Abstract
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.
| Original language | English |
|---|---|
| Article number | e2403 |
| Number of pages | 16 |
| Journal | Population, Space and Place |
| Volume | Early View |
| Early online date | 4 Nov 2020 |
| DOIs | |
| Publication status | E-pub ahead of print - 4 Nov 2020 |
Keywords
- Self-assessed health
- Ethnicity
- Socio-economic status
- Immigrants
- Descendants
- Scotland
Access to Document
- Cézard-2020-Ethnic-differences-in-self-PSP-AAM
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.