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The 'healthy immigrant effect' and 'migrant mortality advantage' describe the better health and lower mortality of international immigrants as compared with the native‐born populations of high‐income countries. However, a growing body of evidence suggests that it is much more common to observe low mortality among immigrants than it is good health, pointing to the existence of a potential paradox that mirrors the well‐known gender paradox in health and mortality. To investigate this, we used the Office for National Statistics Longitudinal Study, a large‐scale representative 1% sample of the England and Wales resident population comprising linked individual‐level health, mortality, and socio‐demographic data. We compared health and mortality within and across major immigrant groups over 20 years using logistic regression for health and discrete‐time survival analysis for mortality, both before and after adjusting for socio‐demographic factors. Of the eight origin subgroups studied, we found persistent evidence of a health‐mortality paradox within three: men and women from India, Pakistan and Bangladesh, and the Caribbean. We discuss potential explanations and implications of this paradox and suggest that decision makers need to react to help these subgroups preserve their health in order to delay the onset of limiting illnesses and emergence of this paradox.

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Population ageing is one of the most significant demographic changes underway in many countries. Far from being a homogenous group, older people and their experiences of ageing are diverse. A better understanding of the characteristics and geography of the older population, including the older workforce, is important. It allows policymakers and stakeholders to better adapt to the opportunities and challenges that the ageing population brings. This paper describes the implementation of the Ageing in Place Classification (AiPC) in England. AiPC is a multidimensional geodemographic classification, and it employs a wide range of spatially representative attributes of older people’s sociodemographic characteristics and their living environment at the small area level. The openly available product provides valuable insights that can be implemented in both local and national contexts, in particular to improve service delivery and inform targeted policy interventions. AiPC is readily updateable with the arrival of new Census data; the concept and framework are also transferable to other countries.