Bhala, Neeraj, Bhopal, Raj, Brock, Anita, Griffiths, Clare and Wild, Sarah. (2009) Alcohol-related and hepatocellular cancer deaths by country of birth in England and Wales: analysis of mortality and census data. Journal of Public Health, Vol.31 (No.2). pp. 250-257. ISSN 1741-3842

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Abstract

The incidence of and mortality from alcohol-related conditions, liver disease and hepatocellular cancer (HCC) are increasing in the UK. We compared mortality rates by country of birth to explore potential inequalities and inform clinical and preventive care. Analysis of mortality for people aged 20 years and over using the 2001 Census data and death data from 1999 and 2001-2003. England and Wales. Standardized mortality ratios (SMRs) for alcohol-related deaths and HCC. Mortality from alcohol-related deaths (23 502 deaths) was particularly high for people born in Ireland (SMR for men [M]: 236, 95% confidence interval [CI]: 219-254; SMR for women [F]: 212, 95% CI: 191-235) and Scotland (SMR-M: 187, CI: 173-213; SMR-F 182, CI: 163-205) and men born in India (SMR-M: 161, CI: 144-181). Low alcohol-related mortality was found in women born in other countries and men born in Bangladesh, Middle East, West Africa, Pakistan, China and Hong Kong, and the West Indies. Similar mortality patterns were observed by country of birth for alcoholic liver disease and other liver diseases. Mortality from HCC (8266 deaths) was particularly high for people born in Bangladesh (SMR-M: 523, CI: 380-701; SMR-F: 319, CI: 146-605), China and Hong Kong (SMR-M: 492, CI: 168-667; SMR-F: 323, CI: 184-524), West Africa (SMR-M: 440, CI, 308-609; SMR-F: 319, CI: 165-557) and Pakistan (SMR-M: 216, CI: 113-287; SMR-F: 215, CI: 133-319). These findings show persistent differences in mortality by country of birth for both alcohol-related and HCC deaths and have important clinical and public health implications. New policy, research and practical action are required to address these differences.

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Faculty of Medicine > Warwick Medical School > Clinical Sciences Research Institute (CSRI) Faculty of Medicine > Warwick Medical School
Journal or Publication Title:	Journal of Public Health
Publisher:	Oxford University Press
ISSN:	1741-3842
Date:	June 2009
Volume:	Vol.31
Number:	No.2
Number of Pages:	8
Page Range:	pp. 250-257
Identification Number:	10.1093/pubmed/fdp014
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Funder:	Medical Research Council (MRC), Berkeley Fellowship (Gonville and Caius College, Cambridge, and the Royal Free and University College Medical School), Dame Sheila Sherlock Fellowship (Royal College of Physicians of London)
URI:	http://wrap.warwick.ac.uk/id/eprint/27894

Data sourced from Thomson Reuters' Web of Knowledge

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