Health Scotland. G. C. was awarded by St Leonard's and Geography & Sustainable Development PhD studentship to study ethnic differences in health in Scotland.
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