3: Ethnicity and Health

Contacts

Preface

Contents

List of Tables
List of Figures

Abbreviations

Main Body

1: Boundaries and Populations
2: Inequalities and Deprivation
3: Ethnicity and Health
4: Environmental Hazards
5: Health related behaviour
    of young people
6: Accidents
7: Cancer
8: Teeth and fluoridation
9: Coronary Heart Disease
10: Communicable diseases

Appendices

3.1    The ethnic map of the West Midlands

The following four figures display the ethnic population aggregated into the four major groups by Primary Care Group. The four major groups are composed thus:

• Figure 3.1: Asian - Indian, Pakistani and Bangladeshi
• Figure 3.2: Black - Caribbean, African and Other
• Figure 3.3: Other - Chinese and Other Specified
• Figure 3.4: White

The populations are based on the resident population at the 1991 Census. The populations have been constructed using the PCG boundaries as supplied by the West Midlands Cancer Intelligence Unit (WMCIU).

Figure 3.1 Percentage of PCG Population who describe themselves as Asian

Figure 3.2 Percentage of PCG Population who describe themselves as Black

Figure 3.3 Percentage of PCG Population who describe themselves as from other ethnic groups

Figure 3.4 Percentage of PCG Population who describe themselves as White

3.2    Quality of coding by Ethnic group across West Midlands

Since the introduction of the new field in 1995/6 the quality of coding has improved year on year and the level is now in excess of 70%.

Figure 3.5 Quality of coding measured in terms of valid vs not given and invalid codes for residents of the West Midlands

There remain however large variations in the quality of coding across trusts (see figures 3.6 and 3.7)

Figure 3.6 Quality of coding across Acute Trusts measured as percentage of valid codes recorded.

Figure 3.7 Quality of coding across Community Trusts measured as percentage of valid codes recorded.

3.3    Admissions rates by Ethnic group by Our Healthier Nation groups

Presented here are admissions to hospitals by residents of the West Midlands by ethnic group in 1997/8. In view of the errors in data capture these are illustrative of the type of variation observed across ethnic groups rather than a true measure of the rate. For each rate a 95% confidence interval has been calculated. Due to the problem of small populations the ethnic groups have been aggregated using the same groups as for Figures 3.1 to 3.4.

Table 3.1 - Age sex standardised rates of admission per 100,000 population for suicides by Health Authority, 1997/8

Table 3.2 - Age sex standardised rates of admission per 100,000 population for strokes by Health Authority, 1997/8

Table 3.3 - Age sex standardised rates of admission per 100,000 population for heart disease by Health Authority, 1997/8

Table 3.4 - Age sex standardised rates of admission per 100,000 population for cancers by Health Authority, 1997/8

Table 3.5 - Age sex standardised rates of admission per 100,000 population for accidents by Health Authority, 1997/8 

REFERENCES

Independent Inquiry into Inequalities in Health. London: Stationary Office, 1998

Information Management Group. Collecting ethnic group data for admitted patient care: implementation guidance and training material, Leeds: NHS executive, 1994.

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