Dataset Information

Ethnic variations in morbidity and mortality from lower respiratory tract infections: a retrospective cohort study.

ABSTRACT:

Objective

There is evidence of substantial ethnic variations in asthma morbidity and the risk of hospitalisation, but the picture in relation to lower respiratory tract infections is unclear. We carried out an observational study to identify ethnic group differences for lower respiratory tract infections.

Design

A retrospective, cohort study.

Setting

Scotland.

Participants

4.65 million people on whom information was available from the 2001 census, followed from May 2001 to April 2010.

Main outcome measures

Hospitalisations and deaths (any time following first hospitalisation) from lower respiratory tract infections, adjusted risk ratios and hazard ratios by ethnicity and sex were calculated. We multiplied ratios and confidence intervals by 100, so the reference Scottish White population's risk ratio and hazard ratio was 100.

Results

Among men, adjusted risk ratios for lower respiratory tract infection hospitalisation were lower in Other White British (80, 95% confidence interval 73-86) and Chinese (69, 95% confidence interval 56-84) populations and higher in Pakistani groups (152, 95% confidence interval 136-169). In women, results were mostly similar to those in men (e.g. Chinese 68, 95% confidence interval 56-82), although higher adjusted risk ratios were found among women of the Other South Asians group (145, 95% confidence interval 120-175). Survival (adjusted hazard ratio) following lower respiratory tract infection for Pakistani men (54, 95% confidence interval 39-74) and women (31, 95% confidence interval 18-53) was better than the reference population.

Conclusions

Substantial differences in the rates of lower respiratory tract infections amongst different ethnic groups in Scotland were found. Pakistani men and women had particularly high rates of lower respiratory tract infection hospitalisation. The reasons behind the high rates of lower respiratory tract infection in the Pakistani community are now required.

SUBMITTER: Simpson CR

PROVIDER: S-EPMC4622271 | biostudies-literature | 2015 Oct

REPOSITORIES: biostudies-literature

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Publications

Ethnic variations in morbidity and mortality from lower respiratory tract infections: a retrospective cohort study.

Simpson Colin R CR Steiner Markus Fc MF Cezard Genevieve G Bansal Narinder N Fischbacher Colin C Douglas Anne A Bhopal Raj R Sheikh Aziz A

Journal of the Royal Society of Medicine 20150707 10

<h4>Objective</h4>There is evidence of substantial ethnic variations in asthma morbidity and the risk of hospitalisation, but the picture in relation to lower respiratory tract infections is unclear. We carried out an observational study to identify ethnic group differences for lower respiratory tract infections.<h4>Design</h4>A retrospective, cohort study.<h4>Setting</h4>Scotland.<h4>Participants</h4>4.65 million people on whom information was available from the 2001 census, followed from May 2 ...[more]

PMID: 26152675

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Dataset Information

Ethnic variations in morbidity and mortality from lower respiratory tract infections: a retrospective cohort study.

Objective

Design

Setting

Participants

Main outcome measures

Results

Conclusions

Publications

Ethnic variations in morbidity and mortality from lower respiratory tract infections: a retrospective cohort study.

Similar Datasets

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